'Pedometers cost buttons': the feasibility of implementing a pedometer based walking programme within the community

Shaw, Rebecca; Fenwick, Elisabeth; Baker, Graham; McAdam, Chloe; Fitzsimons, Claire; Mutrie, Nanette
January 2011
BMC Public Health;2011, Vol. 11 Issue 1, p200
Academic Journal
Background: Recent studies have suggested that walking interventions may be effective (at least in the short term) at increasing physical activity amongst those people who are the most inactive. This is a leading objective of contemporary public health policy in the UK and worldwide. However, before committing money from limited budgets to implement walking interventions more widely in the community, policymakers will want to know whether similar impacts can be expected and whether any changes will be required to the process to ensure uptake and success. This paper utilises the findings from a recent community-based pedometer study (Walking for Wellbeing in the West - WWW) undertaken in Glasgow, Scotland to address issues of feasibility. Methods: An economic analysis of the WWW study assessed the costs of the interventions (minimal and maximal) and combined these with the effects to present incremental cost-effectiveness ratios (cost/person achieving the target of an additional 15,000 steps/week). A qualitative evaluation, involving focus group discussions with WWW participants and short interviews with members of the WWW research team, explored perceived benefits and barriers associated with walking, as well as the successful aspects and challenges associated with the interventions. Results: The incremental cost effectiveness associated with the interventions was estimated as £92 and £591 per person achieving the target for the minimal and maximal interventions respectively. The qualitative evaluation gave insight into the process by which the results were achieved, and identified several barriers and facilitators that would need to be addressed before implementing the interventions in the wider community, in order to ensure their effective transfer. These included assessing the impact of the relationship between researchers and participants on the results, and the motivational importance of monitoring and assessing performance. Conclusions: The results suggest that pedometer based walking interventions may be considered cost-effective and suitable for implementation within the wider community. However, several research gaps remain, including the importance and impact of the researcher/participant relationship, the impact of assessment on motivation and effectiveness, and the longer term impact on physical and mental health, resource utilisation and quality of life. Trial registration: Current Control Trials Ltd ISRCTN88907382


Related Articles

  • Arthritis Awareness Month -- May 2008.  // MMWR: Morbidity & Mortality Weekly Report;5/9/2008, Vol. 57 Issue 18, p498 

    The article discusses the designation of May 2008 as Arthritis Awareness Month in the U.S. to encourage persons with arthritis to stay physically active to prevent its progress. The U.S. Surgeon General has stated that regular physical activity is necessary to maintain normal muscle strength,...

  • Walking trails improve community fitness.  // Nation's Health;May2000, Vol. 30 Issue 4, p32 

    Explains that walking trails among communities in the United States can improve the health of residents. Highlights on the study done by researchers; How walking trials can encourage people to walk during time when they could be inactive.

  • Systematic reviews of health effects of social interventions: 2. Best available evidence: how low should you go? Ogilvie, David; Egan, Matt; Hamilton, Val; Petticrew, Mark // Journal of Epidemiology & Community Health;Oct2005, Vol. 59 Issue 10, p886 

    Study objective: There is little guidance on how to select the best available evidence of health effects of social interventions. The aim of this paper was to assess the implications of selling particular inclusion criteria for evidence synthesis. Design: Analysis of all relevant studies for one...

  • Perceived barriers to walking in the neighbourhood environment and change in physical activity levels over 12 months. Dawson, Jill; Hillsdon, Melvyn; Boiler, Irene; Foster, Charlie // British Journal of Sports Medicine;Sep2007, Vol. 41 Issue 9, p562 

    Objectives: To investigate whether, and to what extent, perceived barriers to neighbourhood walking (BTNW) may be associated with physical activity levels. Design: Prospective survey with 12-month follow-up. Subjects and methods: 750 people attending walking schemes throughout England and...

  • POLE TO POLE. Stewart, Gill // SportEX Health (14718154);Apr2009, Issue 20, p27 

    The article offers information on Nordic walking and its role in physical activity promotion in Great Britain. It notes that Nordic walking is considered as an effective outdoor walking technique. Participants push off through specifically designed Nordic walking poles, creating a total body...

  • How important is the land use mix measure in understanding walking behaviour? Results from the RESIDE study. Christian, Hayley E.; Bull, Fiona C.; Middleton, Nicholas J.; Knuiman, Matthew W.; Divitini, Mark L.; Hooper, Paula; Amarasinghe, Anura; Giles-Corti, Billie // International Journal of Behavioral Nutrition & Physical Activit;2011, Vol. 8, p55 

    Background: Understanding the relationship between urban design and physical activity is a high priority. Different representations of land use diversity may impact the association between neighbourhood design and specific walking behaviours. This study examined different entropy based...

  • Laguna woods residents answer call to exercise.  // Nation's Health;Jun/Jul2002, Vol. 32 Issue 5, p16 

    Discusses how residents of Laguna Woods, California responded to the city's National Public Health Week physical activity challenge. Goal of the program; Number of residents that took part in the challenge.

  • get slim: skip the gym.  // Cincinnati;Winter2011 Wedding, p30 

    No abstract available.

  • STAND TO SURVIVE. Bradley, Ryan // Fortune International (Asia);7/2/2012, Vol. 166 Issue 1, p21 

    The article reports on a new study which found that too much sitting is killing people faster.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics