Exercise adherence measures – Why we need to start again. Findings of a systematic review and consensus workshop

McLean, Sionnadh; Holden, Melanie; Potia, Tanzila; Gee, Melanie; Mallett, Ross; Bhanbhro, Sadiq; Parsons, Helen; Haywood, Kirstie L.

doi:10.1016/j.math.2016.05.241

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“…A systematic review of exercise adherence in the musculoskeletal field concluded that the measures identified were unacceptable for use and highlighted the importance of the development and evaluation of appropriate measures. 79 The development of a validated measure of adherence to exercise or physical activity in people with stroke should be a priority to provide researchers and clinicians with a greater understanding of this important concept. 80 …”

Section: Discussionmentioning

confidence: 99%

A systematic review of measures of adherence to physical exercise recommendations in people with stroke

et al. 2018

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Objective:To review methods for measuring adherence to exercise or physical activity practice recommendations in the stroke population and evaluate measurement properties of identified tools.Data sources:Two systematic searches were conducted in eight databases (MEDLINE, CINAHL, PsycINFO, Cochrane Library of Systematic Reviews, Sports Discus, PEDro, PubMed and EMBASE). Phase 1 was conducted to identify measures. Phase 2 was conducted to identify studies investigating properties of these measures.Review methods:Phase 1 articles were selected if they were published in English, included participants with stroke, quantified adherence to exercise or physical activity recommendations, were patient or clinician reported, were defined and reproducible measures and included patients >18 years old. In phase 2, articles were included if they explored psychometric properties of the identified tools. Included articles were screened based on title/abstract and full-text review by two independent reviewers.Results:In phase 1, seven methods of adherence measurement were identified, including logbooks (n = 16), diaries (n = 18), ‘record of practice’ (n = 3), journals (n = 1), surveys (n = 2) and questionnaires (n = 4). One measurement tool was identified, the Physical Activity Scale for Individuals with Physical Disabilities (n = 4). In phase 2, no eligible studies were identified.Conclusion:There is not a consistent measure of adherence that is currently utilized. Diaries and logbooks are the most frequently utilized tools.

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Section: Discussionmentioning

confidence: 99%