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
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
复制标题
DOI：
10.1186/1471-2458-8-259
复制
发表时间：
2008-07-26
影响因子：
4.5
通讯作者：
Mutrie, Nanette
中科院分区：
文献类型：
--
作者：
Fitzsimons, Claire F.;Baker, Graham;Mutrie, Nanette
背景：苏格兰有一项旨在提高人口体育活动水平的政策，但关于如何实现这一目标的证据仍在发展。鼓励现实世界的参与者在他们的环境中开始体育活动的研究是必要的。西方国家的“步行促进健康”研究旨在评估以计步器为基础的步行项目与身体活动咨询相结合的有效性。这项研究是多学科的，以社区为基础。西部地区的“步行健康”调查了苏格兰男性和女性在12个月的时间里是否增加并保持了步行行为，这些男性和女性没有达到目前的体育锻炼建议。本文概述了这一创新和实用研究的基本原理和设计。方法：参与者被随机分为两组：第一组：干预（基于计步器的步行计划结合一系列身体活动咨询）；第二组：等待名单控制12周（随后进行最小计步器干预）。使用计步器步数（7天）和国际身体活动问卷（长版本）测量身体活动（主要结局）。心理过程采用行为改变跨理论模型（Transtheoretical Model of behavior Change）、情绪积极和消极影响量表（mood Positive and Negative Affect Schedule）和生活质量问卷（Euroqol EQ-5D量表）进行测量。生理测量包括人体测量和代谢结果。对环境影响进行了主观评估（邻里生活质量调查）和客观评估（邻里审计工具和GIS制图）。定性评价采用观察法、半结构化访谈法和焦点小组法。一项补充研究进行了经济评价。讨论：数据分析正在进行中。在西方，“步行为幸福”将展示一个基于计步器的步行计划，结合体育活动咨询，是否能在12个月的时间里，在苏格兰成年人的样本中持续增加步行行为。这项研究将考察行为改变、健康后果和环境作用之间的复杂关系，并结合这一方法的成本效益和对参与者干预经历的详细了解。
Background: 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. Methods: Participants were randomised into two groups: Group 1: Intervention (pedometerbased 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. Discussion: 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.