Evidence map›Paper›PMID 26654223›Full record

Trial reportBMC public health2015

"It's not just about walking.....it's the practice nurse that makes it work": a qualitative exploration of the views of practice nurses delivering complex physical activity interventions in primary care.

Carole Beighton, Christina Victor, Rebecca Normansell, Derek Cook, Sally Kerry, Steve Iliffe, Michael Ussher, Peter Whincup, Julia Fox-Rushby, Alison Woodcock and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
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  9. Review
  10. An exploration of New Zealand mental health nurses' personal physical activities.International journal of mental health nursing · 2022
    Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Carole BeightonFaculty of Health, Social Care & Education, Kingston & St George's University of London, London, SW17 ORE, UK. c.beighton@sgul.kingston.ac.uk.
Christina VictorCollege of Health and Life Sciences, Brunel University London, Middlesex, UB8 3PH, UK. christina.victor@brunel.ac.uk.
Rebecca NormansellPopulation Health Research Institute, St Georges University of London, London, SW17 ORE, UK. rnormans@sgul.ac.uk.
Derek CookPopulation Health Research Institute, St Georges University of London, London, SW17 ORE, UK. sgjd250@sgul.ac.uk.
Sally KerryPragmatic Clinical Trials Unit, Queen Mary's University of London, London, E1 2AT, UK. s.m.kerry@qmul.ac.uk.
Steve IliffeResearch Department of Primary Care & Population Health, University College, London, NW3 2PF, UK. s.iliffe@ucl.ac.uk.
Michael UssherPopulation Health Research Institute, St Georges University of London, London, SW17 ORE, UK. mussher@sgul.ac.uk.
Peter WhincupPopulation Health Research Institute, St Georges University of London, London, SW17 ORE, UK. pwhincup@sgul.ac.uk.
Julia Fox-RushbyHealth Economics Research Group, Brunel University, Uxbridge, UB8 3PH, UK. Julia.fox-Rushby@brunel.ac.uk.
Alison WoodcockIndependent Psychology Research Consultant, Southampton, UK. alison.woodcock@chalto.co.uk.
Tess HarrisPopulation Health Research Institute, St Georges University of London, London, SW17 ORE, UK. tharris@sgul.ac.uk.

Funding

Department of Health 10/32/02Department of Health PB-PG-0909-20055
6 · The paper itself

Abstract

backgroundPhysical activity (PA) is important for physical and mental health in adults and older adults. Interventions incorporating theory-based behaviour change techniques (BCTs) can be useful in helping people to increase their PA levels and can be delivered by practice nurses in primary care. We undertook two primary care based complex walking interventions among adults and older adults. Both interventions were underpinned by BCTs and delivered by practice nurses and we sought their views and experiences of delivering over 1400 complex PA consultations.

methodsSemi structured interviews with two practice nurse groups (n = 4 and n = 5) and two individual interviews (total n = 11) were conducted by independent facilitators; audio-recorded, transcribed verbatim and analysed using thematic analysis.

resultsFive key themes emerged as enablers and/or barriers to delivering the intervention: preparation and training; initial and ongoing support; adherence to the protocol; the use of materials and equipment; and engagement of participants. The themes were organised into a framework of 'pre-trial' and 'delivery of the intervention'. Two additional 'post-trial' themes were identified; changed practice and the future feasibility of the intervention. Nurses believed that taking part in the trial, especially the BCT training, enhanced the quality and delivery of advice and support they provided within routine consultations, although the lack of time available routinely makes this challenging.

conclusionDelivering an effective behaviour change intervention in primary care requires adequate training and support for practice nurses both initially and throughout the trial as well as adequate consultation time. Enhanced skills from participating in such trials can lead to long-term changes, including more patient-centred consulting.

trial registrationPACE-Lift ISRCTN 42122561 , PACE-UP ISRCTN 98538934 .

Indexed as

Attitude of Health PersonnelBehavior TherapyHealth BehaviorNursesPrimary Health CareWalkingDelivery of Health CareHumansQualitative ResearchReferral and Consultation

Identifiers

PMID26654223
PMCPMC4677041

What OpenQuestion holds

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Registered trials

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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.