The Healthy Steps Study: A randomized controlled trial of a pedometer-based Green Prescription for older adults. Trial protocol

Kolt, Gregory S., Schofield, Grant M., Kerse, Ngaire, Garrett, Nicholas, Schluter, Philip J., Ashton,Toni and Patel, Asmita (2009) The Healthy Steps Study: A randomized controlled trial of a pedometer-based Green Prescription for older adults. Trial protocol. BMC Public Health, 9 404: 1-6. doi:10.1186/1471-2458-9-404


Author Kolt, Gregory S.
Schofield, Grant M.
Kerse, Ngaire
Garrett, Nicholas
Schluter, Philip J.
Ashton,Toni
Patel, Asmita
Title The Healthy Steps Study: A randomized controlled trial of a pedometer-based Green Prescription for older adults. Trial protocol
Journal name BMC Public Health   Check publisher's open access policy
ISSN 1471-2458
Publication date 2009-11
Year available 2009
Sub-type Article (original research)
DOI 10.1186/1471-2458-9-404
Open Access Status DOI
Volume 9
Issue 404
Start page 1
End page 6
Total pages 6
Editor Melissa Norton
Place of publication London, U.K.
Publisher BioMed Central
Collection year 2010
Language eng
Subject C1
920104 Diabetes
920102 Cancer and Related Disorders
920502 Health Related to Ageing
920103 Cardiovascular System and Diseases
111099 Nursing not elsewhere classified
Formatted abstract
Background. Graded health benefits of physical activity have been demonstrated for the reduction of coronary heart disease, some cancers, and type-2 diabetes, and for injury reduction and improvements in mental health. Older adults are particularly at risk of physical inactivity, and would greatly benefit from successful targeted physical activity interventions.

Methods/Design. The Healthy Steps study is a 12-month randomized controlled trial comparing the efficacy of a pedometer-based Green Prescription with the conventional time-based Green Prescription in increasing and maintaining physical activity levels in low-active adults over 65 years of age. The Green Prescription interventions involve a primary care physical activity prescription with 3 follow-up telephone counselling sessions delivered by trained physical activity counsellors over 3 months. Those in the pedometer group received a pedometer and counselling based around increasing steps that can be monitored on the pedometer, while those in the standard Green Prescription group received counselling using time-based goals. Baseline, 3 month (end of intervention), and 12 month measures were assessed in face-to-face home visits with outcomes measures being physical activity (Auckland Heart Study Physical Activity Questionnaire), quality of life (SF-36 and EQ-5D), depressive symptoms (Geriatric Depression Scale), blood pressure, weight status, functional status (gait speed, chair stands, and tandem balance test) and falls and adverse events (self-report). Utilisation of health services was assessed for the economic evaluation carried out alongside this trial. As well, a process evaluation of the interventions and an examination of barriers and motives for physical activity in the sample were conducted. The perceptions of primary care physicians in relation to delivering physical activity counselling were also assessed.

Discussion. The findings from the Healthy Steps trial are due in late 2009. If successful in improving physical activity in older adults, the pedometer-based Green Prescription could assist in reducing utilisation of health services and improve cardiovascular health and reduction of risk for a range of non-communicable lifestyles diseases.
© 2009 Kolt et al; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Keyword Lower-extremity function
Quality-of-life
Physical-activity
Primary-care
General-practice
SF-36
Exercise
People
Disability
Euroqol
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Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Trial registration.: Australian and New Zealand Clinical Trials Registry ACTRN012606000023550

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Thu, 21 Jan 2010, 14:39:44 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work