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Interventions to promote walking: A systematic review


Review Quality Rating: 10 (strong) - View Quality Assessment

Publication Information
 
Author(s) Publication Date Journal Volume Issue Start Page End Page
 
Ogilvie, D., Foster, C.E., Rothnie, H., Cavill, N., Hamilton, V., Fitzsimons, C.F., et al. 2007 BMJ: British Medical Journal 334 7605 1204 1213

Abstract:

OBJECTIVE: To assess the effects of interventions to promote walking in individuals and populations.
DESIGN: Systematic review.
DATA SOURCES: Published and unpublished reports in any language identified by searching 25 electronic databases, by searching websites, reference lists, and existing systematic reviews, and by contacting experts.
REVIEW METHODS: Systematic search for and appraisal of controlled before and after studies of the effects of any type of intervention on how much people walk, the distribution of effects on walking between social groups, and any associated effects on overall physical activity, fitness, risk factors for disease, health, and wellbeing.
RESULTS: We included 19 randomised controlled trials and 29 non-randomised controlled studies. Interventions tailored to people’s needs, targeted at the most sedentary or at those most motivated to change, and delivered either at the level of the individual (brief advice, supported use of pedometers, telecommunications) or household (individualised marketing) or through groups, can encourage people to walk more, although the sustainability, generalisability, and clinical benefits of many of these approaches are uncertain. Evidence for the effectiveness of interventions applied to workplaces, schools, communities, or areas typically depends on isolated studies or subgroup analysis.
CONCLUSIONS: The most successful interventions could increase walking among targeted participants by up to 30-60 minutes a week on average, at least in the short term. From a perspective of improving population health, much of the research currently provides evidence of efficacy rather than effectiveness. Nevertheless, interventions to promote walking could contribute substantially towards increasing the activity levels of the most sedentary.

Address: Medical Research Council Social and Public Health Sciences Unit, Glasgow G12 8RZ.

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Topic Areas


Possible Reviews of Interest

Focus of Review

  • Chronic Diseases
    • lifestyle behaviours
      • physical activity
  • Physical Activity
    • active living
    • active transportation
    • exercise
    • physical fitness

Intervention Strategies

  • Behaviour modification
    • provision of item/education/tools
    • self monitoring
  • Creating supportive physical, social, and policy environments
    • built environment
    • policy and legislation
    • social support
      • coalitions, partnerships, and networking
      • outreach programs
  • Education/awareness & Skill development/training
    • social marketing/mass media

Intervention Location

  • City/regional/provincial/ state/national
  • Community
  • Home
  • School
    • grade school

Review Type

  • systematic

Population Characteristics

  • Gender
    • female
    • male
  • General Public/All age groups

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