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May/June 2012 Annals of Family Medicine tip sheet
Date:5/14/2012

ress disparities in chronic disease management. Designers of pay-for-performance schemes, they assert, should consider incorporating targeted incentives to address the persistence of disparities.

Effect of a UK Pay-for-Performance Program on Ethnic Disparities in Diabetes Outcomes: Interrupted Time Series Analysis

By Riyadh Alshamsan, MSc, et al

Imperial College London

Pedometer-based Green Prescriptions Increase Physical Activity in Older Adults

A pedometer-based "Green Prescription" a recommendation for physical activity with pedometer monitoring results in a greater increase in leisure walking activity among older adults than green prescriptions that rely only on time-based goals. Comparing the effectiveness of the two physical activity prescriptions in 330 older adults with low levels of physical activity, researchers found leisure walking increased by 50 minutes per week among the pedometer-based green prescription group compared with 28 minutes per week among the standard Green Prescription group. For both groups, there were significant increases in physical activity that were largely maintained throughout the 12-month study period. BMI did not change in either group, but significant improvements in blood pressure (10 mm Hg systolic and 4.5 mm Hg diastolic) were observed for both groups without any difference between them. The authors hypothesize pedometers likely improve the efficacy of the activity prescription by providing regular objective monitoring and feedback to assist motivation. The findings of this study combined with the cost-effectiveness of the intervention, the authors conclude, should encourage health funding agencies to consider the use of such approaches to improve activity levels.

Healthy Steps Trial: Pedometer-Based Advice and Physical Activity for Low-Active Older Adults

By Gregory S. Kolt, PhD, et al

University of Western Sydney, Australia

Nonprofessional Home Coaching Improves
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

Page: 1 2 3 4 5 6 7 8

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