Costs and outcomes of an exercise referral programme – A 1-year follow-up study

Röme, Andrada; Persson, Ulf; Ekdahl, Charlotte; Gard, Gunvor

doi:10.3109/21679169.2014.886291

Cited by 7 publications

(27 citation statements)

References 25 publications

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“…Ten quantitative, 10 qualitative, and four mixed‐methods studies were included. Two studies were assessed as high quality, 17 studies were assessed as moderate quality, and five studies were assessed as low quality. Twenty‐one of the 24 studies were UK‐based, with one study each from Netherlands, Sweden, and United States.…”

Section: Resultsmentioning

confidence: 99%

“…52 There were no differences between adherers and non-adherers in self-efficacy and expectations of change for health and fitness. 52 Where an ERS intervention was compared to controls, there were no reported baseline differences between participants in different doses of exercise in motivation, 57 or between ERS participants and controls in physical self-worth, 61 self-perception, 61 self-efficacy, 62 perceived benefits and barriers, 62…”

Section: Baseline Characteristicsmentioning

confidence: 99%

“…Five of the quantitative studies assessed motivation as a predictor of adherence. 24,42,44,56,57 One study showed self-determined motivation to be higher among adherers than partial adherers and dropouts as a result of the ERS, with all participants reporting higher levels of autonomous motivation from baseline to scheme-end. 24 Another study showed selfdetermined motivation when measured at 4 weeks into the scheme to significantly explain 12%-16% of the variance of total adherence 44 with improvements in intrinsic motivation from pre-post significantly predicting adherence.…”

Section: Motivationmentioning

confidence: 99%

“…Summary of included studies qualitative, and four mixed-methods studies were included. Two studies57,62 were assessed as high quality, 17 studies24,27,[42][43][44]46,47,49,50,[52][53][54][55][56][59][60][61] were assessed as moderate quality, and five studies41,45,48,51,58 were assessed as low quality. Twenty-one of the 24 studies were UK-based, with one study each from Netherlands, Sweden, and United States.Table 1provides an overview of all relevant studies characteristics.…”

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confidence: 99%

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Assessing the psychosocial factors associated with adherence to exercise referral schemes: A systematic review

Eynon

Foad

Downey

et al. 2019

Scandinavian Med Sci Sports

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This paper aimed to systematically review the evidence base to uncover the key psychosocial factors that underpin adherence to an exercise referral scheme (ERS).Databases PsycINFO, MEDLINE, SPORTDiscus, Web of Science, PubMed, PsycARTICLES, Open Grey, and PsycEXTRA were systematically searched. A parallel results-based convergent synthesis was performed by identifying key themes from quantitative and qualitative studies separately. After applying inclusion and exclusion criteria, the review included 24 eligible studies. Key findings showed intrinsic motivation, psychological need satisfaction, social support, and self-efficacy to be the prominent psychosocial factors associated with ERS adherence. In addition, lower expectations for change when entering the scheme was associated with ERS adherence. This review should serve as a catalyst to provide evidence-based ERS and as such ERS providers should seek to place an emphasis on participants' expectations and beliefs when entering the scheme. Moreover, targeting the key factors of intrinsic motivation, psychological need satisfaction, social support, and self-efficacy throughout the duration of an ERS should serve to facilitate adherence. K E Y W O R D Scorrelates, exercise maintenance, exercise prescription, GP referral, physical activity SUPPORTING INFORMATIONAdditional supporting information may be found online in the Supporting Information section at the end of the article.

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Section: Resultsmentioning

confidence: 99%

Section: Baseline Characteristicsmentioning

confidence: 99%

Section: Motivationmentioning

confidence: 99%

mentioning

confidence: 99%

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Assessing the psychosocial factors associated with adherence to exercise referral schemes: A systematic review

Eynon

Foad

Downey

et al. 2019

Scandinavian Med Sci Sports

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“…Despite these challenges, the prescription approach has previously been found effective in changing lifestyle behaviour when clear advice was given and prescribed with the same conviction as a drug [ 15 ]. Studies have shown that PAP increases self-efficacy [ 47 ] and physical activity, while decreasing the proportion of inactive individuals and reducing costs for inactivity by 22 % [ 48 ]. The adherence to PAP has further been found to be similar to that of other treatments for chronic diseases [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Perceived feasibility of a primary care intervention for Tobacco Cessation on Prescription targeting disadvantaged groups in Sweden: a qualitative study

et al. 2016

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BackgroundThere is a lack of scientific evidence on how socioeconomically disadvantaged tobacco users can be reached with tobacco cessation interventions in Swedish primary healthcare (PHC). In this setting other lifestyle interventions are available by prescription, and there is the potential to develop a similar tool for tobacco cessation. The aim of this study was thus to explore the perceived feasibility and optimal design of Tobacco Cessation on Prescription (TCP) in PHC, targeting disadvantaged groups in Sweden.MethodsThis qualitative study is based on semi-structured interviews with 32 participants including (1) three experts in lifestyle interventions on prescription, (2) 14 healthcare providers and (3) 15 clients from three PHC centres in socioeconomically disadvantaged areas in Stockholm where tobacco use is high. The interviews were audio-recorded and transcribed verbatim. The manifest content of the transcripts was analysed according to a modified conventional approach to content analysis.ResultsThe interviewees proposed that TCP should include a template comprising the client’s information, evidence-based tobacco cessation options and choices for follow-up. They also suggested including information about the benefits of tobacco cessation, as well as empowerment and planning support tools. The participants also commented that other measures for tobacco cessation could be included on the prescription. From the clients’ point of view, the perceived advantages of TCP were often linked to an emotional meaning (e.g. increased motivation to quit tobacco use, sign of support from the healthcare system to seek care for tobacco cessation). For providers, advantages with TCP were frequently related to a practical meaning (e.g. improved documentation and facilitation of tobacco cessation treatment). The disadvantages identified were mainly connected with the future implementation of TCP (e.g. low self-efficacy among clients and providers).ConclusionsTCP was perceived to be a useful tool for both clients and providers, potentially facilitating a structured and effective approach to tobacco cessation in PHC, and targeting disadvantaged groups. More research is needed to develop the prescription and investigate its effectiveness and cost-effectiveness compared to current strategies for tobacco cessation in a PHC setting.

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Exercise referral schemes increase Patients’ cardiorespiratory Endurance: A systematic review and Meta-Analysis

Inkpen,

Liu,

Rayner

et al. 2024

Preventive Medicine Reports

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Costs and outcomes of an exercise referral programme – A 1-year follow-up study

Cited by 7 publications

References 25 publications

Assessing the psychosocial factors associated with adherence to exercise referral schemes: A systematic review

Assessing the psychosocial factors associated with adherence to exercise referral schemes: A systematic review

Perceived feasibility of a primary care intervention for Tobacco Cessation on Prescription targeting disadvantaged groups in Sweden: a qualitative study

Exercise referral schemes increase Patients’ cardiorespiratory Endurance: A systematic review and Meta-Analysis

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