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Asmita Patel - One of the best experts on this subject based on the ideXlab platform.
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cost effectiveness of pedometer based versus time based green prescriptions the Healthy Steps study
Australian Journal of Primary Health, 2012Co-Authors: William Leung, Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Toni Ashton, Asmita PatelAbstract:This paper reports on the cost-effectiveness of pedometer-based versus time-based Green Prescriptions in improving physical activity and health-related quality of life (EQ-5D) in a randomised controlled trial of 330 low-active, community-based adults aged 65 years and over. Costs, measured in $NZ (NZ$1 = A$0.83, December 2008), comprised public and private health care costs plus exercise-related personal expenditure. Based on intention-to-treat data at 12-month follow up, the pedometer group showed a greater increase in weekly leisure walking (50.6 versus 28.1 min for the time-based group, adjusted means, P = 0.03). There were no significant between-group differences in costs. The incremental cost-effectiveness ratios, for the pedometer-based versus time-based Green Prescription, per 30 min of weekly leisure walking and per quality-adjusted life year were, (i) when including only community care costs, $115 and $3105, (ii) when including only exercise and community care costs, $130 and $3500, and (iii) for all costs, -$185 and -$4999, respectively. The cost-effectiveness acceptability curves showed that the pedometer-based compared with the time-based Green Prescription was statistically cost-effective, for the above cost categories, at the following quality-adjusted life year thresholds: (i) $30 000; (ii) $30 500; and (iii) $16 500. The additional program cost of converting one sedentary adult to an active state over a 12-month period was $667. The outcomes suggest the pedometer-based Green Prescription may be cost-effective in increasing physical activity and health-related quality of life over 12 months in previously low-active older adults.
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Healthy Steps trial pedometer based advice and physical activity for low active older adults
Annals of Family Medicine, 2012Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Toni Ashton, Asmita PatelAbstract:PURPOSE We compared the effectiveness of 2 physical activity prescriptions delivered in primary care—the standard time-based Green Prescription and a pedometer step-based Green Prescription—on physical activity, body mass index (BMI), blood pressure, and quality of life in low-active older adults. METHODS We undertook a randomized controlled trial involving 330 low-active older adults (aged ≥65 years) recruited through their primary care physicians' patient databases. Participants were randomized to either the pedometer step- based Green Prescription group (n = 165) or the standard Green Prescription group (n = 165). Both groups had a visit with the primary care practitioner and 3 telephone counseling sessions over 12 weeks aimed at increasing physical activity. Outcomes were the changes in physical activity (assessed with the Auckland Heart Study Physical Activity Questionnaire), blood pressure, BMI, quality of life (assessed with the 36-Item Short Form Health Survey), physical function status (assessed with the Short Physical Performance Battery), and falls over a 12-month period. RESULTS Of the patients invited to participate, 57% responded. At 12 months, leisure walking increased by 49.6 min/wk for the pedometer Green Prescription compared with 28.1 min/wk for the standard Green Prescription (P = .03). For both groups, there were signifi cant increases across all physical activity domains at 3 months (end of intervention) that were largely maintained after 12 months of follow-up. BMI did not change in either group. Signifi cant improvements in blood pressure were observed for both groups without any differences between them. CONCLUSIONS Pedometer use resulted in a greater increase in leisure walking without any impact on overall activity level. All participants increased physi- cal activity, and on average, their blood pressure decreased over 12 months, although the clinical relevance is unknown.
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using pedometers in an active scripting program for low active older adults Healthy Steps study 783
Medicine and Science in Sports and Exercise, 2010Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Philip J Schluter, Toni Ashton, Asmita PatelAbstract:Participation in physical activity (PA) is an important determinant of Healthy ageing. The New Zealand Green Prescription (GRx) is an efficacious and cost-effective primary care program to improve activity levels through PA prescription and follow-up telephone counselling. PURPOSE: To investigate (with an RCT) the effectiveness of a pedometer-enhanced GRx (compared to a standard GRx) in improving PA, blood pressure, BMI, health-related quality of life, and a range of functional tests in older adults. CONCLUSIONS: Findings from this trial indicate the effectiveness of both GRx interventions in increasing PA and reducing blood pressure and BMI with some differential effects of interventions using the number needed to treat procedure. ©2010The American College of Sports Medicine
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the Healthy Steps study a randomized controlled trial of a pedometer based green prescription for older adults trial protocol
BMC Public Health, 2009Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Philip J Schluter, Toni Ashton, Asmita PatelAbstract:Background: Graded health benefits of physical activity have been demonstrated for the reduction of coronary heart disease, some cancers, and type-2 diabetes, and for injury reduction and improvements in mental health. Older adults are particularly at risk of physical inactivity, and would greatly benefit from successful targeted physical activity interventions. Methods/Design: The Healthy Steps study is a 12-month randomized controlled trial comparing the efficacy of a pedometer-based Green Prescription with the conventional time-based Green Prescription in increasing and maintaining physical activity levels in low-active adults over 65 years of age. The Green Prescription interventions involve a primary care physical activity prescription with 3 follow-up telephone counselling sessions delivered by trained physical activity counsellors over 3 months. Those in the pedometer group received a pedometer and counselling based around increasing Steps that can be monitored on the pedometer, while those in the standard Green Prescription group received counselling using time-based goals. Baseline, 3 month (end of intervention), and 12 month measures were assessed in face-to-face home visits with outcomes measures being physical activity (Auckland Heart Study Physical Activity Questionnaire), quality of life (SF-36 and EQ-5D), depressive symptoms (Geriatric Depression Scale), blood pressure, weight status, functional status (gait speed, chair stands, and tandem balance test) and falls and adverse events (self-report). Utilisation of health services was assessed for the economic evaluation carried out alongside this trial. As well, a process evaluation of the interventions and an examination of barriers and motives for physical activity in the sample were conducted. The perceptions of primary care physicians in relation to delivering physical activity counselling were also assessed. Discussion: The findings from the Healthy Steps trial are due in late 2009. If successful in improving physical activity in older adults, the pedometer-based Green Prescription could assist in reducing utilisation of health services and improve cardiovascular health and reduction of risk for a range of non-communicable lifestyles diseases.
Gregory S Kolt - One of the best experts on this subject based on the ideXlab platform.
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cost effectiveness of pedometer based versus time based green prescriptions the Healthy Steps study
Australian Journal of Primary Health, 2012Co-Authors: William Leung, Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Toni Ashton, Asmita PatelAbstract:This paper reports on the cost-effectiveness of pedometer-based versus time-based Green Prescriptions in improving physical activity and health-related quality of life (EQ-5D) in a randomised controlled trial of 330 low-active, community-based adults aged 65 years and over. Costs, measured in $NZ (NZ$1 = A$0.83, December 2008), comprised public and private health care costs plus exercise-related personal expenditure. Based on intention-to-treat data at 12-month follow up, the pedometer group showed a greater increase in weekly leisure walking (50.6 versus 28.1 min for the time-based group, adjusted means, P = 0.03). There were no significant between-group differences in costs. The incremental cost-effectiveness ratios, for the pedometer-based versus time-based Green Prescription, per 30 min of weekly leisure walking and per quality-adjusted life year were, (i) when including only community care costs, $115 and $3105, (ii) when including only exercise and community care costs, $130 and $3500, and (iii) for all costs, -$185 and -$4999, respectively. The cost-effectiveness acceptability curves showed that the pedometer-based compared with the time-based Green Prescription was statistically cost-effective, for the above cost categories, at the following quality-adjusted life year thresholds: (i) $30 000; (ii) $30 500; and (iii) $16 500. The additional program cost of converting one sedentary adult to an active state over a 12-month period was $667. The outcomes suggest the pedometer-based Green Prescription may be cost-effective in increasing physical activity and health-related quality of life over 12 months in previously low-active older adults.
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Healthy Steps trial pedometer based advice and physical activity for low active older adults
Annals of Family Medicine, 2012Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Toni Ashton, Asmita PatelAbstract:PURPOSE We compared the effectiveness of 2 physical activity prescriptions delivered in primary care—the standard time-based Green Prescription and a pedometer step-based Green Prescription—on physical activity, body mass index (BMI), blood pressure, and quality of life in low-active older adults. METHODS We undertook a randomized controlled trial involving 330 low-active older adults (aged ≥65 years) recruited through their primary care physicians' patient databases. Participants were randomized to either the pedometer step- based Green Prescription group (n = 165) or the standard Green Prescription group (n = 165). Both groups had a visit with the primary care practitioner and 3 telephone counseling sessions over 12 weeks aimed at increasing physical activity. Outcomes were the changes in physical activity (assessed with the Auckland Heart Study Physical Activity Questionnaire), blood pressure, BMI, quality of life (assessed with the 36-Item Short Form Health Survey), physical function status (assessed with the Short Physical Performance Battery), and falls over a 12-month period. RESULTS Of the patients invited to participate, 57% responded. At 12 months, leisure walking increased by 49.6 min/wk for the pedometer Green Prescription compared with 28.1 min/wk for the standard Green Prescription (P = .03). For both groups, there were signifi cant increases across all physical activity domains at 3 months (end of intervention) that were largely maintained after 12 months of follow-up. BMI did not change in either group. Signifi cant improvements in blood pressure were observed for both groups without any differences between them. CONCLUSIONS Pedometer use resulted in a greater increase in leisure walking without any impact on overall activity level. All participants increased physi- cal activity, and on average, their blood pressure decreased over 12 months, although the clinical relevance is unknown.
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using pedometers in an active scripting program for low active older adults Healthy Steps study 783
Medicine and Science in Sports and Exercise, 2010Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Philip J Schluter, Toni Ashton, Asmita PatelAbstract:Participation in physical activity (PA) is an important determinant of Healthy ageing. The New Zealand Green Prescription (GRx) is an efficacious and cost-effective primary care program to improve activity levels through PA prescription and follow-up telephone counselling. PURPOSE: To investigate (with an RCT) the effectiveness of a pedometer-enhanced GRx (compared to a standard GRx) in improving PA, blood pressure, BMI, health-related quality of life, and a range of functional tests in older adults. CONCLUSIONS: Findings from this trial indicate the effectiveness of both GRx interventions in increasing PA and reducing blood pressure and BMI with some differential effects of interventions using the number needed to treat procedure. ©2010The American College of Sports Medicine
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the Healthy Steps study a randomized controlled trial of a pedometer based green prescription for older adults trial protocol
BMC Public Health, 2009Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Philip J Schluter, Toni Ashton, Asmita PatelAbstract:Background: Graded health benefits of physical activity have been demonstrated for the reduction of coronary heart disease, some cancers, and type-2 diabetes, and for injury reduction and improvements in mental health. Older adults are particularly at risk of physical inactivity, and would greatly benefit from successful targeted physical activity interventions. Methods/Design: The Healthy Steps study is a 12-month randomized controlled trial comparing the efficacy of a pedometer-based Green Prescription with the conventional time-based Green Prescription in increasing and maintaining physical activity levels in low-active adults over 65 years of age. The Green Prescription interventions involve a primary care physical activity prescription with 3 follow-up telephone counselling sessions delivered by trained physical activity counsellors over 3 months. Those in the pedometer group received a pedometer and counselling based around increasing Steps that can be monitored on the pedometer, while those in the standard Green Prescription group received counselling using time-based goals. Baseline, 3 month (end of intervention), and 12 month measures were assessed in face-to-face home visits with outcomes measures being physical activity (Auckland Heart Study Physical Activity Questionnaire), quality of life (SF-36 and EQ-5D), depressive symptoms (Geriatric Depression Scale), blood pressure, weight status, functional status (gait speed, chair stands, and tandem balance test) and falls and adverse events (self-report). Utilisation of health services was assessed for the economic evaluation carried out alongside this trial. As well, a process evaluation of the interventions and an examination of barriers and motives for physical activity in the sample were conducted. The perceptions of primary care physicians in relation to delivering physical activity counselling were also assessed. Discussion: The findings from the Healthy Steps trial are due in late 2009. If successful in improving physical activity in older adults, the pedometer-based Green Prescription could assist in reducing utilisation of health services and improve cardiovascular health and reduction of risk for a range of non-communicable lifestyles diseases.
Nick Garrett - One of the best experts on this subject based on the ideXlab platform.
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cost effectiveness of pedometer based versus time based green prescriptions the Healthy Steps study
Australian Journal of Primary Health, 2012Co-Authors: William Leung, Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Toni Ashton, Asmita PatelAbstract:This paper reports on the cost-effectiveness of pedometer-based versus time-based Green Prescriptions in improving physical activity and health-related quality of life (EQ-5D) in a randomised controlled trial of 330 low-active, community-based adults aged 65 years and over. Costs, measured in $NZ (NZ$1 = A$0.83, December 2008), comprised public and private health care costs plus exercise-related personal expenditure. Based on intention-to-treat data at 12-month follow up, the pedometer group showed a greater increase in weekly leisure walking (50.6 versus 28.1 min for the time-based group, adjusted means, P = 0.03). There were no significant between-group differences in costs. The incremental cost-effectiveness ratios, for the pedometer-based versus time-based Green Prescription, per 30 min of weekly leisure walking and per quality-adjusted life year were, (i) when including only community care costs, $115 and $3105, (ii) when including only exercise and community care costs, $130 and $3500, and (iii) for all costs, -$185 and -$4999, respectively. The cost-effectiveness acceptability curves showed that the pedometer-based compared with the time-based Green Prescription was statistically cost-effective, for the above cost categories, at the following quality-adjusted life year thresholds: (i) $30 000; (ii) $30 500; and (iii) $16 500. The additional program cost of converting one sedentary adult to an active state over a 12-month period was $667. The outcomes suggest the pedometer-based Green Prescription may be cost-effective in increasing physical activity and health-related quality of life over 12 months in previously low-active older adults.
-
Healthy Steps trial pedometer based advice and physical activity for low active older adults
Annals of Family Medicine, 2012Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Toni Ashton, Asmita PatelAbstract:PURPOSE We compared the effectiveness of 2 physical activity prescriptions delivered in primary care—the standard time-based Green Prescription and a pedometer step-based Green Prescription—on physical activity, body mass index (BMI), blood pressure, and quality of life in low-active older adults. METHODS We undertook a randomized controlled trial involving 330 low-active older adults (aged ≥65 years) recruited through their primary care physicians' patient databases. Participants were randomized to either the pedometer step- based Green Prescription group (n = 165) or the standard Green Prescription group (n = 165). Both groups had a visit with the primary care practitioner and 3 telephone counseling sessions over 12 weeks aimed at increasing physical activity. Outcomes were the changes in physical activity (assessed with the Auckland Heart Study Physical Activity Questionnaire), blood pressure, BMI, quality of life (assessed with the 36-Item Short Form Health Survey), physical function status (assessed with the Short Physical Performance Battery), and falls over a 12-month period. RESULTS Of the patients invited to participate, 57% responded. At 12 months, leisure walking increased by 49.6 min/wk for the pedometer Green Prescription compared with 28.1 min/wk for the standard Green Prescription (P = .03). For both groups, there were signifi cant increases across all physical activity domains at 3 months (end of intervention) that were largely maintained after 12 months of follow-up. BMI did not change in either group. Signifi cant improvements in blood pressure were observed for both groups without any differences between them. CONCLUSIONS Pedometer use resulted in a greater increase in leisure walking without any impact on overall activity level. All participants increased physi- cal activity, and on average, their blood pressure decreased over 12 months, although the clinical relevance is unknown.
-
using pedometers in an active scripting program for low active older adults Healthy Steps study 783
Medicine and Science in Sports and Exercise, 2010Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Philip J Schluter, Toni Ashton, Asmita PatelAbstract:Participation in physical activity (PA) is an important determinant of Healthy ageing. The New Zealand Green Prescription (GRx) is an efficacious and cost-effective primary care program to improve activity levels through PA prescription and follow-up telephone counselling. PURPOSE: To investigate (with an RCT) the effectiveness of a pedometer-enhanced GRx (compared to a standard GRx) in improving PA, blood pressure, BMI, health-related quality of life, and a range of functional tests in older adults. CONCLUSIONS: Findings from this trial indicate the effectiveness of both GRx interventions in increasing PA and reducing blood pressure and BMI with some differential effects of interventions using the number needed to treat procedure. ©2010The American College of Sports Medicine
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the Healthy Steps study a randomized controlled trial of a pedometer based green prescription for older adults trial protocol
BMC Public Health, 2009Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Philip J Schluter, Toni Ashton, Asmita PatelAbstract:Background: Graded health benefits of physical activity have been demonstrated for the reduction of coronary heart disease, some cancers, and type-2 diabetes, and for injury reduction and improvements in mental health. Older adults are particularly at risk of physical inactivity, and would greatly benefit from successful targeted physical activity interventions. Methods/Design: The Healthy Steps study is a 12-month randomized controlled trial comparing the efficacy of a pedometer-based Green Prescription with the conventional time-based Green Prescription in increasing and maintaining physical activity levels in low-active adults over 65 years of age. The Green Prescription interventions involve a primary care physical activity prescription with 3 follow-up telephone counselling sessions delivered by trained physical activity counsellors over 3 months. Those in the pedometer group received a pedometer and counselling based around increasing Steps that can be monitored on the pedometer, while those in the standard Green Prescription group received counselling using time-based goals. Baseline, 3 month (end of intervention), and 12 month measures were assessed in face-to-face home visits with outcomes measures being physical activity (Auckland Heart Study Physical Activity Questionnaire), quality of life (SF-36 and EQ-5D), depressive symptoms (Geriatric Depression Scale), blood pressure, weight status, functional status (gait speed, chair stands, and tandem balance test) and falls and adverse events (self-report). Utilisation of health services was assessed for the economic evaluation carried out alongside this trial. As well, a process evaluation of the interventions and an examination of barriers and motives for physical activity in the sample were conducted. The perceptions of primary care physicians in relation to delivering physical activity counselling were also assessed. Discussion: The findings from the Healthy Steps trial are due in late 2009. If successful in improving physical activity in older adults, the pedometer-based Green Prescription could assist in reducing utilisation of health services and improve cardiovascular health and reduction of risk for a range of non-communicable lifestyles diseases.
Grant Schofield - One of the best experts on this subject based on the ideXlab platform.
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cost effectiveness of pedometer based versus time based green prescriptions the Healthy Steps study
Australian Journal of Primary Health, 2012Co-Authors: William Leung, Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Toni Ashton, Asmita PatelAbstract:This paper reports on the cost-effectiveness of pedometer-based versus time-based Green Prescriptions in improving physical activity and health-related quality of life (EQ-5D) in a randomised controlled trial of 330 low-active, community-based adults aged 65 years and over. Costs, measured in $NZ (NZ$1 = A$0.83, December 2008), comprised public and private health care costs plus exercise-related personal expenditure. Based on intention-to-treat data at 12-month follow up, the pedometer group showed a greater increase in weekly leisure walking (50.6 versus 28.1 min for the time-based group, adjusted means, P = 0.03). There were no significant between-group differences in costs. The incremental cost-effectiveness ratios, for the pedometer-based versus time-based Green Prescription, per 30 min of weekly leisure walking and per quality-adjusted life year were, (i) when including only community care costs, $115 and $3105, (ii) when including only exercise and community care costs, $130 and $3500, and (iii) for all costs, -$185 and -$4999, respectively. The cost-effectiveness acceptability curves showed that the pedometer-based compared with the time-based Green Prescription was statistically cost-effective, for the above cost categories, at the following quality-adjusted life year thresholds: (i) $30 000; (ii) $30 500; and (iii) $16 500. The additional program cost of converting one sedentary adult to an active state over a 12-month period was $667. The outcomes suggest the pedometer-based Green Prescription may be cost-effective in increasing physical activity and health-related quality of life over 12 months in previously low-active older adults.
-
Healthy Steps trial pedometer based advice and physical activity for low active older adults
Annals of Family Medicine, 2012Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Toni Ashton, Asmita PatelAbstract:PURPOSE We compared the effectiveness of 2 physical activity prescriptions delivered in primary care—the standard time-based Green Prescription and a pedometer step-based Green Prescription—on physical activity, body mass index (BMI), blood pressure, and quality of life in low-active older adults. METHODS We undertook a randomized controlled trial involving 330 low-active older adults (aged ≥65 years) recruited through their primary care physicians' patient databases. Participants were randomized to either the pedometer step- based Green Prescription group (n = 165) or the standard Green Prescription group (n = 165). Both groups had a visit with the primary care practitioner and 3 telephone counseling sessions over 12 weeks aimed at increasing physical activity. Outcomes were the changes in physical activity (assessed with the Auckland Heart Study Physical Activity Questionnaire), blood pressure, BMI, quality of life (assessed with the 36-Item Short Form Health Survey), physical function status (assessed with the Short Physical Performance Battery), and falls over a 12-month period. RESULTS Of the patients invited to participate, 57% responded. At 12 months, leisure walking increased by 49.6 min/wk for the pedometer Green Prescription compared with 28.1 min/wk for the standard Green Prescription (P = .03). For both groups, there were signifi cant increases across all physical activity domains at 3 months (end of intervention) that were largely maintained after 12 months of follow-up. BMI did not change in either group. Signifi cant improvements in blood pressure were observed for both groups without any differences between them. CONCLUSIONS Pedometer use resulted in a greater increase in leisure walking without any impact on overall activity level. All participants increased physi- cal activity, and on average, their blood pressure decreased over 12 months, although the clinical relevance is unknown.
-
using pedometers in an active scripting program for low active older adults Healthy Steps study 783
Medicine and Science in Sports and Exercise, 2010Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Philip J Schluter, Toni Ashton, Asmita PatelAbstract:Participation in physical activity (PA) is an important determinant of Healthy ageing. The New Zealand Green Prescription (GRx) is an efficacious and cost-effective primary care program to improve activity levels through PA prescription and follow-up telephone counselling. PURPOSE: To investigate (with an RCT) the effectiveness of a pedometer-enhanced GRx (compared to a standard GRx) in improving PA, blood pressure, BMI, health-related quality of life, and a range of functional tests in older adults. CONCLUSIONS: Findings from this trial indicate the effectiveness of both GRx interventions in increasing PA and reducing blood pressure and BMI with some differential effects of interventions using the number needed to treat procedure. ©2010The American College of Sports Medicine
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the Healthy Steps study a randomized controlled trial of a pedometer based green prescription for older adults trial protocol
BMC Public Health, 2009Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Philip J Schluter, Toni Ashton, Asmita PatelAbstract:Background: Graded health benefits of physical activity have been demonstrated for the reduction of coronary heart disease, some cancers, and type-2 diabetes, and for injury reduction and improvements in mental health. Older adults are particularly at risk of physical inactivity, and would greatly benefit from successful targeted physical activity interventions. Methods/Design: The Healthy Steps study is a 12-month randomized controlled trial comparing the efficacy of a pedometer-based Green Prescription with the conventional time-based Green Prescription in increasing and maintaining physical activity levels in low-active adults over 65 years of age. The Green Prescription interventions involve a primary care physical activity prescription with 3 follow-up telephone counselling sessions delivered by trained physical activity counsellors over 3 months. Those in the pedometer group received a pedometer and counselling based around increasing Steps that can be monitored on the pedometer, while those in the standard Green Prescription group received counselling using time-based goals. Baseline, 3 month (end of intervention), and 12 month measures were assessed in face-to-face home visits with outcomes measures being physical activity (Auckland Heart Study Physical Activity Questionnaire), quality of life (SF-36 and EQ-5D), depressive symptoms (Geriatric Depression Scale), blood pressure, weight status, functional status (gait speed, chair stands, and tandem balance test) and falls and adverse events (self-report). Utilisation of health services was assessed for the economic evaluation carried out alongside this trial. As well, a process evaluation of the interventions and an examination of barriers and motives for physical activity in the sample were conducted. The perceptions of primary care physicians in relation to delivering physical activity counselling were also assessed. Discussion: The findings from the Healthy Steps trial are due in late 2009. If successful in improving physical activity in older adults, the pedometer-based Green Prescription could assist in reducing utilisation of health services and improve cardiovascular health and reduction of risk for a range of non-communicable lifestyles diseases.
Ngaire Kerse - One of the best experts on this subject based on the ideXlab platform.
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cost effectiveness of pedometer based versus time based green prescriptions the Healthy Steps study
Australian Journal of Primary Health, 2012Co-Authors: William Leung, Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Toni Ashton, Asmita PatelAbstract:This paper reports on the cost-effectiveness of pedometer-based versus time-based Green Prescriptions in improving physical activity and health-related quality of life (EQ-5D) in a randomised controlled trial of 330 low-active, community-based adults aged 65 years and over. Costs, measured in $NZ (NZ$1 = A$0.83, December 2008), comprised public and private health care costs plus exercise-related personal expenditure. Based on intention-to-treat data at 12-month follow up, the pedometer group showed a greater increase in weekly leisure walking (50.6 versus 28.1 min for the time-based group, adjusted means, P = 0.03). There were no significant between-group differences in costs. The incremental cost-effectiveness ratios, for the pedometer-based versus time-based Green Prescription, per 30 min of weekly leisure walking and per quality-adjusted life year were, (i) when including only community care costs, $115 and $3105, (ii) when including only exercise and community care costs, $130 and $3500, and (iii) for all costs, -$185 and -$4999, respectively. The cost-effectiveness acceptability curves showed that the pedometer-based compared with the time-based Green Prescription was statistically cost-effective, for the above cost categories, at the following quality-adjusted life year thresholds: (i) $30 000; (ii) $30 500; and (iii) $16 500. The additional program cost of converting one sedentary adult to an active state over a 12-month period was $667. The outcomes suggest the pedometer-based Green Prescription may be cost-effective in increasing physical activity and health-related quality of life over 12 months in previously low-active older adults.
-
Healthy Steps trial pedometer based advice and physical activity for low active older adults
Annals of Family Medicine, 2012Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Toni Ashton, Asmita PatelAbstract:PURPOSE We compared the effectiveness of 2 physical activity prescriptions delivered in primary care—the standard time-based Green Prescription and a pedometer step-based Green Prescription—on physical activity, body mass index (BMI), blood pressure, and quality of life in low-active older adults. METHODS We undertook a randomized controlled trial involving 330 low-active older adults (aged ≥65 years) recruited through their primary care physicians' patient databases. Participants were randomized to either the pedometer step- based Green Prescription group (n = 165) or the standard Green Prescription group (n = 165). Both groups had a visit with the primary care practitioner and 3 telephone counseling sessions over 12 weeks aimed at increasing physical activity. Outcomes were the changes in physical activity (assessed with the Auckland Heart Study Physical Activity Questionnaire), blood pressure, BMI, quality of life (assessed with the 36-Item Short Form Health Survey), physical function status (assessed with the Short Physical Performance Battery), and falls over a 12-month period. RESULTS Of the patients invited to participate, 57% responded. At 12 months, leisure walking increased by 49.6 min/wk for the pedometer Green Prescription compared with 28.1 min/wk for the standard Green Prescription (P = .03). For both groups, there were signifi cant increases across all physical activity domains at 3 months (end of intervention) that were largely maintained after 12 months of follow-up. BMI did not change in either group. Signifi cant improvements in blood pressure were observed for both groups without any differences between them. CONCLUSIONS Pedometer use resulted in a greater increase in leisure walking without any impact on overall activity level. All participants increased physi- cal activity, and on average, their blood pressure decreased over 12 months, although the clinical relevance is unknown.
-
using pedometers in an active scripting program for low active older adults Healthy Steps study 783
Medicine and Science in Sports and Exercise, 2010Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Philip J Schluter, Toni Ashton, Asmita PatelAbstract:Participation in physical activity (PA) is an important determinant of Healthy ageing. The New Zealand Green Prescription (GRx) is an efficacious and cost-effective primary care program to improve activity levels through PA prescription and follow-up telephone counselling. PURPOSE: To investigate (with an RCT) the effectiveness of a pedometer-enhanced GRx (compared to a standard GRx) in improving PA, blood pressure, BMI, health-related quality of life, and a range of functional tests in older adults. CONCLUSIONS: Findings from this trial indicate the effectiveness of both GRx interventions in increasing PA and reducing blood pressure and BMI with some differential effects of interventions using the number needed to treat procedure. ©2010The American College of Sports Medicine
-
the Healthy Steps study a randomized controlled trial of a pedometer based green prescription for older adults trial protocol
BMC Public Health, 2009Co-Authors: Gregory S Kolt, Grant Schofield, Ngaire Kerse, Nick Garrett, Philip J Schluter, Toni Ashton, Asmita PatelAbstract:Background: Graded health benefits of physical activity have been demonstrated for the reduction of coronary heart disease, some cancers, and type-2 diabetes, and for injury reduction and improvements in mental health. Older adults are particularly at risk of physical inactivity, and would greatly benefit from successful targeted physical activity interventions. Methods/Design: The Healthy Steps study is a 12-month randomized controlled trial comparing the efficacy of a pedometer-based Green Prescription with the conventional time-based Green Prescription in increasing and maintaining physical activity levels in low-active adults over 65 years of age. The Green Prescription interventions involve a primary care physical activity prescription with 3 follow-up telephone counselling sessions delivered by trained physical activity counsellors over 3 months. Those in the pedometer group received a pedometer and counselling based around increasing Steps that can be monitored on the pedometer, while those in the standard Green Prescription group received counselling using time-based goals. Baseline, 3 month (end of intervention), and 12 month measures were assessed in face-to-face home visits with outcomes measures being physical activity (Auckland Heart Study Physical Activity Questionnaire), quality of life (SF-36 and EQ-5D), depressive symptoms (Geriatric Depression Scale), blood pressure, weight status, functional status (gait speed, chair stands, and tandem balance test) and falls and adverse events (self-report). Utilisation of health services was assessed for the economic evaluation carried out alongside this trial. As well, a process evaluation of the interventions and an examination of barriers and motives for physical activity in the sample were conducted. The perceptions of primary care physicians in relation to delivering physical activity counselling were also assessed. Discussion: The findings from the Healthy Steps trial are due in late 2009. If successful in improving physical activity in older adults, the pedometer-based Green Prescription could assist in reducing utilisation of health services and improve cardiovascular health and reduction of risk for a range of non-communicable lifestyles diseases.
