Trial reportBMC public health2016
Process evaluation of the Walk Well study: a cluster-randomised controlled trial of a community based walking programme for adults with intellectual disabilities.
Trial report in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Healthy ageing for older adult people with intellectual disability: a scoping review.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Understanding the effectiveness and underlying mechanisms of lifestyle modification interventions in adults with learning disabilities: a mixed-methods systematic review.Health technology assessment (Winchester, England) · 2025Pooled it
- Systematic review of process evaluations of interventions in trials investigating sedentary behaviour in adults.BMJ open · 2022Pooled it
- Sedentary behaviour levels in adults with an intellectual disability: a systematic review and meta-analysis.HRB open research · 2021Pooled it
- A systematic review of the use and reporting of evaluation frameworks within evaluations of physical activity interventions.The international journal of behavioral nutrition and physical activity · 2020Pooled it
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- Caregivers' effect on weight management in adults with intellectual and developmental disabilities.Disability and health journal · 2017Trial
- Institutional and interpersonal determinants of dietary practices of persons with intellectual disability in institutional accommodation in Switzerland: a qualitative study.BMC public health · 2026Article
- Structure of Weekly and Daily Physical Activity of Adults with Moderate and Severe Intellectual Disabilities in the Context of Barriers in Accessibility: A Preliminary Study.Brain sciences · 2025Article
- A Systematic Review of Community-Based Exercise Interventions for Adults with Intellectual Disabilities.Healthcare (Basel, Switzerland) · 2025Review
- Quantifying Physical Activity and Sedentary Behavior in Adults with Intellectual Disability: A Scoping Review of Assessment Methodologies.Healthcare (Basel, Switzerland) · 2024Article
- An Ethnographic Study Concerning the Implementation of Education on Ageing for Older Adults with Mild Intellectual Disability: The Perspective of the Educators.International journal of environmental research and public health · 2024Article
- Synergizing the Behavior Change Wheel and a Cocreative Approach to Design a Physical Activity Intervention for Adolescents and Young Adults With Intellectual Disabilities: Development Study.JMIR formative research · 2024Article
- Engaging and sustaining people with intellectual disabilities in physical activity: a narrative review of existing evidence.International journal of developmental disabilities · 2024Article
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- Co-creating an intervention to promote physical activity in adolescents with intellectual disabilities: lessons learned within the Move it, Move ID!-project.Research involvement and engagement · 2023Article
- Interventions for social and community participation for adults with intellectual disability, psychosocial disability or on the autism spectrum: An umbrella systematic review.Frontiers in rehabilitation sciences · 2022Review
- "With Enthusiasm and Energy throughout the Day": Promoting a Physically Active Lifestyle in People with Intellectual Disability by Using a Participatory Approach.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundWalking interventions can be effective in encouraging sedentary populations to become more active; however, limited research has explored the effectiveness of walking interventions for adults with intellectual disabilities. This process evaluation explored the delivery of a community based walking intervention for adults with intellectual disabilities.
methodsWalk Well was a single-blind cluster randomised controlled trial of a 12-week physical activity consultation-led walking intervention. 102 participants were randomised to the Walk Well intervention or a waiting list control group. Participants in the intervention group received three physical activity consultations with a walking advisor at baseline, 6 & 12-weeks. They were encouraged to use a pedometer to set goals and monitor their daily step count. Primary outcome was change in daily step count at 12-weeks. Process evaluation measures included qualitative interviews with key stakeholders (n = 6) and quantifiable data collected as part of the intervention. Additional process data were extracted from a sub-set of qualitative interviews with participants and carers (n = 20). Data were analysed for process information related to context, recruitment and retention, reach, implementation, and fidelity.
resultsWalk Well was not effective in significantly increasing levels of physical activity. The process evaluation did, however, highlight several important areas for consideration in future studies, including: a successful recruitment and retention strategy reaching a representative sample of adults with intellectual disabilities in the community; feasible and (for most) enjoyable methods of engaging adults with intellectual disabilities in activities to support behaviour change; potential need for greater intervention duration and frequency of contact; advantages and disadvantages of using pedometers as a behaviour change tool; the need for strategies which engage carers in supporting participants; and the complex issue of 'freedom of choice' in relation to lifestyle behaviours and study participation.
conclusionsWalking interventions for adults with intellectual disabilities can be feasibly delivered in the community in relation to reach, recruitment, retention and intervention fidelity. More intensive intervention methods need to be explored as well as strategies to engage and motivate carers in their support of participants.
trial registrationCurrent Controlled Trials ISRCTN50494254 (3(rd) April 2012).
Indexed as
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.