Pragmatic evaluation of a coproduced physical activity referral scheme: a UK quasi-experimental study

Buckley, Benjamin J R; Thijssen, Dick H. J.; Murphy, Rebecca; Graves, Lee E. F.; Cochrane, Madeleine; Gillison, Fiona; Crone, Diane; Wilson, Philip M.; Whyte, Greg; Watson, Paula M

doi:10.1136/bmjopen-2019-034580

Cited by 15 publications

(30 citation statements)

References 52 publications

(73 reference statements)

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“…Quantitative data analysis methods include statistical analyses, such as structural equation modelling (e.g., [ 42 , 43 , 44 ]), factor analyses (e.g., [ 44 , 45 ]), correlation and regression analyses (e.g., [ 6 , 16 , 46 ]), analysis of variance (ANOVA or MANOVA) (e.g., [ 47 ]), nonparametric test (e.g., [ 48 , 49 , 50 ]), multiple imputation techniques (e.g., [ 51 ]), and cost analysis, such as cost minimisation analysis (e.g., [ 16 ]) and cost opportunity analysis (e.g., [ 17 ]). Qualitative data analyses mainly embrace content analysis (e.g., [ 52 ]) and deductive or inductive thematic analysis (e.g., [ 53 , 54 , 55 ]), including specific inductive methodology, such as Grounded Theory (e.g., [ 56 , 57 , 58 ]), Gioia methodology (e.g., [ 59 , 60 ]) and interpretative phenomenological analysis (e.g., [ 61 ]).…”

Section: Resultsmentioning

confidence: 99%

“…The number of sub-dimensions (15) also reflects the maturity of evaluation on this topic. Health status, well-being and quality of life are largely the dimensions that offer a portfolio of validated scales (e.g., health status: Patient Health Questionnaire (PHQ-9) [ 18 ]; well-being: Warwick-Edinburgh Mental Well-being Scale (WEMWBS); [ 48 , 109 , 135 , 136 ]; quality of life: EuroQol index (EQ 5D index) [ 119 , 120 ]), followed by satisfaction with service (e.g., Psychological Needs Satisfaction in Exercise Scale [ 49 ]). Interestingly, some well-known constructs in medicine and health psychology (such as enjoyment [ 43 ], self-management [ 119 , 120 ], self-efficacy [ 50 ], self-esteem [ 110 ], eustress [ 23 ], burden [ 109 ], trust [ 73 ] and issue awareness [ 99 ]) have been relatively scarcely analysed.…”

Section: Discussionmentioning

confidence: 99%

“…Improved/deteriorated or unchanged clinical indicators (e.g., waist-to-height ratio; carotid artery reactivity (CAR); blood biochemical parameters; death) [ 49 , 104 , 136 ];…”

Section: Figurementioning

confidence: 99%

“…N. of consultations offered and attended were measured by exercise referral practitioners [ 49 , 126 ];…”

Section: Figurementioning

confidence: 99%

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Co-Production Performance Evaluation in Healthcare. A Systematic Review of Methods, Tools and Metrics

Marsilio

Fusco

Gheduzzi

et al. 2021

IJERPH

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Co-produced practices and publications in the healthcare sector are gaining momentum, since they can be a useful tool in addressing the sustainability and resilience challenges of health systems. However, the investigation of positive and, mainly, negative outcomes is still confused and fragmented, and above all, a comprehensive knowledge of the metrics used to assess these outcomes is lacking. To fill this gap, this study aims to systematically review the extant literature to map the methods, tools and metrics used to empirically evaluate co-production in health services. The search took place in six databases: Scopus, Web of Science, Psych INFO, PubMed, Cochrane and CINAHL. A total of 2311 articles were screened and 203 articles were included in the analysis, according to PRISMA guidelines. Findings show that outcomes are mainly investigated through qualitative methods and from the lay actor or provider perspective. Moreover, the detailed categorisation of the quantitative measures found offers a multidimensional performance measurement system and highlights the impact areas where research is needed to develop and test new measures. Findings should also promote improvements in empirical data collection on the multiple faceted co-produced activities and spur the consciousness of the adoption of sustainable co-productive initiatives.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Co-Production Performance Evaluation in Healthcare. A Systematic Review of Methods, Tools and Metrics

Marsilio

Fusco

Gheduzzi

et al. 2021

IJERPH

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“…Whereas ERSs are more closely related to exercise classes, PA promotion interventions aim more at individual behaviour change. 6 7 …”

Section: Introductionmentioning

confidence: 99%

Development, implementation, evaluation and scaling-up of physical activity referral schemes in Germany: protocol for a study using a co-production approach

et al. 2021

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IntroductionPhysical activity referral schemes (PARSs) are recommended to promote physical activity (PA) among adults at risk of developing or with established non-communicable diseases (NCDs). In Germany, this kind of referral schemes has not yet been implemented systematically and nationwide. In this study protocol, we present the methodological design of a co-production research study aimed at establishing a PARS for adults with NCDs in German primary healthcare.Methods and analysisWe will employ a co-production approach consistently throughout the four project phases: (1) development of the PARS; (2) preparation period; (3) implementation and evaluation; (4) development of a strategic plan for scaling up the PARS to the national level as part of standard care. The first phase will additionally include a status quo analysis of the existing physical activity pathways nationwide as well as an overview of international PARS models. A pragmatic trial design will be used for evaluating the developed PARS. The co-production approach will involve relevant actors in the German healthcare system, namely, healthcare service providers (eg, physicians, exercise professionals), health insurance providers, exercise providers, patients’ representatives, experts in the development and implementation of educational concepts, and scientists from the fields of sports science and public health.Ethics and disseminationThe project has been reviewed and approved by the ethics committee of the Friedrich-Alexander-University Erlangen-Nürnberg (ethics approval number: 331_20 B). Through cooperation agreements, the stakeholders involved gave their consent to participate and were informed about the study in detail. The results of this study will be disseminated by international conference presentations and peer-reviewed publications, and if possible, a manual for the use of the PARS will be provided.

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A stepped down physical activity support program for military service veterans: The Active Choices pilot study

Gilson,

Papinczak,

Haslam

et al. 2023

Health Prom J of Aust

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Issue AddressedReferral to supervised physical activity (PA) programs is an effective treatment for military service veterans (MSVs) suffering from a range of chronic diseases. However, many MSVs fail to maintain PA regimes once discharged from supervision. This pilot study assessed Active Choices, a stepped‐down program to support MSVs in the transition from allied health treatment to self‐managed PA.MethodsParticipants were 34 Australian MSVs (mean [SD] age = 61 [15.8] years) who were completing supervised referral to an exercise physiologist or physiotherapist. MSVs stepped‐down to Active Choices and received a 12‐week, evidence‐based PA support program (2020–2021). Analyses compared within‐group changes in accelerometer‐assessed PA at three time points (Weeks 0, 12, and 24; linear mixed model). Program retention, PA choices, and allied healthcare service costs were also evaluated.ResultsRelative to baseline (64 [26] min/day), mean (SD) moderate‐to‐vigorous PA increased (74 [28] min/day; p < .05) and was maintained (62 [28] min/day) at weeks 12 and 24, respectively. Retention in the program was high (86% [29/34 participants] completion rate at 12 weeks), with water‐based group activities the most popular PAs of choice (14/24 activities). Average allied healthcare service costs during the study were lower than typical costs for MSVs (60.51 vs. 97.06 AUD/week).ConclusionThe findings highlight the potential of Active Choices to support MSVs in the transition from supervised to self‐managed MVPA.So What?The program could promote the health of veterans and reduce costs for ongoing referral if impact is replicated at scale.

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Pragmatic evaluation of a coproduced physical activity referral scheme: a UK quasi-experimental study

Cited by 15 publications

References 52 publications

Co-Production Performance Evaluation in Healthcare. A Systematic Review of Methods, Tools and Metrics

Co-Production Performance Evaluation in Healthcare. A Systematic Review of Methods, Tools and Metrics

Development, implementation, evaluation and scaling-up of physical activity referral schemes in Germany: protocol for a study using a co-production approach

A stepped down physical activity support program for military service veterans: The Active Choices pilot study

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