Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2004
A randomised controlled trial of three pragmatic approaches to initiate increased physical activity in sedentary patients with risk factors for cardiovascular disease.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- A systematic review and meta-analysis testing the effect of lifestyle modification and medication optimization programs on cholesterol and blood pressure in patients with cardiovascular disease.Systematic reviews · 2025Pooled it
- Promoting physical activity in primary care: a systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Pooled it
- To what extent do primary care practice nurses act as case managers lifestyle counselling regarding weight management? A systematic review.BMC family practice · 2014Pooled it
- Nurse delivered lifestyle interventions in primary health care to treat chronic disease risk factors associated with obesity: a systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2012Pooled it
- A systematic review of interventions in primary care to improve health literacy for chronic disease behavioral risk factors.BMC family practice · 2012Pooled it
- Which providers can bridge the health literacy gap in lifestyle risk factor modification education: a systematic review and narrative synthesis.BMC family practice · 2012Pooled it
- Single risk factor interventions to promote physical activity among patients with chronic diseases: systematic review.Canadian family physician Medecin de famille canadien · 2008Pooled it
- Interventions for promoting physical activity.The Cochrane database of systematic reviews · 2005Pooled it
- Which older people decline participation in a primary care trial of physical activity and why: insights from a mixed methods approach.BMC geriatrics · 2014Trial
- Trial
- Randomised controlled trial of a complex intervention by primary care nurses to increase walking in patients aged 60-74 years: protocol of the PACE-Lift (Pedometer Accelerometer Consultation Evaluation - Lift) trial.BMC public health · 2013Trial
- Impact on hypertension control of a patient-held guideline: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Trial
- Prescription of Physical Activity by General Practitioners in Type 2 Diabetes: Practice and Barriers in French Guiana.Frontiers in endocrinology · 2021Article
- Evaluating Machine Learning-Based Automated Personalized Daily Step Goals Delivered Through a Mobile Phone App: Randomized Controlled Trial.JMIR mHealth and uHealth · 2018Article
- Measuring the implementation of a group-based Lifestyle-integrated Functional Exercise (Mi-LiFE) intervention delivered in primary care for older adults aged 75 years or older: a pilot feasibility study protocol.Pilot and feasibility studies · 2015Article
- Mediators of physical activity behaviour change among adult non-clinical populations: a review update.The international journal of behavioral nutrition and physical activity · 2010Article
- Effects of a health-educational and psychological intervention on socio-cognitive determinants of skin protection behaviour in individuals with occupational dermatoses.International archives of occupational and environmental health · 2010Article
- A short walk! A feasible fitness test for general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
- Exercise prescriptions given by GPs to sedentary patients attending chronic disease clinics in health centres - The effect of a very brief intervention to change exercise behavior.Journal of family medicine and primary careArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysical activity is a major modifiable risk factor for cardiovascular disease, but it is unclear what combination of feasible approaches, using existing resources in primary care, work best to initiate increased physical activity.
aimTo assess three approaches to initiate increased physical activity. DESIGN OF STUDY: Randomised controlled (2 X 2 X 2) factorial trial.
settingFour general practices.
methodOne hundred and fifty-one sedentary patients with computer documented risk factors for cardiovascular disease were randomised to eight groups defined by three factors: prescription by general practitioners (GPs) for brisk exercise not requiring a leisure facility (for example, walking) 30 minutes per day, 5 days per week; counselling by practice nurses, based on psychological theory to modify intentions and perceived control of behaviour, and using behavioural implementation techniques (for example, contracting, 'rehearsal'); use of the Health Education Authority booklet 'Getting active, feeling fit'.
resultsSingle interventions had modest effects. There was a trend from the least intensive interventions (control +/- booklet) to the more intensive interventions (prescription and counselling combined +/- booklet) for both increased physical activity and fitness (test for trend, P = 0.02 and P = 0.05, respectively). Only with the most intense intervention (prescription and counselling combined) were there significant increases in both physical activity and fitness from baseline (Godin score = 14.4, 95% confidence interval [CI] = 7.8 to 21, which was equivalent to three 15-minute sessions of brisk exercise and a 6-minute walking distance = 28.5 m, respectively, 95% CI = 11.1 to 45.8). Counselling only made a difference among those individuals with lower intention at baseline.
conclusionFeasible interventions using available staff, which combine exercise prescription and counselling explicitly based on psychological theory, can probably initiate important increases in physical activity.
Indexed as
Identifiers
15006124PMC1314829What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.