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A randomised controlled trial and cost-effectiveness evaluation of "booster" interventions to sustain increases in physical activity in middle-aged adults in deprived urban neighbourhoods
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Hind, D. (Daniel), Scott, Emma, Copeland, Robert, Breckon, Jeff D., Crank, Helen, Walters, Stephen John, Brazier, John, Nicholl, J. P., Cooper, Cindy and Goyder, Elizabeth (2010) A randomised controlled trial and cost-effectiveness evaluation of "booster" interventions to sustain increases in physical activity in middle-aged adults in deprived urban neighbourhoods. BMC Public Health, Volume 10 (Number 1). Article number 3. doi:10.1186/1471-2458-10-3 ISSN 1471-2458.
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Official URL: http://dx.doi.org/10.1186/1471-2458-10-3
Abstract
Background:
Systematic reviews have identified a range of brief interventions which increase physical activity in previously sedentary people. There is an absence of evidence about whether follow up beyond three months can maintain long term physical activity. This study assesses whether it is worth providing motivational interviews, three months after giving initial advice, to those who have become more active.
Methods/Design:
Study candidates (n = 1500) will initially be given an interactive DVD and receive two telephone follow ups at monthly intervals checking on receipt and use of the DVD. Only those that have increased their physical activity after three months (n = 600) will be randomised into the study. These participants will receive either a "mini booster" (n = 200), "full booster" (n = 200) or no booster (n = 200). The "mini booster" consists of two telephone calls one month apart to discuss physical activity and maintenance strategies. The "full booster" consists of a face-to-face meeting with the facilitator at the same intervals. The purpose of these booster sessions is to help the individual maintain their increase in physical activity. Differences in physical activity, quality of life and costs associated with the booster interventions, will be measured three and nine months from randomisation. The research will be conducted in 20 of the most deprived neighbourhoods in Sheffield, which have large, ethnically diverse populations, high levels of economic deprivation, low levels of physical activity, poorer health and shorter life expectancy. Participants will be recruited through general practices and community groups, as well as by postal invitation, to ensure the participation of minority ethnic groups and those with lower levels of literacy. Sheffield City Council and Primary Care Trust fund a range of facilities and activities to promote physical activity and variations in access to these between neighbourhoods will make it possible to examine whether the effectiveness of the intervention is modified by access to community facilities. A one-year integrated feasibility study will confirm that recruitment targets are achievable based on a 10% sample.
Discussion:
The choice of study population, study interventions, brief intervention preceding the study, and
outcome measure are discussed.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Health behavior -- Age factors -- Great Britain, Health behavior -- Great Britain, Exercise therapy for older people -- Great Britain, Clinical trials -- Great Britain, Cost effectiveness , Medical economics -- Great Britain | ||||
Journal or Publication Title: | BMC Public Health | ||||
Publisher: | BioMed Central Ltd. | ||||
ISSN: | 1471-2458 | ||||
Official Date: | 2010 | ||||
Dates: |
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Volume: | Volume 10 | ||||
Number: | Number 1 | ||||
Page Range: | Article number 3 | ||||
DOI: | 10.1186/1471-2458-10-3 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) | ||||
Date of first compliant deposit: | 25 December 2015 | ||||
Date of first compliant Open Access: | 25 December 2015 | ||||
Funder: | National Institute for Health Research (Great Britain) (NIHR) | ||||
Grant number: | 07/25/02 (NIHR) | ||||
Version or Related Resource: | Scott, E., et al. (2011) "Booster" interventions to sustain increases in physical activity in middle-aged adults in deprived urban neighbourhoods: internal pilot and feasibility study. BMC Public Health, Volume 11 (Number 1). Article number 129. http://wrap.warwick.ac.uk/id/eprint/57552 | ||||
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