Comparison of stage-matched and unmatched interventions to promote exercise behaviour in the primary care setting

Exercise and Health Research Unit, University of Bristol, Bristol BS8 2LU, UK.
Health Education Research (Impact Factor: 1.66). 11/1999; 14(5):653-66.
Source: PubMed


This study examined the effectiveness of stages of change-based counselling for exercise delivered by nurses in four primary care centres. Two-hundred and ninety-four subjects enrolled, recruited from patients attending 30-min health checks. The average age of participants was 42.4 years (SD = 15.1) and 77% were female. Participants completed a questionnaire assessing stage of exercise adoption, self-efficacy and exercise levels. Each centre was assigned to either one of three experimental conditions or to a control condition. Participants were counselled accordingly, receiving either stage-oriented exercise materials with counselling (stage plus counselling), stage-oriented materials without counselling (stage no counselling), non-staged materials with counselling (counselling only) or the current level of advice (control). Sixty-one percent (n = 180) returned follow-up questionnaires. When baseline differences in self-efficacy, age and gender were controlled for, there was no significant group or interaction effect for stage. There was a significant time effect (F = 3.55, P = 0.031). Post hoc analyses showed that significant differences were between baseline and 2 (t = -3.02, P = 0.003) and 6 months (t = -2.67, P = 0.009). No changes in self-efficacy and exercise levels were observed. Stage-based interventions were not superior to the other interventions. All single-contact interventions, while having no impact on exercise behaviour and self-efficacy, did enhance motivation to change.

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Available from: Pat Turton, Mar 13, 2014
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    • "In all cases behavior was evaluated using a valid and reliable assessment tool. The type of activity reported varied from leisure time physical activity (i.e., activity a person chooses to do during his or her free time; n = 6 [23-25,30,32,33]), lifestyle activity (i.e., activities a person engages in as part of his or her daily routine including active transport, occupational activities, and activities of daily living; n = 3 [23,25,33]) to total activity (i.e., any activity reported requiring energy exertion; n = 8 [22,23,25-29,31,33]). "
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    • "Workplace, primaryc are, media, and university settings were most often utilized. Interventions ranged in duration from a2 –5 min brief interventions (Calfas, Sallis, Oldenburg, &Ffrench,1997; Naylor,Simmonds, Riddoch, Velleman, &Turton, 1999) to interventionsof2years in length (Rejeski et al.,2001). The numberofcontact sessions with the researcht eam also varied greatly. "
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    • "and two studies of low quality [21] [23] did not report any statistically significant increase in physical activity after EoP. Three of these studies concluded that more intensive intervention was required to increase physical activity [20] [22] [23]. "
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