Who stays, who drops out?: Biosocial predictors of longer-term adherence in participants attending an exercise referral scheme in the UK

Patrick Tobi; Emee Vida Estacio; Ge Yu; Adrian Renton; Nena Foster

doi:10.1186/1471-2458-12-347

Who stays, who drops out? Biosocial predictors of longer-term adherence in participants attending an exercise referral scheme in the UK

Patrick Tobi, Emee Vida Estacio, Ge Yu, Adrian Renton, Nena Foster

Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: Exercise referral schemes are one of the most popular forms of physical activity intervention in primary care in the UK and present an opportunity to better understand the factors related to exercise adherence. But standard schemes tend to be delivered over a short period and so provide information about the factors associated with short-term adherence. This retrospective register-based study of a longer-duration scheme allowed investigation of longer-term adherence.

METHODS: Social, physiological and anthropometric data were extracted from records of a cohort of ERS participants who had enrolled between 01 January and 31 December 2007 (n = 701). Characteristics of adherers and non-adherers were compared and potential predictors of longer-term adherence examined using binomial logistic regression.

RESULTS: Significant adjusted odds ratios predicting longer-term adherence were found for age and medical condition. For every 10 year increase in age, the odds of people continuing exercise increased by 21.8% (OR = 1.02; CI = 1.00 to 1.04; p = 0.03). Participants referred with orthopaedic (OR = 0.25; CI = 0.07-0.94; p = 0.04), cardiovascular (OR = 0.18; CI = 0.05-0.70; p = 0.01) and other (OR = 0.20; CI = 0.04-0.93; p = 0.04) problems had significantly lower odds of adhering than those with metabolic conditions.

CONCLUSION: Improved understanding of the factors that influence adherence to exercise referral schemes will enable providers develop better referral guidance and tailor schemes to better meet participants' needs. Longer-term schemes offer the opportunity to understand participants' likelihood of maintaining adherence to exercise.

Original language	English
Pages (from-to)	347
Journal	BMC Public Health
Volume	12
DOIs	https://doi.org/10.1186/1471-2458-12-347
Publication status	Published - 11 May 2012

Keywords

Adult
Exercise
Female
Great Britain
Humans
Male
Middle Aged
Patient Compliance
Patient Dropouts
Qualitative Research
Referral and Consultation
Registries
Retrospective Studies
Socioeconomic Factors
Time Factors

Access to Document

10.1186/1471-2458-12-347

Cite this

@article{2432ecda7aea447f9ba67c89ec2f6c00,

title = "Who stays, who drops out?: Biosocial predictors of longer-term adherence in participants attending an exercise referral scheme in the UK",

abstract = "BACKGROUND: Exercise referral schemes are one of the most popular forms of physical activity intervention in primary care in the UK and present an opportunity to better understand the factors related to exercise adherence. But standard schemes tend to be delivered over a short period and so provide information about the factors associated with short-term adherence. This retrospective register-based study of a longer-duration scheme allowed investigation of longer-term adherence.METHODS: Social, physiological and anthropometric data were extracted from records of a cohort of ERS participants who had enrolled between 01 January and 31 December 2007 (n = 701). Characteristics of adherers and non-adherers were compared and potential predictors of longer-term adherence examined using binomial logistic regression.RESULTS: Significant adjusted odds ratios predicting longer-term adherence were found for age and medical condition. For every 10 year increase in age, the odds of people continuing exercise increased by 21.8% (OR = 1.02; CI = 1.00 to 1.04; p = 0.03). Participants referred with orthopaedic (OR = 0.25; CI = 0.07-0.94; p = 0.04), cardiovascular (OR = 0.18; CI = 0.05-0.70; p = 0.01) and other (OR = 0.20; CI = 0.04-0.93; p = 0.04) problems had significantly lower odds of adhering than those with metabolic conditions.CONCLUSION: Improved understanding of the factors that influence adherence to exercise referral schemes will enable providers develop better referral guidance and tailor schemes to better meet participants' needs. Longer-term schemes offer the opportunity to understand participants' likelihood of maintaining adherence to exercise.",

keywords = "Adult, Exercise, Female, Great Britain, Humans, Male, Middle Aged, Patient Compliance, Patient Dropouts, Qualitative Research, Referral and Consultation, Registries, Retrospective Studies, Socioeconomic Factors, Time Factors",

author = "Patrick Tobi and Estacio, {Emee Vida} and Ge Yu and Adrian Renton and Nena Foster",

year = "2012",

month = may,

day = "11",

doi = "10.1186/1471-2458-12-347",

language = "English",

volume = "12",

pages = "347",

journal = "BMC Public Health",

issn = "1471-2458",

publisher = "BioMed Central",

}

TY - JOUR

T1 - Who stays, who drops out?

T2 - Biosocial predictors of longer-term adherence in participants attending an exercise referral scheme in the UK

AU - Tobi, Patrick

AU - Estacio, Emee Vida

AU - Yu, Ge

AU - Renton, Adrian

AU - Foster, Nena

PY - 2012/5/11

Y1 - 2012/5/11

N2 - BACKGROUND: Exercise referral schemes are one of the most popular forms of physical activity intervention in primary care in the UK and present an opportunity to better understand the factors related to exercise adherence. But standard schemes tend to be delivered over a short period and so provide information about the factors associated with short-term adherence. This retrospective register-based study of a longer-duration scheme allowed investigation of longer-term adherence.METHODS: Social, physiological and anthropometric data were extracted from records of a cohort of ERS participants who had enrolled between 01 January and 31 December 2007 (n = 701). Characteristics of adherers and non-adherers were compared and potential predictors of longer-term adherence examined using binomial logistic regression.RESULTS: Significant adjusted odds ratios predicting longer-term adherence were found for age and medical condition. For every 10 year increase in age, the odds of people continuing exercise increased by 21.8% (OR = 1.02; CI = 1.00 to 1.04; p = 0.03). Participants referred with orthopaedic (OR = 0.25; CI = 0.07-0.94; p = 0.04), cardiovascular (OR = 0.18; CI = 0.05-0.70; p = 0.01) and other (OR = 0.20; CI = 0.04-0.93; p = 0.04) problems had significantly lower odds of adhering than those with metabolic conditions.CONCLUSION: Improved understanding of the factors that influence adherence to exercise referral schemes will enable providers develop better referral guidance and tailor schemes to better meet participants' needs. Longer-term schemes offer the opportunity to understand participants' likelihood of maintaining adherence to exercise.

AB - BACKGROUND: Exercise referral schemes are one of the most popular forms of physical activity intervention in primary care in the UK and present an opportunity to better understand the factors related to exercise adherence. But standard schemes tend to be delivered over a short period and so provide information about the factors associated with short-term adherence. This retrospective register-based study of a longer-duration scheme allowed investigation of longer-term adherence.METHODS: Social, physiological and anthropometric data were extracted from records of a cohort of ERS participants who had enrolled between 01 January and 31 December 2007 (n = 701). Characteristics of adherers and non-adherers were compared and potential predictors of longer-term adherence examined using binomial logistic regression.RESULTS: Significant adjusted odds ratios predicting longer-term adherence were found for age and medical condition. For every 10 year increase in age, the odds of people continuing exercise increased by 21.8% (OR = 1.02; CI = 1.00 to 1.04; p = 0.03). Participants referred with orthopaedic (OR = 0.25; CI = 0.07-0.94; p = 0.04), cardiovascular (OR = 0.18; CI = 0.05-0.70; p = 0.01) and other (OR = 0.20; CI = 0.04-0.93; p = 0.04) problems had significantly lower odds of adhering than those with metabolic conditions.CONCLUSION: Improved understanding of the factors that influence adherence to exercise referral schemes will enable providers develop better referral guidance and tailor schemes to better meet participants' needs. Longer-term schemes offer the opportunity to understand participants' likelihood of maintaining adherence to exercise.

KW - Adult

KW - Exercise

KW - Female

KW - Great Britain

KW - Humans

KW - Male

KW - Middle Aged

KW - Patient Compliance

KW - Patient Dropouts

KW - Qualitative Research

KW - Referral and Consultation

KW - Registries

KW - Retrospective Studies

KW - Socioeconomic Factors

KW - Time Factors

U2 - 10.1186/1471-2458-12-347

DO - 10.1186/1471-2458-12-347

M3 - Article

C2 - 22578185

SN - 1471-2458

VL - 12

SP - 347

JO - BMC Public Health

JF - BMC Public Health

ER -