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

Abstract

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.

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

“…According to our findings on muscle strength, we suppose that both regimes were effective because in very weak individuals regular exercising is the most important issue [ 49 , 50 ]. Titze et al evaluated in a sport-club-based exercise program for people with risk factors for non-communicable diseases, that was supervised from local lay-instructors and not from exercise professionals, that ¾ of the instructors fulfilled the framework of the standards—with several differences in the actual implementation [ 51 , 52 ]. Effects on physical activity were independent of these differences.…”

Short-and Long-Term Effectiveness of a Physical Activity Intervention with Coordinated Action between the Health Care Sector and Local Sports Clubs. A Pragmatic Trial in Austrian Adults

“…The methods that were used in the study are outlined here and have been described in more detail elsewhere [6,9]. All of the subjects gave their informed consent for inclusion before they participated in the study.…”

“…In Austria, a health resort can be attended for one to three weeks by adults with risk factors for chronic, non-communicable diseases who are covered by an Austrian social insurance scheme. An individual with such cover can apply for a residential stay in a health resort twice over a five-year period [6].…”

Lebensstil: körperliche Aktivität und Training in der Prävention und Therapie des Typ 2 Diabetes mellitus (Update 2023)

“…Die Zusammenarbeit zwischen dem Gesundheitssystem und regionalen Sportvereinen hat somit durchwegs Potenzial, das aber noch nicht Ansatzweise zu einer flächendeckenden Versorgung mit Bewegungsprogrammen geführt hat [ 45 ]. Selbst in den wenigen Fällen, wo geeignete, zielgruppenspezifische Bewegungsprogramme vorhanden sind, gibt es viele Barrieren in der Empfehlung dieser Programme [ 46 ]. Als häufige Barrieren werden oft genannt: Zeitmangel (92 %), fehlende Standardisierung des Schnittstellenmanagements (88 %) oder geringe Patient:innenencompliance (32 %) [ 47 ].…”