Exercise Referral Schemes in the UK

Rowley, Nikita

doi:10.1249/fit.0000000000000514

Cited by 7 publications

(5 citation statements)

References 7 publications

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“…However, prolonged mechanical ventilation can lead to atrophy of the diaphragm and rapid development of systolic dysfunction, leading to the risk of ventilator (diaphragm) weakness and difficulty in getting COVID-19 patients off the ventilator [ 63 ]. Participated in related studies have shown that advance moderate endurance exercise, the infection will be after the coronavirus to accept ventilator support, from the endurance exercise induced by the diaphragm preadaptation benefit, endurance exercise can increase the superoxide dismutase (SOD) in the diaphragmatic muscle mitochondrial protein 2 (SOD2) level and the amount of heat shock protein 72 in cytoplasmic protein, promote the diaphragm of biochemical changes, effectively resist COVID-19 induced sepsis complications related to [ 63 , 64 , 65 , 66 ]. One thing the needs to be noted is that, in nursing work, a large number of patients who were bedridden and receiving mechanical breathing needed to receive rehabilitation treatment on the basis of safety assessment.…”

Section: Implications For Covid-19 Exercise Rehabilitation In Chinamentioning

confidence: 99%

Literature Review of the Implications of Exercise Rehabilitation Strategies for SARS Patients on the Recovery of COVID-19 Patients

et al. 2021

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As a global pandemic, COVID-19 shows no sign of letting up. With the control of the epidemic in China, the proportion of patients with severe and critical diseases being cured and discharged from hospital has increased, and the recovery of COVID-19 patients has become an important issue that urgently needs attention and solutions. By summarizing the exercise rehabilitation strategies and progress of SARS in 2003, this paper analyzed the differences in clinical indicators and recovery characteristics of severe pneumonia caused by the two viruses, and provided comprehensive exercise guidance and intervention strategies for COVID-19 patients for rehabilitation and nursing by referring to the problems and treatment strategies in the rehabilitation and nursing work of SARS. In the post-epidemic period, China will build a multi-dimensional epidemic prevention system by improving the effectiveness of mass training and strengthening local risk prevention and control. This paper discusses the exercise rehabilitation strategy of SARS patients after recovery, which has guiding significance for exercise intervention and scientific fitness of COVID-19 patients after recovery during epidemic prevention period.

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Section: Implications For Covid-19 Exercise Rehabilitation In Chinamentioning

confidence: 99%

Literature Review of the Implications of Exercise Rehabilitation Strategies for SARS Patients on the Recovery of COVID-19 Patients

et al. 2021

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“…ERSs traditionally offer 8-12 weeks of free, or discounted, access to a community-based PA environment (i.e. a gym) where participants perform PA under the supervision of a qualified exercise professional (Rowley, 2019).…”

Section: A Case Study From Exercise Referralmentioning

confidence: 99%

Co-developing peer interventions in health-related contexts: A case study from exercise referral

Portman

Levy

Maher

et al. 2021

Health Education Journal

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Objective: Peer support interventions can be successful in enhancing physical activity (PA) in a variety of health-related contexts. However, the evidence base remains equivocal, and ways to integrate structured peer support within the context of exercise referral schemes (ERSs) remain unexplored. In this regard, few studies consider the prospective acceptability of peer support interventions. Prior qualitative exploration can elicit insight into factors likely to influence peer intervention success, thus maximising the likelihood of developing and implementing effective peer support interventions. This study assessed the prospective acceptability of a peer support intervention for exercise referral. Design/Setting: Individual semi-structured interviews were conducted with 14 ERS clients ( n = 10) and providers ( n = 4) across two ERS sites in the North West of England, UK. Method: Interviews covered preferred demographic and personal characteristics of ERS peers and prospective peer roles. Interviews were analysed using thematic analysis. Results: A desirable ERS peer was perceived as someone who was positive and empathetic, with good interpersonal skills. ERS peers were considered to present a promising opportunity to enhance the accessibility of emotional, motivational and informational support among ERS clients while alleviating burden on ERS providers. Conclusion: Study findings have relevance to the integration of peer support in comparable ERS contexts, highlighting the value of developmental research to refine peer recruitment criteria and to facilitate ownership and support among providers across a variety of health-related contexts.

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“…Exercise referral schemes (ERSs) are physical activity (PA) interventions for adults (18+ years) with long-term physical and/or psychological health condition(s) who do not engage in ⩾ 150 minutes per week of moderate-to-vigorous PA (National Institute for Health and Care Excellence (NICE), 2014). ERSs provide approximately 12 weeks of free or discounted access to a community-based PA environment (Rowley, 2019), where participants adhere to bespoke PA programmes under the supervision of a qualified exercise professional (Rowley et al, 2018). ERSs continue to be delivered nationally and internationally (Arsenijevic and Groot, 2017; Morgan et al, 2020) despite modest and variable effectiveness for facilitating meaningful health outcomes (Wade et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Exercise referral scheme participant characteristics, referral mode and completion status

Portman

Levy

Allen

et al. 2023

Health Education Journal

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Objective: There is recent evidence that exercise referral schemes (ERSs) are beginning to permit self-referral access. Notwithstanding this, to date it is unknown whether key referral characteristics, such as age, gender and socioeconomic status are associated with a greater likelihood of self-referring to an ERS, and whether self-referral participants are more or less likely to complete schemes, than traditional healthcare referrals. Design/Setting: This study presents an evaluation and cross-sectional exploration of key participant referral characteristics of those ( n = 647) who signed up to ‘Active West Lancs’; a 12-week ERS in the northwest of England. Methods: Chi-square analysis, tests of difference and binary logistic regression were conducted to explore associations between key referral characteristics and (1) the likelihood of accessing Active West Lancs via a self- or healthcare-referral and (2) the likelihood of completion. Results: About 56% of participants accessed the scheme via self-referral. These participants were more likely to be women, to report a musculoskeletal primary health condition, to access a specific site and to do so during spring. The scheme had an overall completion rate of 42.2%. Participants who were older, resided in less socioeconomically deprived neighbourhoods, and accessed a specific site were more likely to complete. Self-referral participants were not more or less likely to complete than those who enrolled via healthcare-referral. Conclusion: These data do not directly identify a clear benefit or detriment to Active West Lancs’ incorporation of self-referral participants. Notwithstanding this, enabling self-referral ERS access may widen scheme participation opportunities among those reluctant to seek referral from a healthcare provider and reduce the administrative burden for healthcare providers themselves.

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Exercise Referral Schemes in the UK

Cited by 7 publications

References 7 publications

Literature Review of the Implications of Exercise Rehabilitation Strategies for SARS Patients on the Recovery of COVID-19 Patients

Literature Review of the Implications of Exercise Rehabilitation Strategies for SARS Patients on the Recovery of COVID-19 Patients

Co-developing peer interventions in health-related contexts: A case study from exercise referral

Exercise referral scheme participant characteristics, referral mode and completion status

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