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A randomised control trial of three pragmatic appraoches to initiate increased physical activity in sedentry patients with risk factors for cardiovascular disease.

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A randomised control trial of three pragmatic appraoches to initiate increased physical activity in sedentry patients with risk factors for cardiovascular disease. / Little, Paul; Dorward, Martina; Gralton, Sarah; Hammerton, Louise; Pillinger, John; White, Peter; Moore, Michael; McKenna, Jim; Payne, Sheila.

In: British Journal of General Practice, Vol. 54, No. 500, 03.2004, p. 189-195.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Little, P, Dorward, M, Gralton, S, Hammerton, L, Pillinger, J, White, P, Moore, M, McKenna, J & Payne, S 2004, 'A randomised control trial of three pragmatic appraoches to initiate increased physical activity in sedentry patients with risk factors for cardiovascular disease.', British Journal of General Practice, vol. 54, no. 500, pp. 189-195. <http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1314829/>

APA

Little, P., Dorward, M., Gralton, S., Hammerton, L., Pillinger, J., White, P., Moore, M., McKenna, J., & Payne, S. (2004). A randomised control trial of three pragmatic appraoches to initiate increased physical activity in sedentry patients with risk factors for cardiovascular disease. British Journal of General Practice, 54(500), 189-195. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1314829/

Vancouver

Little P, Dorward M, Gralton S, Hammerton L, Pillinger J, White P et al. A randomised control trial of three pragmatic appraoches to initiate increased physical activity in sedentry patients with risk factors for cardiovascular disease. British Journal of General Practice. 2004 Mar;54(500):189-195.

Author

Little, Paul ; Dorward, Martina ; Gralton, Sarah ; Hammerton, Louise ; Pillinger, John ; White, Peter ; Moore, Michael ; McKenna, Jim ; Payne, Sheila. / A randomised control trial of three pragmatic appraoches to initiate increased physical activity in sedentry patients with risk factors for cardiovascular disease. In: British Journal of General Practice. 2004 ; Vol. 54, No. 500. pp. 189-195.

Bibtex

@article{3b0da18dc9d144cbbe514fb7595edae7,
title = "A randomised control trial of three pragmatic appraoches to initiate increased physical activity in sedentry patients with risk factors for cardiovascular disease.",
abstract = "BACKGROUND: Physical activity is a major modifiable risk factor for cardiovascular disease, but it is unclear what combination of feasible approaches, using existing resources in primary care, work best to initiate increased physical activity. AIM: To assess three approaches to initiate increased physical activity. DESIGN OF STUDY: Randomised controlled (2 X 2 X 2) factorial trial. SETTING: Four general practices. METHOD: One hundred and fifty-one sedentary patients with computer documented risk factors for cardiovascular disease were randomised to eight groups defined by three factors: prescription by general practitioners (GPs) for brisk exercise not requiring a leisure facility (for example, walking) 30 minutes per day, 5 days per week; counselling by practice nurses, based on psychological theory to modify intentions and perceived control of behaviour, and using behavioural implementation techniques (for example, contracting, 'rehearsal'); use of the Health Education Authority booklet 'Getting active, feeling fit'. RESULTS: Single interventions had modest effects. There was a trend from the least intensive interventions (control +/- booklet) to the more intensive interventions (prescription and counselling combined +/- booklet) for both increased physical activity and fitness (test for trend, P = 0.02 and P = 0.05, respectively). Only with the most intense intervention (prescription and counselling combined) were there significant increases in both physical activity and fitness from baseline (Godin score = 14.4, 95% confidence interval [CI] = 7.8 to 21, which was equivalent to three 15-minute sessions of brisk exercise and a 6-minute walking distance = 28.5 m, respectively, 95% CI = 11.1 to 45.8). Counselling only made a difference among those individuals with lower intention at baseline. CONCLUSION: Feasible interventions using available staff, which combine exercise prescription and counselling explicitly based on psychological theory, can probably initiate important increases in physical activity.",
author = "Paul Little and Martina Dorward and Sarah Gralton and Louise Hammerton and John Pillinger and Peter White and Michael Moore and Jim McKenna and Sheila Payne",
year = "2004",
month = mar,
language = "English",
volume = "54",
pages = "189--195",
journal = "British Journal of General Practice",
issn = "0960-1643",
publisher = "Royal College of General Practitioners",
number = "500",

}

RIS

TY - JOUR

T1 - A randomised control trial of three pragmatic appraoches to initiate increased physical activity in sedentry patients with risk factors for cardiovascular disease.

AU - Little, Paul

AU - Dorward, Martina

AU - Gralton, Sarah

AU - Hammerton, Louise

AU - Pillinger, John

AU - White, Peter

AU - Moore, Michael

AU - McKenna, Jim

AU - Payne, Sheila

PY - 2004/3

Y1 - 2004/3

N2 - BACKGROUND: Physical activity is a major modifiable risk factor for cardiovascular disease, but it is unclear what combination of feasible approaches, using existing resources in primary care, work best to initiate increased physical activity. AIM: To assess three approaches to initiate increased physical activity. DESIGN OF STUDY: Randomised controlled (2 X 2 X 2) factorial trial. SETTING: Four general practices. METHOD: One hundred and fifty-one sedentary patients with computer documented risk factors for cardiovascular disease were randomised to eight groups defined by three factors: prescription by general practitioners (GPs) for brisk exercise not requiring a leisure facility (for example, walking) 30 minutes per day, 5 days per week; counselling by practice nurses, based on psychological theory to modify intentions and perceived control of behaviour, and using behavioural implementation techniques (for example, contracting, 'rehearsal'); use of the Health Education Authority booklet 'Getting active, feeling fit'. RESULTS: Single interventions had modest effects. There was a trend from the least intensive interventions (control +/- booklet) to the more intensive interventions (prescription and counselling combined +/- booklet) for both increased physical activity and fitness (test for trend, P = 0.02 and P = 0.05, respectively). Only with the most intense intervention (prescription and counselling combined) were there significant increases in both physical activity and fitness from baseline (Godin score = 14.4, 95% confidence interval [CI] = 7.8 to 21, which was equivalent to three 15-minute sessions of brisk exercise and a 6-minute walking distance = 28.5 m, respectively, 95% CI = 11.1 to 45.8). Counselling only made a difference among those individuals with lower intention at baseline. CONCLUSION: Feasible interventions using available staff, which combine exercise prescription and counselling explicitly based on psychological theory, can probably initiate important increases in physical activity.

AB - BACKGROUND: Physical activity is a major modifiable risk factor for cardiovascular disease, but it is unclear what combination of feasible approaches, using existing resources in primary care, work best to initiate increased physical activity. AIM: To assess three approaches to initiate increased physical activity. DESIGN OF STUDY: Randomised controlled (2 X 2 X 2) factorial trial. SETTING: Four general practices. METHOD: One hundred and fifty-one sedentary patients with computer documented risk factors for cardiovascular disease were randomised to eight groups defined by three factors: prescription by general practitioners (GPs) for brisk exercise not requiring a leisure facility (for example, walking) 30 minutes per day, 5 days per week; counselling by practice nurses, based on psychological theory to modify intentions and perceived control of behaviour, and using behavioural implementation techniques (for example, contracting, 'rehearsal'); use of the Health Education Authority booklet 'Getting active, feeling fit'. RESULTS: Single interventions had modest effects. There was a trend from the least intensive interventions (control +/- booklet) to the more intensive interventions (prescription and counselling combined +/- booklet) for both increased physical activity and fitness (test for trend, P = 0.02 and P = 0.05, respectively). Only with the most intense intervention (prescription and counselling combined) were there significant increases in both physical activity and fitness from baseline (Godin score = 14.4, 95% confidence interval [CI] = 7.8 to 21, which was equivalent to three 15-minute sessions of brisk exercise and a 6-minute walking distance = 28.5 m, respectively, 95% CI = 11.1 to 45.8). Counselling only made a difference among those individuals with lower intention at baseline. CONCLUSION: Feasible interventions using available staff, which combine exercise prescription and counselling explicitly based on psychological theory, can probably initiate important increases in physical activity.

M3 - Journal article

VL - 54

SP - 189

EP - 195

JO - British Journal of General Practice

JF - British Journal of General Practice

SN - 0960-1643

IS - 500

ER -