Tobi, P and Estacio, EV and Yu, G and Renton, A and Foster, N (2012) Who stays, who drops out?: Biosocial predictors of longer-term adherence in participants attending an exercise referral scheme in the UK. BMC Public Health, 12. 347 - ?. ISSN 1471-2458

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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.

Item Type: Article
Additional Information: This is the final published version of the article (version of record). It first appeared online via BioMed Central at https://doi.org/10.1186/1471-2458-12-347 - please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: attendance, biosocial, exercise referral, longer term adherence
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Natural Sciences > School of Psychology
Related URLs:
Depositing User: Symplectic
Date Deposited: 12 Apr 2017 13:25
Last Modified: 12 Apr 2017 13:37
URI: http://eprints.keele.ac.uk/id/eprint/3247

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