West End Walkers 65+: a randomised controlled trial of a primary care-based walking intervention for older adults: study rationale and design

Freya MacMillan, Claire Fitzsimons, Karen Black, Malcolm H. Granat, Margaret P. Grant, Madeleine Grealy, Hazel Macdonald, Alex McConnachie, David A. Rowe, Rebecca Shaw, Dawn A. Skelton, Nanette Mutrie

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

In Scotland, older adults are a key target group for physical activity intervention due to the large proportion who are inactive. The health benefits of an active lifestyle are well established but more research is required on the most effective interventions to increase activity in older adults. The 'West End Walkers 65+' randomised controlled trial aims to examine the feasibility of delivering a pedometer-based walking intervention to adults aged [greater than or equal to] 65 years through a primary care setting and to determine the efficacy of this pilot. The study rationale, protocol and recruitment process are discussed in this paper. The intervention consisted of a 12-week pedometer-based graduated walking programme and physical activity consultations. Participants were randomised into an immediate intervention group (immediate group) or a 12-week waiting list control group (delayed group) who then received the intervention. For the pilot element of this study, the primary outcome measure was pedometer step counts. Secondary outcome measures of sedentary time and physical activity (time spent lying/sitting, standing or walking; activPALTM monitor), mood (Positive and Negative Affect Schedule), functional ability (Perceived Motor-Efficacy Scale for Older Adults), quality of life (Short-Form (36) Health Survey version 2) and loneliness (UCLA Loneliness Scale) were assessed. Focus groups with participants and semi-structured interviews with the research team captured their experiences of the intervention. The feasibility component of this trial examined recruitment via primary care and retention of participants, appropriateness of the intervention for older adults and the delivery of the intervention by a practice nurse. West End Walkers 65+ will determine the feasibility and pilot the efficacy of delivering a pedometer-based walking intervention through primary care to Scottish adults aged [greater than or equal to] 65 years. The study will also examine the effect of the intervention on the well-being of participants and gain an insight into both participant and research team member experiences of the intervention. Trial registration number: ISRCTN70658148 (controlled trials).
LanguageEnglish
Article number120
Number of pages12
JournalBMC Public Health
Volume11
DOIs
Publication statusPublished - 19 Feb 2011

Fingerprint

Walking
Primary Health Care
Randomized Controlled Trials
Loneliness
Research
Outcome Assessment (Health Care)
Exercise
Aptitude
Waiting Lists
Scotland
Insurance Benefits
Health Surveys
Focus Groups
Life Style
Appointments and Schedules
Referral and Consultation
Nurses
Quality of Life
Interviews
Control Groups

Keywords

  • exercise
  • physical activity
  • senior citizens
  • interventions
  • pedometer-based walking

Cite this

MacMillan, Freya ; Fitzsimons, Claire ; Black, Karen ; Granat, Malcolm H. ; Grant, Margaret P. ; Grealy, Madeleine ; Macdonald, Hazel ; McConnachie, Alex ; Rowe, David A. ; Shaw, Rebecca ; Skelton, Dawn A. ; Mutrie, Nanette. / West End Walkers 65+: a randomised controlled trial of a primary care-based walking intervention for older adults : study rationale and design. In: BMC Public Health. 2011 ; Vol. 11.
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MacMillan, F, Fitzsimons, C, Black, K, Granat, MH, Grant, MP, Grealy, M, Macdonald, H, McConnachie, A, Rowe, DA, Shaw, R, Skelton, DA & Mutrie, N 2011, 'West End Walkers 65+: a randomised controlled trial of a primary care-based walking intervention for older adults: study rationale and design' BMC Public Health, vol. 11, 120. https://doi.org/10.1186/1471-2458-11-120

West End Walkers 65+: a randomised controlled trial of a primary care-based walking intervention for older adults : study rationale and design. / MacMillan, Freya; Fitzsimons, Claire; Black, Karen; Granat, Malcolm H.; Grant, Margaret P.; Grealy, Madeleine; Macdonald, Hazel; McConnachie, Alex; Rowe, David A.; Shaw, Rebecca; Skelton, Dawn A.; Mutrie, Nanette.

In: BMC Public Health, Vol. 11, 120, 19.02.2011.

Research output: Contribution to journalArticle

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T1 - West End Walkers 65+: a randomised controlled trial of a primary care-based walking intervention for older adults

T2 - BMC Public Health

AU - MacMillan, Freya

AU - Fitzsimons, Claire

AU - Black, Karen

AU - Granat, Malcolm H.

AU - Grant, Margaret P.

AU - Grealy, Madeleine

AU - Macdonald, Hazel

AU - McConnachie, Alex

AU - Rowe, David A.

AU - Shaw, Rebecca

AU - Skelton, Dawn A.

AU - Mutrie, Nanette

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N2 - In Scotland, older adults are a key target group for physical activity intervention due to the large proportion who are inactive. The health benefits of an active lifestyle are well established but more research is required on the most effective interventions to increase activity in older adults. The 'West End Walkers 65+' randomised controlled trial aims to examine the feasibility of delivering a pedometer-based walking intervention to adults aged [greater than or equal to] 65 years through a primary care setting and to determine the efficacy of this pilot. The study rationale, protocol and recruitment process are discussed in this paper. The intervention consisted of a 12-week pedometer-based graduated walking programme and physical activity consultations. Participants were randomised into an immediate intervention group (immediate group) or a 12-week waiting list control group (delayed group) who then received the intervention. For the pilot element of this study, the primary outcome measure was pedometer step counts. Secondary outcome measures of sedentary time and physical activity (time spent lying/sitting, standing or walking; activPALTM monitor), mood (Positive and Negative Affect Schedule), functional ability (Perceived Motor-Efficacy Scale for Older Adults), quality of life (Short-Form (36) Health Survey version 2) and loneliness (UCLA Loneliness Scale) were assessed. Focus groups with participants and semi-structured interviews with the research team captured their experiences of the intervention. The feasibility component of this trial examined recruitment via primary care and retention of participants, appropriateness of the intervention for older adults and the delivery of the intervention by a practice nurse. West End Walkers 65+ will determine the feasibility and pilot the efficacy of delivering a pedometer-based walking intervention through primary care to Scottish adults aged [greater than or equal to] 65 years. The study will also examine the effect of the intervention on the well-being of participants and gain an insight into both participant and research team member experiences of the intervention. Trial registration number: ISRCTN70658148 (controlled trials).

AB - In Scotland, older adults are a key target group for physical activity intervention due to the large proportion who are inactive. The health benefits of an active lifestyle are well established but more research is required on the most effective interventions to increase activity in older adults. The 'West End Walkers 65+' randomised controlled trial aims to examine the feasibility of delivering a pedometer-based walking intervention to adults aged [greater than or equal to] 65 years through a primary care setting and to determine the efficacy of this pilot. The study rationale, protocol and recruitment process are discussed in this paper. The intervention consisted of a 12-week pedometer-based graduated walking programme and physical activity consultations. Participants were randomised into an immediate intervention group (immediate group) or a 12-week waiting list control group (delayed group) who then received the intervention. For the pilot element of this study, the primary outcome measure was pedometer step counts. Secondary outcome measures of sedentary time and physical activity (time spent lying/sitting, standing or walking; activPALTM monitor), mood (Positive and Negative Affect Schedule), functional ability (Perceived Motor-Efficacy Scale for Older Adults), quality of life (Short-Form (36) Health Survey version 2) and loneliness (UCLA Loneliness Scale) were assessed. Focus groups with participants and semi-structured interviews with the research team captured their experiences of the intervention. The feasibility component of this trial examined recruitment via primary care and retention of participants, appropriateness of the intervention for older adults and the delivery of the intervention by a practice nurse. West End Walkers 65+ will determine the feasibility and pilot the efficacy of delivering a pedometer-based walking intervention through primary care to Scottish adults aged [greater than or equal to] 65 years. The study will also examine the effect of the intervention on the well-being of participants and gain an insight into both participant and research team member experiences of the intervention. Trial registration number: ISRCTN70658148 (controlled trials).

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