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West End Walkers 65+: The feasibility of a pedometer-based walking programme in combination with a physical activity consultation in Scottish adults aged 65 years and over in a primary care setting
ISRCTN ISRCTN70658148
DOI 10.1186/ISRCTN70658148
ClinicalTrials.gov identifier
EudraCT number
Public title West End Walkers 65+: The feasibility of a pedometer-based walking programme in combination with a physical activity consultation in Scottish adults aged 65 years and over in a primary care setting
Scientific title The feasibility of a pedometer-based walking programme in combination with a physical activity consultation in Scottish adults aged 65 years and over in a primary care setting: a randomised controlled trial
Acronym WEW 65+
Serial number at source CZH/4/457
Study hypothesis Walking has been identified as an ideal mode of exercise to promote physical activity in the general population as well as among older adults. Large knowledge gaps exist on the optimum methods to promote and sustain walking behaviour in older adults. WEW 65+ will investigate the feasibility of a pedometer-based walking programme in combination with a physical activity consultation delivered in primary care. Its target is to help community dwelling older adults aged over 65 years achieve and sustain the physical activity recommendation of 30 minutes of activity at least 5 days of the week. This study will provide evaluative information on recruitment and retention to the study, the feasibility of the intervention and outcome measures that could be useful in designing a definitive randomised controlled trial.

Hypothesis:
Can a pedometer-based walking programme, in combination with a physical activity consultation delivered in a primary care setting increase and maintain walking behaviour among adults aged over 65 years over a 24 week period?
Lay summary Not provided at time of registration
Ethics approval NHS Greater Glasgow and Clyde Research Ethics Committee, approved on 26/11/2008 (ref: 08/S0701/121)
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Physical activity in older adults
Participants - inclusion criteria Independently living men and women aged over 65 years are eligible to enter the trial should they not currently meet the amount of physical activity currently recommended for health benefit.
Participants - exclusion criteria 1. Refusal to take part
2. Already achieved the physical activity recommendations for this group
3. Unable to walk outside independently
4. Unable to understand the rationale behind the trial
Anticipated start date 30/11/2008
Anticipated end date 30/09/2010
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 46
Interventions Participants will be randomised into one of two groups: immediate intervention (Group 1) or waiting list control (Group 2). Participants randomised to Group 1 received a 30 minute physical activity consultation with a practice nurse. The participants are given an individualised 12 week walking programme, a pedometer and a booklet containing health advice, walking information and the walking programme. Following the 12 week walking programme, the participants will receive a second individual physical activity consultation focusing on relapse prevention. Participants will receive a written physical activity advice leaflet at this point.

Participants randomised to Group 2 were allocated to a 12 week waiting list and will be requested not to amend their current physical activity levels. After 12 weeks Group 2 received an individualised 12 week walking programme identical to Group 1, a pedometer and a physical activity consultation.
Primary outcome measure(s) Walking behaviour will be assessed using pedometer step counts (NL-1000 pedometer) and accelerometer activity counts (ActivPAL Accelerometer). In the intervention group these measures will be assessed at baseline, 3 months and 6 months. In the waiting list group these measures will be assessed at baseline, 3 months and 6 months.
Secondary outcome measure(s) Psychological, including the changes in:
1. Mood: Positive And Negative Affects Scale (PANAS)
2. Loneliness: University of California, Los Angeles (UCLA) loneliness scale
3. Motor efficacy: perceived motor efficacy scale
4. Quality of life: SF-36v2™ Health Survey (SF-36v2™)

In the intervention group these questionnaires were completed at baseline and 12 weeks. In the waiting list group the questionnaires were completed at baseline, 12 weeks, 24 weeks and 36 weeks.

Qualitative:
Two focus groups will be completed with Group 1 at 12 weeks and 24 weeks (post intervention), one involving high adherers, the other of low adherers. A further two focus groups will be conducted with Group 2 at 24 weeks (post intervention), again one consisting of high adherers, the other of low adherers.
Sources of funding 1. Chief Scientist Office (UK) (grant no: CZH/4/457)
2. NHS Greater Glasgow and Clyde Research and Development Office (UK) (project ref: WN08CH356)
Trial website http://www.sparcoll.org.uk/Research/WestEndWalkers65.aspx
Publications 1. 2012 results in http://www.ncbi.nlm.nih.gov/pubmed/22843637
Contact name Prof  Nanette  Mutrie
  Address Department of Sport, Culture and the Arts
University of Strathclyde
76 Southbrae Drive
  City/town Glasgow
  Zip/Postcode G13 1PP
  Country United Kingdom
  Tel +44 (0)141 9503371
  Fax +44 (0)141 9503132
  Email nanette.mutrie@strath.ac.uk
Sponsor Chief Scientist Office (UK)
  Address The Scottish Government
St Andrew's House
Regent Road
  City/town Edinburgh
  Zip/Postcode EH1 3DG
  Country United Kingdom
  Sponsor website: http://www.sehd.scot.nhs.uk/cso/
Date applied 05/10/2009
Last edited 13/05/2013
Date ISRCTN assigned 30/11/2009
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