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dc.contributor.authorKhunti, Kamlesh
dc.contributor.authorGriffin, Simon
dc.contributor.authorBrennan, Alan
dc.contributor.authorDallosso, Helen
dc.contributor.authorDavies, Melanie J
dc.contributor.authorEborall, Helen C
dc.contributor.authorEdwardson, Charlotte L
dc.contributor.authorGray, Laura J
dc.contributor.authorHardeman, Wendy
dc.contributor.authorHeathcote, Laura
dc.contributor.authorHenson, Joe
dc.contributor.authorPollard, Daniel
dc.contributor.authorSharp, Stephen J
dc.contributor.authorSutton, Stephen
dc.contributor.authorTroughton, Jacqui
dc.contributor.authorYates, Tom
dc.date.accessioned2021-07-07T14:01:09Z
dc.date.available2021-07-07T14:01:09Z
dc.date.issued2021-06-03
dc.identifier.issn1741-7015
dc.identifier.otherPMC8173914
dc.identifier.other34078362
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/324867
dc.description.abstract<h4>Background</h4>Physical activity is associated with a reduced risk of type 2 diabetes and cardiovascular disease but limited evidence exists for the sustained promotion of increased physical activity within diabetes prevention trials. The aim of the study was to investigate the long-term effectiveness of the Walking Away programme, an established group-based behavioural physical activity intervention with pedometer use, when delivered alone or with a supporting mHealth intervention.<h4>Methods</h4>Those at risk of diabetes (nondiabetic hyperglycaemia) were recruited from primary care, 2013-2015, and randomised to (1) Control (information leaflet); (2) Walking Away (WA), a structured group education session followed by annual group-based support; or (3) Walking Away Plus (WAP), comprising WA annual group-based support and an mHealth intervention delivering tailored text messages supported by telephone calls. Follow-up was conducted at 12 and 48 months. The primary outcome was accelerometer measured ambulatory activity (steps/day). Change in primary outcome was analysed using analysis of covariance with adjustment for baseline, randomisation and stratification variables.<h4>Results</h4>One thousand three hundred sixty-six individuals were randomised (median age = 61 years, ambulatory activity = 6638 steps/day, women = 49%, ethnic minorities = 28%). Accelerometer data were available for 1017 (74%) individuals at 12 months and 993 (73%) at 48 months. At 12 months, WAP increased their ambulatory activity by 547 (97.5% CI 211, 882) steps/day compared to control and were 1.61 (97.5% CI 1.05, 2.45) times more likely to achieve 150 min/week of moderate-to-vigorous physical activity. Differences were not maintained at 48 months. WA was no different to control at 12 or 48 months. Secondary anthropometric and health outcomes were largely unaltered in both intervention groups apart from small reductions in body weight in WA (~ 1 kg) at 12- and 48-month follow-up.<h4>Conclusions</h4>Combining a pragmatic group-based intervention with text messaging and telephone support resulted in modest changes to physical activity at 12 months, but changes were not maintained at 48 months.<h4>Trial registration</h4>ISRCTN 83465245 (registered on 14 June 2012).
dc.languageeng
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceessn: 1741-7015
dc.sourcenlmid: 101190723
dc.subjectPhysical Activity
dc.subjectPedometer
dc.subjectRandomised Controlled Trial
dc.subjectDiabetes Prevention
dc.subjectMhealth
dc.subjectGroup-based Intervention
dc.subjectNon-diabetic Hyperglycaemia
dc.titlePromoting physical activity in a multi-ethnic population at high risk of diabetes: the 48-month PROPELS randomised controlled trial.
dc.typeArticle
dc.date.updated2021-07-07T14:01:08Z
prism.issueIdentifier1
prism.publicationNameBMC medicine
prism.volume19
dc.identifier.doi10.17863/CAM.72321
rioxxterms.versionofrecord10.1186/s12916-021-01997-4
rioxxterms.versionVoR
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/
dc.contributor.orcidKhunti, Kamlesh [0000-0003-2343-7099]
dc.contributor.orcidHenson, Joe [0000-0002-3898-7053]
dc.contributor.orcidPollard, Daniel [0000-0001-5630-0115]
pubs.funder-project-idNIHR Health Technology Assessment Programme (HTA 09/162/02)
pubs.funder-project-idDepartment of Health (09/162/02)


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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International