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Levels and predictors of exercise referral scheme uptake and adherence: a systematic review

Pavey, Toby ; Taylor, Adrian ; Hillsdon, Melvyn ; Fox, Kenneth ; Campbell, John ; Foster, Charlie ; Moxham, Tiffany ; Mutrie, Nanette ; Searle, John ; Taylor, Rod

Journal of Epidemiology and Community Health, 2012-08, Vol.66 (8), p.737-744 [Revista revisada por pares]

London: BMJ Publishing Group Ltd

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Título:
Levels and predictors of exercise referral scheme uptake and adherence: a systematic review
Autor: Pavey, Toby ; Taylor, Adrian ; Hillsdon, Melvyn ; Fox, Kenneth ; Campbell, John ; Foster, Charlie ; Moxham, Tiffany ; Mutrie, Nanette ; Searle, John ; Taylor, Rod
Materias: adherence ; Age ; ageing ; Annual reports ; Attitude to Health ; Biological and medical sciences ; Citation indexes ; Community health ; epidemiology ; Exercise ; Exercise referral schemes ; Experimentation ; Female ; General aspects ; General practice ; health behaviour ; health promotion ; Humans ; Male ; Medical diagnosis ; Medical referrals ; Medical sciences ; mental health ; meta analysis ; Miscellaneous ; Motivation ; Multivariate analysis ; Observational studies ; Operating rooms ; Patient Compliance ; physical activity ; Physical fitness ; Primary care ; Primary health care ; Program Evaluation ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Qualitative Research ; Randomized controlled trials ; Referral and Consultation - economics ; Review ; Self Efficacy ; Sex Factors ; Studies ; Systematic review ; systematic reviews ; Third party ; uptake
Es parte de: Journal of Epidemiology and Community Health, 2012-08, Vol.66 (8), p.737-744
Notas: PMID:22493474
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Descripción: BackgroundThe effectiveness of exercise referral schemes (ERS) is influenced by uptake and adherence to the scheme. The identification of factors influencing low uptake and adherence could lead to the refinement of schemes to optimise investment.ObjectivesTo quantify the levels of ERS uptake and adherence and to identify factors predictive of uptake and adherence.MethodsA systematic review and meta-analysis was undertaken. MEDLINE, EMBASE, PsycINFO, Cochrane Library, ISI WOS, SPORTDiscus and ongoing trial registries were searched (to October 2009) and included study references were checked. Included studies were required to report at least one of the following: (1) a numerical measure of ERS uptake or adherence and (2) an estimate of the statistical association between participant demographic or psychosocial factors (eg, level of motivation, self-efficacy) or programme factors and uptake or adherence to ERS.ResultsTwenty studies met the inclusion criteria, six randomised controlled trials (RCTs) and 14 observational studies. The pooled level of uptake in ERS was 66% (95% CI 57% to 75%) across the observational studies and 81% (95% CI 68% to 94%) across the RCTs. The pooled level of ERS adherence was 49% (95% CI 40% to 59%) across the observational studies and 43% (95% CI 32% to 54%) across the RCTs. Few studies considered anything other than gender and age. Women were more likely to begin an ERS but were less likely to adhere to it than men. Older people were more likely to begin and adhere to an ERS.LimitationsSubstantial heterogeneity was evident across the ERS studies. Without standardised definitions, the heterogeneity may have been reflective of differences in methods of defining uptake and adherence across studies.ConclusionsTo enhance our understanding of the variation in uptake and adherence across ERS and how these variations might affect physical activity outcomes, future trials need to use quantitative and qualitative methods.
Editor: London: BMJ Publishing Group Ltd
Idioma: Inglés

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Levels and predictors of exercise referral scheme uptake and adherence: a systematic review

Pavey, Toby ; Taylor, Adrian ; Hillsdon, Melvyn ; Fox, Kenneth ; Campbell, John ; Foster, Charlie ; Moxham, Tiffany ; Mutrie, Nanette ; Searle, John ; Taylor, Rod

London: BMJ Publishing Group Ltd

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