title: Using an individualised consultation and activPAL™ feedback to reduce sedentary time in older Scottish adults: results of a feasibility and pilot study.
abstract: OBJECTIVE
  Sedentary behaviours have been linked to poor health, independent of physical activity levels. The objective of this study was to explore an individualised intervention strategy aimed at reducing sedentary behaviours in older Scottish adults.
  
  
  METHODS
  This feasibility and pilot study was a pre-experimental (one group pretest-posttest) study design. Participants were enrolled into the study in January-March 2012 and data analysis was completed April-October 2012. The study was based in Glasgow, Scotland. Participants received an individualised consultation targeting sedentary behaviour incorporating feedback from an activPAL activity monitor. Outcome measures were objectively (activPAL) and subjectively measured (Sedentary Behaviour Questionnaire) sedentary time.
  
  
  RESULTS
  Twenty four participants received the intervention. Objectively measured total time spent sitting/lying was reduced by 24 min/day (p=0.042), a reduction of 2.2%. Total time spent in stepping activities, such as walking increased by 13 min/day (p=0.044). Self-report data suggested participants achieved behaviour change by reducing time spent watching television and/or using motorised transport.
  
  
  CONCLUSIONS
  Interventions to reduce sedentary behaviours in older people are urgently needed. The results of this feasibility and pilot study suggest a consultation approach may help individuals reduce time spent in sedentary behaviours. A larger, controlled trial is warranted with a diverse sample to increase generalisability.
authors.affiliation: School of Psychological Sciences and Health, University of Strathclyde, Graham Hills Building, 50 George Street, Glasgow, G1 1XQ, UK. Electronic address: claire.fitzsimons@ed.ac.uk.
authors.forename: Claire F
authors.initials: CF
authors.lastname: Fitzsimons
authors.forename: Alison
authors.initials: A
authors.lastname: Kirk
authors.forename: Graham
authors.initials: G
authors.lastname: Baker
authors.forename: Fraser
authors.initials: F
authors.lastname: Michie
authors.forename: Catherine
authors.initials: C
authors.lastname: Kane
authors.forename: Nanette
authors.initials: N
authors.lastname: Mutrie
mesh_terms: D000367:Age Factors; D000368:Aged; D005240:Feasibility Studies; D030141:Feedback, Psychological; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006306:Health Surveys; D006801:Humans; D057187:Independent Living; D008297:Male; D008875:Middle Aged; D010347:Patient Care Planning; D010865:Pilot Projects; D012017:Referral and Consultation; D012606:Scotland; D057185:Sedentary Behavior; D016138:Walking
keywords: Aged; Exercise; Intervention studies; Sedentary lifestyle