“WALK30X5”: a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions
<p><strong>Objectives</strong> To explore the feasibility of delivering and evaluating a web-based walking intervention for people with long term musculoskeletal conditions (LTMCs), to determine its acceptability and the feasibility of conducting a definitive trial.</p> <...
| Main Authors: | , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Elsevier
2019
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| _version_ | 1811139676959932416 |
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| author | Minns Lowe, CJ Kelly, P Milton, K Foster, C Barker, K |
| author_facet | Minns Lowe, CJ Kelly, P Milton, K Foster, C Barker, K |
| author_sort | Minns Lowe, CJ |
| collection | OXFORD |
| description | <p><strong>Objectives</strong>
To explore the feasibility of delivering and evaluating a web-based walking intervention for people with long term musculoskeletal conditions (LTMCs), to determine its acceptability and the feasibility of conducting a definitive trial.</p>
<p><strong>Design</strong>
Prospective randomised feasibility study, with blind outcome assessment at baseline, 3 and 6 months.</p>
<p><strong>Setting</strong>
Hospital based physiotherapy service.</p>
<p><strong>Participants</strong>
Forty one adults referred for assessment and advice for any mild/moderate LTMCs. doing <120 minutes of moderate intensity activity per week.</p>
<p><strong>Interventions</strong>
Participants randomised to: 1. Usual care: one usual physiotherapy advice and assessment session, including setting a physical activity goal and one follow up session (8 weeks). 2. “Walk30 × 5”: session one, usual care plus intervention of walking programme. Participants were shown the website and podcasts and practiced how to use them. One follow up session (8 weeks).</p>
<p><strong>Outcome measures</strong>
Primary: timed six minute walk test (T6MWT). Secondary: step count, self-reported pain, fatigue, mood, self-efficacy, happiness, objective blood pressure, peak expiratory flow rate, and self-report and accelerometer measured physical activity.</p>
<p><strong>Results</strong>
Recruitment target achieved. No adverse events occurred. Adherence was high and the intervention acceptable. Loss to follow up n = 3 (7%) at 3 months, n = 8 (20%) at 6 months. T6MWT and step count proved suitable outcomes, unlike accelerometry. Estimated sample size for a definitive trial is 216.</p>
<p><strong>Conclusions</strong>
“Walk30 × 5” is ready for evaluation in a future, appropriately powered (n = 216), phase III trial. If effective, the intervention will provide a cheap, highly accessible intervention to enable people with mild/moderate LTMCs to achieve UK physical activity guidelines.</p> |
| first_indexed | 2024-03-06T18:28:07Z |
| format | Journal article |
| id | oxford-uuid:08b024ea-c39a-4a9c-b656-c6317099658f |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-09-25T04:09:53Z |
| publishDate | 2019 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:08b024ea-c39a-4a9c-b656-c6317099658f2024-06-17T09:49:36Z“WALK30X5”: a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditionsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:08b024ea-c39a-4a9c-b656-c6317099658fEnglishSymplectic ElementsElsevier2019Minns Lowe, CJKelly, PMilton, KFoster, CBarker, K<p><strong>Objectives</strong> To explore the feasibility of delivering and evaluating a web-based walking intervention for people with long term musculoskeletal conditions (LTMCs), to determine its acceptability and the feasibility of conducting a definitive trial.</p> <p><strong>Design</strong> Prospective randomised feasibility study, with blind outcome assessment at baseline, 3 and 6 months.</p> <p><strong>Setting</strong> Hospital based physiotherapy service.</p> <p><strong>Participants</strong> Forty one adults referred for assessment and advice for any mild/moderate LTMCs. doing <120 minutes of moderate intensity activity per week.</p> <p><strong>Interventions</strong> Participants randomised to: 1. Usual care: one usual physiotherapy advice and assessment session, including setting a physical activity goal and one follow up session (8 weeks). 2. “Walk30 × 5”: session one, usual care plus intervention of walking programme. Participants were shown the website and podcasts and practiced how to use them. One follow up session (8 weeks).</p> <p><strong>Outcome measures</strong> Primary: timed six minute walk test (T6MWT). Secondary: step count, self-reported pain, fatigue, mood, self-efficacy, happiness, objective blood pressure, peak expiratory flow rate, and self-report and accelerometer measured physical activity.</p> <p><strong>Results</strong> Recruitment target achieved. No adverse events occurred. Adherence was high and the intervention acceptable. Loss to follow up n = 3 (7%) at 3 months, n = 8 (20%) at 6 months. T6MWT and step count proved suitable outcomes, unlike accelerometry. Estimated sample size for a definitive trial is 216.</p> <p><strong>Conclusions</strong> “Walk30 × 5” is ready for evaluation in a future, appropriately powered (n = 216), phase III trial. If effective, the intervention will provide a cheap, highly accessible intervention to enable people with mild/moderate LTMCs to achieve UK physical activity guidelines.</p> |
| spellingShingle | Minns Lowe, CJ Kelly, P Milton, K Foster, C Barker, K “WALK30X5”: a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions |
| title | “WALK30X5”: a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions |
| title_full | “WALK30X5”: a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions |
| title_fullStr | “WALK30X5”: a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions |
| title_full_unstemmed | “WALK30X5”: a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions |
| title_short | “WALK30X5”: a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions |
| title_sort | walk30x5 a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions |
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