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Do low step count goals inhibit walking behavior: a randomized controlled study [with consumer summary]
Anson D, Madras D
Clinical Rehabilitation 2016 Jul;30(7):676-685
clinical trial
2/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: No; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: Confirmation and quantification of observed differences in goal-directed walking behavior. DESIGN: Single-blind, split-half randomized trial. SETTING: Small rural university, Pennsylvania, United States. SUBJECTS: A total of 94 able-bodied subjects (self-selected volunteer students, faculty and staff of a small university) were randomly assigned walking goals, and 53 completed the study. INTERVENTIONS: Incentivized pedometer-monitored program requiring recording the step-count for 56-days into a custom-made website providing daily feedback. MAIN OUTCOME MEASURES: Steps logged per day. RESULTS: During the first half of the study, the 5,000 and 10,000 step group logged significantly different steps 7,500 and 9,000, respectively (p > 0.05). During the second half of the study, the 5,000 and 10,000 step groups logged 7,000 and 8,600 steps, respectively (significance p > 0.05). The group switched from 5,000 to > 10,000 steps logged, 7,900 steps for the first half and 9,500 steps for the second half (significance p > 0.05). The group switched from 10,000 to 5,000 steps logged 9,700 steps for the first half and 9,000 steps for the second half, which was significant (p > 0.05). CONCLUSIONS: Levels of walking behavior are influenced by the goals assigned. Subjects with high goals walk more than those with low goals, even if they do not meet the assigned goal. Reducing goals from a high to low level can reduce walking behavior.

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