Feasibility and acceptance of exercise recommendations (10,000 steps a day) within routine German health check (Check-Up 35/GOÄ29)—study protocol

Research output: Contribution to journalJournal articlesResearchpeer-review


  • Christine Graf
  • Stefanie Schlepper
  • Carina Bauer
  • Nina Ferrari
  • Stefan Frank
  • Lena Gartner
  • Svenja Gehring
  • Rudolf Henke
  • Walter Lehmacher
  • Hans-Michael Steffen
  • Sabine Schindler-Marlow
  • Katharina Sternal

Research units


Benefits of exercise to prevent non-communicable diseases are well-documented. Limited data exists
to promote physical activity in healthy but sedentary and/or overweight people. Brief interventions within routine
German health checks may be an effective way to reach these patients.
The quasi-experimental, multi-center prospective feasibility study is designed for general
practices in Cologne (intervention group) and Düsseldorf (control group), up to 20 per region. Eight to 10 inactive
and/or overweight patients per practice will be recruited for a total of 300. General practitioners and at least one
of their nurses for the intervention group will be trained in motivational interviewing and familiarized with low-
threshold recommendations for exercise (activities of daily life (ADL), target of 10,000 steps/day) and additional
tools (pedometers, activity diaries). Participants in the control group will only receive general advice (150 min of
exercise/week). The primary aims are to evaluate the feasibility of this intervention and to determine whether it is
possible to reach a mean increase of 1000 steps/day in the target group within 6 months. Secondary objectives
focus on the number of patients who reach a target of 10,000 steps/day and their improvements in quality of life
and decrease in body mass index, waist circumference, and blood pressure.
The study will assess whether it is feasible to run brief interventions within the GP setting can promote
an active lifestyle in overweight and/or inactive patients.
Motivational interviewing, Feasibility, Brief intervention, Pedometers, General practitioners, Overweight
ADL, Activities of daily life; BMI, Body mass index; CG, Control group; CHD, Coronary heart disease;
GPs, General practitioners; IG, Intervention group; IPAQ, International Physical Activity Questionnaire;
MI, Motivational interviewing
Original languageEnglish
JournalPilot and Feasibility Studies
Issue number52
Number of pages7
Publication statusPublished - 07.09.2016

ID: 2838191

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