Document Detail


The Newcastle exercise project: a randomised controlled trial of methods to promote physical activity in primary care.
MedLine Citation:
PMID:  10496829     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the effectiveness of combinations of three methods to promote physical activity.
DESIGN: Randomised controlled trial. Baseline assessment with post-intervention follow up at 12 weeks and 1 year.
SETTING: One urban general practice, 1995-7.
PARTICIPANTS: 523 adults aged 40 to 64 years, randomised to four intervention groups and a control group.
INTERVENTIONS: Brief (one interview) or intensive (six interviews over 12 weeks) motivational interviewing based on the stages of change model of behaviour change, with or without financial incentive (30 vouchers entitling free access to leisure facilities).
MAIN OUTCOME MEASURES: Physical activity score; sessions of moderate and vigorous activity in the preceding four weeks.
RESULTS: Response rate was 81% at 12 weeks and 85% at one year. More participants in the intervention group reported increased physical activity scores at 12 weeks than controls (38% v 16%, difference 22%, 95% confidence interval for difference 13% to 32%), with a 55% increase observed in those offered six interviews plus vouchers. Vigorous activity increased in 29% of intervention participants and 11% of controls (difference 18%, 10% to 26%), but differences between the intervention groups were not significant. Short term increases in activity were not sustained, regardless of intensity of intervention.
CONCLUSIONS: The most effective intervention for promoting adoption of exercise was the most intensive. Even this did not promote long term adherence to exercise. Brief interventions promoting physical activity that are used by many schemes in the United Kingdom are of questionable effectiveness.
Authors:
J Harland; M White; C Drinkwater; D Chinn; L Farr; D Howel
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  BMJ (Clinical research ed.)     Volume:  319     ISSN:  0959-8138     ISO Abbreviation:  BMJ     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-11-01     Completed Date:  1999-11-01     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  8900488     Medline TA:  BMJ     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  828-32     Citation Subset:  AIM; IM    
Export Citation:
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MeSH Terms
Descriptor/Qualifier:
Adult
England
Exercise*
Family Practice / organization & administration*
Female
Health Promotion / methods*,  utilization
Humans
Male
Middle Aged
Patient Acceptance of Health Care / statistics & numerical data
Prognosis
Urban Health
Comments/Corrections
Comment In:
BMJ. 2000 May 27;320(7247):1470-1; author reply 1473-4   [PMID:  10877560 ]
BMJ. 2000 May 27;320(7247):1472; author reply 1473-4   [PMID:  10877565 ]
BMJ. 2000 May 27;320(7247):1472; author reply 1473-4   [PMID:  10877564 ]
BMJ. 2000 May 27;320(7247):1471-2; author reply 1473-4   [PMID:  10877563 ]
BMJ. 2000 May 27;320(7247):1473   [PMID:  10877567 ]
BMJ. 2000 May 27;320(7247):1471; author reply 1473-4   [PMID:  10877561 ]
BMJ. 2000 May 27;320(7247):1474   [PMID:  10877568 ]
BMJ. 2000 May 27;320(7247):1473   [PMID:  10877566 ]
BMJ. 2000 May 27;320(7247):1471; author reply 1473-4   [PMID:  10877562 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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