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The 'Walking for Wellbeing in the West' randomised controlled trial of a pedometer-based walking programme in combination with physical activity consultation with 12 month follow-up: rationale and study design

Fitzsimons, Claire and Baker, Graham and Wright, Annemarie and Nimmo, Myra A. and Thompson, Catharine Ward and Lowry, Ruth and Millington, Cath and Shaw, Rebecca and Fenwick, Elisabeth and Ogilvie, David and Inchley, Jo and Foster, Charlie and Mutrie, Nanette and , Scottish Government (Funder) (2008) The 'Walking for Wellbeing in the West' randomised controlled trial of a pedometer-based walking programme in combination with physical activity consultation with 12 month follow-up: rationale and study design. BMC Public Health, 8. pp. 259-268. ISSN 1471-2458

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    Abstract

    Scotland has a policy aimed at increasing physical activity levels in the population, but evidence on how to achieve this is still developing. Studies that focus on encouraging real world participants to start physical activity in their settings are needed. The Walking for Well-being in the West study was designed to assess the effectiveness of a pedometer-based walking programme in combination with physical activity consultation. The study was multi-disciplinary and based in the community. Walking for Well-being in the West investigated whether Scottish men and women, who were not achieving the current physical activity recommendation, increased and maintained walking behaviour over a 12 month period. This paper outlines the rationale and design of this innovative and pragmatic study. Participants were randomised into two groups: Group 1: Intervention (pedometer-based walking programme combined with a series of physical activity consultations); Group 2: Waiting list control for 12 weeks (followed by minimal pedometer-based intervention). Physical activity (primary outcome) was measured using pedometer step counts (7 day) and the International Physical Activity Questionnaire (long version). Psychological processes were measured using questionnaires relating to the Transtheoretical Model of Behaviour Change, mood (Positive and Negative Affect Schedule) and quality of life (Euroqol EQ-5D instrument). Physiological measures included anthropometric and metabolic outcomes. Environmental influences were assessed subjectively (Neighbourhood Quality of Life Survey) and objectively (neighbourhood audit tool and GIS mapping). The qualitative evaluation employed observation, semi-structured interviews and focus groups. A supplementary study undertook an economic evaluation. Data analysis is on-going. Walking for Well-being in the West will demonstrate if a pedometer based walking programme, in combination with physical activity consultation results in a sustainable increase in walking behaviour in this sample of Scottish adults over a 12 month period. The study will examine the complex relationships between behavioural change, health consequences and the role of the environment, in conjunction with the cost effectiveness of this approach and a detailed insight into the participants' experiences of the intervention.

    Item type: Article
    ID code: 7465
    Keywords: exercise, physical activity, wellbeing, walking, Scotland, Personal health and hygiene, including exercise, nutrition
    Subjects: Medicine > Public aspects of medicine > Personal health and hygiene, including exercise, nutrition
    Department: Faculty of Education > Sport, Culture and The Arts
    Faculty of Humanities and Social Sciences (HaSS) > School of Psychological Science and Health > Physical Activity for Health
    Faculty of Science > Strathclyde Institute of Pharmacy and Biomedical Sciences
    Related URLs:
    Depositing user: Dr Claire Fitzsimons
    Date Deposited: 11 Feb 2009 16:27
    Last modified: 24 Jul 2013 05:45
    URI: http://strathprints.strath.ac.uk/id/eprint/7465

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