Abstract

ObjectiveTo describe in detail the recruitment methods and enrollment rates, the screening methods, and the baseline characteristics of a sample of adults participating in the Walk 2.0 Study, an 18 month, 3-arm randomized controlled trial of a Web 2.0 based physical activity intervention.MethodsA two-fold recruitment plan was developed and implemented, including a direct mail-out to an extract from the Australian Electoral Commission electoral roll, and other supplementary methods including email and telephone. Physical activity screening involved two steps: a validated single-item self-report instrument and the follow-up Active Australia Questionnaire. Readiness for physical activity participation was also based on a two-step process of administering the Physical Activity Readiness Questionnaire and, where needed, further clearance from a medical practitioner.ResultsAcross all recruitment methods, a total of 1244 participants expressed interest in participating, of which 656 were deemed eligible. Of these, 504 were later enrolled in the Walk 2.0 trial (77% enrollment rate) and randomized to the Walk 1.0 group (n = 165), the Walk 2.0 group (n = 168), or the Logbook group (n = 171). Mean age of the total sample was 50.8 years, with 65.2% female and 79.1% born in Australia.ConclusionThe results of this recruitment process demonstrate the successful use of multiple strategies to obtain a diverse sample of adults eligible to take part in a web-based physical activity promotion intervention. The use of dual screening processes ensured safe participation in the intervention. This approach to recruitment and physical activity screening can be used as a model for further trials in this area.

Highlights

  • On a global scale, the majority of adults from Western nations are not meeting minimum physical activity recommendations [1].Epidemiological evidence has clearly linked physical inactivity to a number of chronic diseases, cardiovascular disease, type 2 diabetes, some cancers, obesity, poor mental health, osteoporosis/osteoarthritis, and premature mortality [2e5]

  • The Australian Electoral Commission (AEC) mail-out was sent to a total of 14,000 individuals across both sites, of which 714 individuals responded with interest and began the screening process

  • A variety of other mediabased methods were used, specific data regarding how many were contacted and by which specific media they learned about WALK 2.0 are not available

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Summary

Introduction

The majority of adults from Western nations are not meeting minimum physical activity recommendations [1].Epidemiological evidence has clearly linked physical inactivity to a number of chronic diseases, cardiovascular disease, type 2 diabetes, some cancers, obesity, poor mental health, osteoporosis/osteoarthritis, and premature mortality [2e5]. (voice and text messaging) [10e15], and email-based interventions [16,17] Many of these types of interventions have shown promising results for physical activity behavior change, they have a number of shortcomings. The duration of many of these interventions are of short term or have limited participant contact, resulting in minimal effectiveness and population health impact [18,19]. For those that do report a significant physical activity effect, it is rarely maintained over a long period (one year or more postintervention) of time [20]. There is a need for innovative approaches that have the potential for long-term effectiveness and maintenance, as well as greater population reach and accessibility

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