Evidence map›Paper›PMID 27394028›Full record

ArticleArchives of gerontology and geriatrics

What factors support older people to increase their physical activity levels? An exploratory analysis of the experiences of PACE-Lift trial participants.

Christina R Victor, Annabelle Rogers, Alison Woodcock, Carole Beighton, Derek G Cook, Sally M Kerry, Steve Iliffe, Peter Whincup, Michael Ussher, Tess J Harris

Open access · hybridAbstract read
In one paragraph

Article in Archives of gerontology and geriatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  8. The MIPAM trial - motivational interviewing and physical activity monitoring to enhance the daily level of physical activity among older adults - a randomized controlled trial.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2021
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  9. Article
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  12. Physical Activity Dose for Hemodialysis Patients: Where to Begin? Results from a Prospective Cohort Study.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2018
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  13. Review
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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

10 authors at 4 institutions in 1 country.

Christina R VictorDepartment of Clinical Sciences, College of Health and Life Sciences, Brunel University London, Middlesex, UB8 3PH, UK. Electronic address: christina.victor@brunel.ac.uk.
Annabelle RogersPopulation Health Research Institute, St George's University of London, SW17 ORE, UK. Electronic address: rogersac@hotmail.com.
Alison WoodcockIndependent Psychology Research Consultant, Southampton, UK. Electronic address: alison.woodcock@chalto.co.uk.
Carole BeightonFaculty of Health, Social Care & Education, Kingston & St George's, University of London, SW17 ORE, UK. Electronic address: C.Beighton@sgul.kingston.ac.uk.
Derek G CookPopulation Health Research Institute, St George's University of London, SW17 ORE, UK. Electronic address: sgjd250@sgul.ac.uk.
Sally M KerryPragmatic Clinical Trials Unit, Queen Mary's University of London, E1 2AT, UK. Electronic address: s.m.kerry@qmul.ac.uk.
Steve IliffeResearch Department of Primary Care & Population Health, University College, London NW3 2PF, UK. Electronic address: s.iliffe@ucl.ac.uk.
Peter WhincupPopulation Health Research Institute, St George's University of London, SW17 ORE, UK. Electronic address: pwhincup@sgul.ac.uk.
Michael UssherPopulation Health Research Institute, St George's University of London, SW17 ORE, UK. Electronic address: mussher@sgul.ac.uk.
Tess J HarrisPopulation Health Research Institute, St George's University of London, SW17 ORE, UK. Electronic address: christina.victor@brunel.ac.uk.
St George's, University of London · GBBrunel University of London · GBQueen Mary University of London · GBUniversity College London · GB

Funding

Department of Health PB-PG-0909-20055
6 · The paper itself

Abstract

backgroundPhysical Activity (PA) has significant health benefits for older adults, but nearly all UK over 60's are not achieving recommended levels. The PACE-Lift primary care-based walking intervention for 60-75 year-olds used a structured, theoretically grounded intervention with pedometers, accelerometers, handbooks and support from practice nurses trained in behaviour change techniques. It demonstrated an objective increase in walking at 3 and 12 months. We investigated the experiences of intervention participants who did (and did not) increase their walking, in order to explore facilitators to increased walking.

methodsSemi-structured telephone interviews used an interview schedule with a purposive sample of 30 intervention participants, 19 who had objectively increased their walking over the previous year and 11 who had not. Interviews were audio-recorded, transcribed and coded independently by researchers to generate a thematic coding framework.

resultsBoth groups confirmed that walking was an appropriate PA for people of 'their age'. The majority of those with increased walking participated in the trial as a couple, were positive about individualised goal-setting, developed strategies for maintaining their walking, and had someone to walk with. Non-improvers reported their attempts to increase walking were difficult because of lack of social support and were less positive about the intervention's behaviour change components. DISCUSSION: Walking is an acceptable and appropriate PA intervention for older people. The intervention's goal-setting components were important for those who increased their walking. Mutual support between partners participating as a couple and having someone to walk with also facilitated increased walking.

Indexed as

ExercisePrimary Health CareSocial SupportSpousesWalkingActigraphyAgedFemaleHumansMaleMiddle AgedMultiple Chronic ConditionsNursesPractice Patterns, Nurses'Randomized Controlled Trials as TopicBehaviour changeCouplesOlder peoplePhysical activityWalking intervention

Identifiers

PMID27394028
PMCPMC5019110
OpenAlexW2416508825

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.