An evaluation of the efficacy of the exercise on referral scheme in Northumberland, UK: association with physical activity and predictors of engagement. A naturalistic observation study

Hanson, Coral L; Allin, Linda J; Ellis, Jason G; Dodd-Reynolds, Caroline J

Abstract

ABSTRACT
Objectives: Exercise on referral schemes (ERS) are widely commissioned in the UK but there is little evidence of their association with physical activity levels. We sought to assess the Northumberland
exercise on referral scheme in terms of increased levels of physical activity and identify predictors of engagement.

Design: A naturalistic observational study.

Setting: 9 local authority leisure sites in Northumberland.

Participants: 2233 patients referred from primary and secondary care between July 2009 and September 2010.

Intervention: A 24-week programme including motivational consultations and supervised exercise sessions for participants.

Outcome measures: Uptake, 12-week adherence, 24-week completion, changes in Godin Leisure-Time Exercise Questionnaire scores after 24-weeks and attendance levels at supervised exercise sessions during the scheme. Three binary logistic regressions were used to examine demographic and referral factors associated with initial uptake, 12-week adherence and 24-week completion.

Results: Uptake was 81% (n=1811), 12-week adherence was 53.5% (n=968) and 24-week completion was 42.9% (n=777). Participants who completed significantly increased their self-reported physical activity levels at 24-weeks t (638)=−11.55, p

Citation

Hanson, C. L., Allin, L. J., Ellis, J. G., & Dodd-Reynolds, C. J. (2013). An evaluation of the efficacy of the exercise on referral scheme in Northumberland, UK: association with physical activity and predictors of engagement. A naturalistic observation study. BMJ Open, 3(8), Article e002849. https://doi.org/10.1136/bmjopen-2013-002849

• Journal Article Type: Article
• Acceptance Date: Jun 14, 2013
• Online Publication Date: Aug 1, 2013
• Publication Date: Aug 2, 2013
• Deposit Date: Feb 22, 2017
• Publicly Available Date: Jan 28, 2020
• Journal: BMJ Open
• Print ISSN: 2044-6055
• Electronic ISSN: 2044-6055
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 3
• Issue: 8
• Article Number: e002849
• DOI: https://doi.org/10.1136/bmjopen-2013-002849
• Keywords: Referral schemes, physical activity, Godin Leisure-Time Exercise Questionnaire scores,
• Public URL: http://researchrepository.napier.ac.uk/Output/688229