Adherence to and effects on physical function parameters of a community-based standardised exercise programme for overweight or obese patients carried out by local sports clubs

Lackinger, Christian; Wilfinger, J.; Mayerhofer, J.; Strehn, Albert; Dick, Daniel; Dörner, Thomas

doi:10.1016/j.puhe.2017.01.029

Cited by 8 publications

(8 citation statements)

References 37 publications

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“…For example, the recruitment of women with chronic disease risk factors into a three-month free-of-charge fitness centre prescribed by primary care providers was 40% [ 25 ]. A similar recruitment rate (41%) was achieved among overweight and obese patients for their participation in a standardised exercise programme referred by mainly outpatient departments [ 18 ]. In a systematic review with meta-analysis [ 24 ], the pooled level of recruitment through exercise referral schemes was 66% (95% CI 57% to 75%) across 14 observational studies.…”

Section: Discussionmentioning

confidence: 95%

“…In the successful Football Fans in Training (FFIT) study [ 27 ], 79% of the obese football fans attended six out of the 12 supervised sessions. In the study by Lackinger et al [ 18 ], a good attendance level (>75% of all sessions) was achieved by 30% of the target group (non-communicable diseases such as obesity, type 2 diabetes or hypertension) after two months. Waterman et al [ 25 ] defined “high participation” as at least 18 total class visits to a fitness centre over the 12-week trial period, but only 10% achieved the high participation categorisation in this study.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, only a limited number of studies have investigated the effectiveness of PA counselling in a health care setting on the adoption of PA in sports club programmes thereafter. Lackinger et al [ 18 ] investigated the attendance level to a standardised programme (either gym-based or aqua-fit) covering two sessions per week among patients suffering from non-communicable diseases such as obesity, type 2 diabetes mellitus, or hypertension. General practitioners, outpatient departments, and health resorts recruited the participants.…”

Section: Introductionmentioning

confidence: 99%

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How Does Counselling in a Stationary Health Care Setting Affect the Attendance in a Standardised Sports Club Programme? Process Evaluation of a Quasi-Experimental Study

Titze

Lackinger

Grossschaedl³

et al. 2018

IJERPH

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Actions in partnership across sectors is one principle for the promotion of health behaviours. The objective of this study was to describe the participation in a sports club-based exercise programme—named JACKPOT—following an intervention in a health care setting. Focus was given to the recruitment into JACKPOT, the attendance level, and whether the different programme elements were implemented as intented. The practicability of the project was also retrospectively rated. Participants were 238 inactive people (50% women) between 30 and 65 years of age who attended a health resort. Of these, 77% were assigned to the intervention group (IG). The recruitment into the 12 JACKPOT sessions and the attendance levels were recorded via attendance lists. The implementation of the intervention standards was assessed with structured interviews and participatory observation. The Pragmatic Explanatory Continuum Indicator Summary (PRECIS)-2 tool served to rate the practicability of the project. Almost 50% of the IG subjects attended JACKPOT sessions at least once and 54% of the attenders visited ≥75% of the 12 sessions. Some of the programme elements were not delivered fully. The process evaluation results showed that the project worked in a real-world setting, and also uncovered potential reasons such as incomplete information delivery for the moderate recruitment and attendance level.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

How Does Counselling in a Stationary Health Care Setting Affect the Attendance in a Standardised Sports Club Programme? Process Evaluation of a Quasi-Experimental Study

Titze

Lackinger

Grossschaedl³

et al. 2018

IJERPH

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“…Thus, the impact of outcome-driven public health investigations is improved through a comprehensive documentation because the fidelity to the study protocol, the level of the delivered intervention, and the quality of the implementation can be determined [29]. To illustrate further, in a lifestyle study with overweight and obese patients desired effects were measured, although less than 20% of the participants reached high adherence levels [30]. Differences in implementation of the intervention compared to the study protocol were evident.…”

Section: Introductionmentioning

confidence: 99%

Adherence Is More Than Just Being Present: Example of a Lay-Led Home-Based Programme with Physical Exercise, Nutritional Improvement and Social Support, in Prefrail and Frail Community-Dwelling Older Adults

Lackinger

Grabovac

Haider

et al. 2021

IJERPH

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Background: Little is known about the implementation of lifestyle interventions in frail, community-dwelling people. This study highlights different domains of adherence to explain an effectively delivered home-based intervention. Methods: Eighty prefrail and frail persons (≥65 years) participated in a physical training, nutritional, and social support intervention over 24 weeks. A detailed log book was kept for comprehensive documentation in order to assess adherence and further organizational, exercise, and nutritional parameters. Results: Participants reached an adherence rate (performed home visits/number of planned visits) of 84.0/80.5% from week 1–12/13–24. Out of those, 59% carried out ≥75% of the offered visits. Older age was associated with a higher adherence rate. A mean of 1.5 (0.6) visits/week (2 were planned) were realized lasting for a mean of 1.5 (0.9) hours (154% of the planned duration). Per visit, 1.2 (0.6) circuits of strength training were performed (60.5% of the planned value) and 0.5 (0.3) nutritional interventions (47%). After twelve months, 4.2% still carried out the home visits regularly and 25.0% occasionally. Conclusion: Adherence is much more than “being there”. Adherence rate and category are limited parameters to describe the implementation of a complex lifestyle intervention, therefore a comprehensive documentation is needed.

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“…Physical activity (PA) is an important tool in promoting, maintaining, and recreating health. Further, PA is crucial in various dimension of medical care, from health promotion [ 1 – 3 ], prevention of disease and other adverse outcomes [ 1 , 2 , 4 ], curing of chronic diseases [ 2 ], such as obesity [ 5 ], type 2 diabetes mellitus [ 6 ] and hypertension [ 7 ] and medical and social rehabilitation [ 8 , 9 ]. Undertaking PA is important in all age groups, irrespective of medical conditions, domains of PA (e.g.…”

Section: Introductionmentioning

confidence: 99%

Association between physical activity and the utilization of general practitioners in different age groups

Dörner

Wilfinger

Hoffman

et al. 2019

Wien Klin Wochenschr

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Summary Background Physical activity (PA) is an important tool in health promotion, prevention, curation, and rehabilitation and should be part of general practitioners (GP) consultations. For tailoring GP’s service it is important to know the PA habits of the clients. Methods Data from the Austrian Health Interview Survey 2014 with 15,770 subjects were analyzed. The association between PA, measured with the Physical Activity Questionnaire of the European Health Intervies Survey (EHIS-PAQ) and having visited a GP within the last 4 weeks was examined in different age groups (15–29, 30–64, and 65+ years). In multivariate analyses we adjusted for sociodemographic and health-related variables (body mass index, 17 chronic diseases, and the use of medication). Results In subjects aged 15–29 years and 30–64 years fulfilling aerobic PA recommendations was significantly associated with a lower chance of having consulted the GP with unadjusted OR (95% CI) 0.82 (0.70–0.96) and 0.90 (0.82–0.99), respectively, whereas work-related PA was associated with a higher chance, with OR 1.21 (1.03–1.42) and 1.10 (1.00–1.20), respectively. Adjusting for sociodemographic and health-related factors led to loss of significance. In subjects aged 30–64 years, muscle strengthening PA was associated with a higher chance for GP consultation with OR 1.12 (1.00–1.24) in the fully adjusted model. In subjects aged 65+ years, PA was associated with a lower chance of having visited the GP with OR 0.74 (0.64–0.86) and 0.83 (0.71–0.97) for work related PA and total PA, respectively, in the fully adjusted model. Conclusion The association of PA and GP consultation is dependent on age and type of PA, and partly mediated by sociodemographic and health-related factors.

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Adherence to and effects on physical function parameters of a community-based standardised exercise programme for overweight or obese patients carried out by local sports clubs

Cited by 8 publications

References 37 publications

How Does Counselling in a Stationary Health Care Setting Affect the Attendance in a Standardised Sports Club Programme? Process Evaluation of a Quasi-Experimental Study

How Does Counselling in a Stationary Health Care Setting Affect the Attendance in a Standardised Sports Club Programme? Process Evaluation of a Quasi-Experimental Study

Adherence Is More Than Just Being Present: Example of a Lay-Led Home-Based Programme with Physical Exercise, Nutritional Improvement and Social Support, in Prefrail and Frail Community-Dwelling Older Adults

Association between physical activity and the utilization of general practitioners in different age groups

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