02387nas a2200349 4500000000100000008004100001653001100042653001100053653000900064653000900073653001600082653001300098653001400111653002100125653001900146653002200165653001400187653002000201653001400221653001800235100001800253700001800271700002000289700001700309700002600326700001600352245018200368300001200550490000700562520145400569022001402023 2017 d10aFemale10aHumans10aAged10aMale10aMiddle Aged10aExercise10aAustralia10aExercise Therapy10aHeart Diseases10aHospitals, Public10aMentoring10aSocial Planning10aTelephone10aUrban Renewal1 aBauman Adrian1 aRedfern Julie1 aSangster Janice1 aFurber Susan1 aPhongsavan Philayrath1 aMark Andrew00aEffects of a Pedometer-Based Telephone Coaching Intervention on Physical Activity Among People with Cardiac Disease in Urban, Rural and Semi-Rural Settings: A Replication Study. a354-3610 v263 a

BACKGROUND: This study aimed to determine the replicability of a pedometer-based telephone coaching intervention by comparing the outcomes of a study conducted in rural and urban settings to a study that previously found the same intervention effective in a semi-rural setting.

METHODS: Replication studies are conducted to assess whether an efficacious intervention is effective in multiple different settings. This study compared the outcomes of a pedometer-based coaching intervention implemented in urban and rural settings (replication study) with the same intervention implemented in a semi-rural setting (reference study) on physical activity levels.

RESULTS: Improvements in total weekly physical activity time in the replication study were significant from baseline to six weeks (p<0.001 urban, p=0.006 rural) and remained significant at six months (p=0.029 urban, p=0.005 rural). These increases were comparable to those achieved in the original efficacy trial conducted in a semi-rural setting.

CONCLUSIONS: The pedometer-based telephone coaching intervention increases physical activity levels of people with cardiac disease referred to a CR program in diverse settings. This replication study indicates the suitability of this minimal contact, low-cost intervention for further scaling-up to address unmet need in community-dwelling cardiac patients.

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