Adherence
A primary care nurse-delivered walking intervention using pedometer and accelerometer feedback significantly increases objectively measured step counts and moderate-to-vigorous physical activity (MVPA) in older adults (60-75 years) at 3 and 12 months.
For adults aged 60-75, a structured walking program guided by a healthcare professional can effectively increase daily steps and moderate-to-vigorous activity. The key is using feedback tools like pedometers and accelerometers to set incremental goals and monitor progress, rather than just receiving general advice. This approach is safe and well-received by this demographic.
At 3 months changes in both average daily step-counts and weekly MVPA in >10-minute bouts were significantly higher in the intervention than control group: by 1,037 (95% CI 513–1,560) steps/day and 63 (95% CI 40–87) minutes/week, respectively. At 12 months corresponding differences were 609 (95% CI 104–1,115) steps/day and 40 (95% CI 17–63) minutes/week.
Why this rating
Cluster randomized controlled trial with a large sample size (n=298) and objective measurement (accelerometry), though not blinded to participants.
Source
A Primary Care Nurse-Delivered Walking Intervention in Older Adults: PACE (Pedometer Accelerometer Consultation Evaluation)-Lift Cluster Randomised Controlled Trial
Tess Harris et al. · PLoS Medicine · 2015
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