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Updated: Oct 14, 2025
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Visualization of Intensity Levels to Reduce the Gap Between Self-Reported and Directly Measured Physical Activity
Published on: March 7, 2019
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Promoting physical activity with self-management support for those with multimorbidity: a randomised controlled trial
Kamlesh Khunti1, Patrick J Highton1, Ghazala Waheed1
1Diabetes Research Centre, University of Leicester, Leicester.
Summary
Self-management programs for multimorbidity did not increase physical activity (PA) and led to a slight reduction in PA levels. Future research should target specific subgroups and refine interventions for better efficacy in promoting PA.
Area of Science:
- Gerontology
- Public Health
- Behavioral Medicine
Background:
- Multimorbidity affects a significant portion of the adult population, often leading to reduced physical activity (PA).
- Self-management programs are proposed as a strategy to improve health outcomes and increase PA in individuals with multiple chronic conditions.
Purpose of the Study:
- To evaluate the impact of a structured, group-based self-management education program on habitual PA levels in adults with multimorbidity.
- To determine if the intervention, supported by motivational text messages, can enhance daily PA volume over a 12-month period.
Main Methods:
- An individually randomised controlled trial was conducted across nine UK primary care practices.
- 353 adults with multimorbidity were randomized to either an intervention group (self-management sessions + text support) or a control group.
- Physical activity was objectively measured using GENEActiv wrist-worn accelerometers over 12 months.
Main Results:
- Complete-case analysis at 12 months showed a statistically significant reduction in daily PA volume in the intervention group compared to the control group (-0.80 m*g, P=0.04).
- Specific reductions were observed in time spent in moderate-vigorous PA and time spent at slow walk intensity within the intervention group.
- Per-protocol analysis, however, found no significant between-group differences in overall daily PA.
Conclusions:
- The self-management program resulted in a slight decrease in PA levels among individuals with multimorbidity.
- Further research is needed to identify specific subgroups that would benefit most from PA promotion.
- Intervention refinement is recommended to enhance the efficacy of self-management programs in increasing physical activity.
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