We evaluated a pedometer-based community intervention under real-world conditions.
Participants (n = 559) provided demographic and health information using surveys and steps/d at baseline and during the last week the participants were in the program. A 1-year follow-up was conducted, but in keeping with real-world conditions, no incentives were offered to participate.
Participants (89% female, age 48.1 [SD = 12] years) took 7864 (3114) steps/d at baseline. Postprogram voluntary response rates to mailed surveys were 41.3% at 12 weeks and 22.8% at 1 year. Program completers reported significantly higher steps/d at 12 weeks (~12,000 steps/d) and 1 year (~11,000 steps/d) compared with baseline.
The improvement in steps/d in this real-world implementation was consistent with more controlled studies of pedometer-based interventions. Low response to voluntary follow-up is a study limitation but is expected of real-world evaluations.
Chan is with the Dept of Physiology and the Alberta Institute of Human Nutrition, Dept of Agricultural, Food and Nutritional Sciences, University of Alberta, Edmonton, AB T6G 2H7, Canada. Tudor-Locke is with the Walking Behavior Laboratory, Pennington Biomedical Research Center, Baton Rouge, LA 70808.