Promoting walking with pedometers in the community: The step-by-step trial

Merom, Dafna, Rissel, Chris, Phongsavan, Philayrath, Smith, Ben J., Van Kemenade, Cathelijne, Brown, Wendy J. and Bauman, Adrian E. (2007) Promoting walking with pedometers in the community: The step-by-step trial. American Journal of Preventive Medicine, 32 4: 290-297. doi:10.1016/j.amepre.2006.12.007

Author Merom, Dafna
Rissel, Chris
Phongsavan, Philayrath
Smith, Ben J.
Van Kemenade, Cathelijne
Brown, Wendy J.
Bauman, Adrian E.
Title Promoting walking with pedometers in the community: The step-by-step trial
Journal name American Journal of Preventive Medicine   Check publisher's open access policy
ISSN 0749-3797
Publication date 2007
Sub-type Article (original research)
DOI 10.1016/j.amepre.2006.12.007
Volume 32
Issue 4
Start page 290
End page 297
Total pages 8
Editor F. D. Scutchfield
K. Patrick
C. S. Seidman
Place of publication New York
Publisher Elsevier Science Inc
Collection year 2008
Language eng
Subject 730301 Health education and promotion
321216 Health Promotion
Abstract Background: Pedometers have been identified as a potential motivational aid for increasing physical activity, but their efficacy has not been demonstrated in a community-based, nonclinical sample. Design: A randomized controlled trial was conducted from August to December 2005. Analysis was completed in June 2006. Setting/Participants: Inactive adults aged 30-65 years (n=369) recruited from the community. Intervention: Comparison of a theoretically based self-help walking program (WP) and weekly diaries (sent by mail); the same walking program with a pedometer (WPP) (also by mail); and a no-treatment control group (C). Measures: Change in self-reported leisure time in any sports/recreation in the last 3 months, and all-purpose walking (APW) for exercise, recreation, and travel, and other moderate, vigorous physical activity in the last week. Proportions meeting physical activity recommendations (equal to or greater than 150 minutes and equal to or greater than five sessions/week(-1)) were determined. Results: A 3-month follow-up inter-view was conducted with 314 (85%) participants. Intention-to-treat analyses indicated significance within-group increases of APW and leisure-time walking (LTW), but mean and median sessions and minutes changes were greatest in the WPP group. There were no significant between-group differences in regular LTW (walked equal to or greater than 5 sessions/week(-1) for at least 30 minutes/session), but the WPP group increased significantly participation in other sports/recreations and was more likely than the control group to meet physical activity recommendations by all leisure-time physical activity (adjusted odds ratio=2.40, 95% CI=01.17-4.93) by APW (adjusted odds ratio=1.75 95% CI=0.92-3.34) and all physical activity (adjusted odds ratio=1.59 95% CI=0.92-2.79) in the last week. Conclusions: Pedometers enhanced the effects of the self-help walking program. This low-cost intervention should be tested for sustainability.
Keyword Public, Environmental & Occupational Health
Medicine, General & Internal
Physical-activity Interventions
Randomized Controlled-trial
Free-living Populations
Q-Index Code C1
Q-Index Status Confirmed Code

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Created: Mon, 18 Feb 2008, 16:49:34 EST