Evaluating a community-based walking intervention for hypertensive older people in Taiwan: A randomized controlled trial

Integrative Review of Nurse-delivered Community-Based Physical Activity Promotion

“…The remaining study found a 5% increase in pedometerbased daily step counts post intervention and a 37% increase at 6 months following the intervention with no statistical significance reported (Banks- Wallace & Conn, 2005). Five of the eight studies involving both PA education and cognitive-behavioral strategies demonstrated efficacy (Baldwin, 2015;Banks-Wallace & Conn, 2005;Holland et al, 2005;Lee et al, 2007;Leveille et al, 1998). Two of three studies with PA education only demonstrated efficacy (Huang et al, 2002;Smith, 2012), and neither of the 2 studies that used a combination of behavioral and cognitive-behavioral strategies demonstrated efficacy (Speck et al, 2007;Wallace et al, 1998).…”

“…Interventions were conducted in community centers, senior centers, churches, a community fitness center, and a community nursing service setting. Seven studies solely used face-to-face intervention delivery (Baldwin, 2015;Banks-Wallace & Conn, 2005;Choi & Rush, 2012;Harris et al, 2013;Huang et al, 2002;Peterson, 2005;Smith, 2012), one study used telephone delivery only (Chiang & Sun, 2009), and the remaining five used more than one delivery mode (Holland et al, 2005;Lee et al, 2007;Leveille et al, 1998;Speck et al, 2007;Wallace et al, 1998). Four studies used individual-based intervention delivery only (Chiang & Sun, 2009;Harris et al, 2013;Lee et al, 2007;Peterson, 2005), four studies used group-based intervention only (Banks- Wallace & Conn, 2005;Choi & Rush, 2012;Huang et al, 2002;Smith, 2012), and the remaining five studies used a combination of individual-and groupbased strategies.…”

“…Three of the 13 studies involved PA education only (Harris et al, 2013;Huang et al, 2002;Smith, 2012), eight studies involved some combination of PA education/counseling and cognitive-behavioral strategies (Baldwin, 2015;Banks-Wallace & Conn, 2005;Chiang & Sun, 2009;Choi & Rush, 2012;Holland et al, 2005;Lee et al, 2007;Leveille et al, 1998;Peterson, 2005), and the remaining two involved the combination of behavioral (i.e., exercise classes and supervised walking) and cognitive-behavioral strategies (Speck et al, 2007;Wallace et al, 1998). Most (10/13, 77%) of the studies had an intervention duration of 6 months or less.…”

“…Overall, seven of the 13 studies demonstrated efficacy in PA behavior change (Baldwin, 2015;Banks-Wallace & Conn, 2005;Holland et al, 2005;Huang et al, 2002;Lee et al, 2007;Leveille et al, 1998;Smith, 2012).…”

“…Three of the five RCTs reported a significant difference between groups in self-reported PA outcomes post-intervention, with all three studies receiving an effectiveness rating of "wellsupported" (i.e., level of general or aerobic PA, stretching exercise, or walking) (Holland et al, 2005;Lee et al, 2007;Leveille et al, 1998). Interventions in these 3 RCTs were all motivational/supportive interventions: encouraging subjects to engage in community PA programs (i.e., PA education classes, swimming, dancing, and Tai Chi) or to increase walking, and monitoring goal attainment.…”