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Title: Numbers are not the whole story: a qualitative exploration of barriers and facilitators to increased physical activity in a primary care based walking intervention
Authors: Normansell, R
Smith, J
Victor, C
Cook, DG
Kerry, S
Iliffe, S
Ussher, M
Fox-Rushby, J
Whincup, P
Harris, T
Keywords: Qualitative research;Physical activity;Pedometer intervention;Walking;Primary care;Older adults
Issue Date: 2014
Publisher: BioMed Central Ltd
Citation: BMC Public Health, 14: 1272, (2014)
Abstract: Background: The majority of mid-life and older adults in the UK are not achieving recommended physical activity levels and inactivity is associated with many health problems. Walking is a safe, appropriate exercise. The PACE-UP trial sought to increase walking through the structured use of a pedometer and handbook, with and without support from a practice nurse trained in behaviour change techniques (BCTs). Understanding barriers and facilitators to engagement with a primary care based physical activity intervention is essential for future trials and programmes. Methods: We conducted semi-structured telephone interviews using a topic guide with purposive samples of participants who did and did not increase their walking from both intervention groups. Interviews were audio-recorded, transcribed and coded independently by researchers prior to performing a thematic analysis. Responsiveness to the specific BCTs used was also analysed.
Description: This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
ISSN: 1471-2458
Appears in Collections:Health Economics Research Group (HERG)

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