Retrospective cohort study of the South Tyneside Exercise Referral Scheme 2009–14: predictors of dropout and barriers to adherence

Autor: Nick Caplan, Caroline J. Dodd-Reynolds, Sarah Partington, Diane Walker, Michael C Kelly, Glen C Rae
Rok vydání: 2016
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Referral
education
Health Promotion
Logistic regression
behavioral disciplines and activities
Young Adult
03 medical and health sciences
Sex Factors
0302 clinical medicine
Risk Factors
health services administration
mental disorders
medicine
Humans
030212 general & internal medicine
Young adult
Exercise
Referral and Consultation
health care economics and organizations
Dropout (neural networks)
Aged
Retrospective Studies
business.industry
030503 health policy & services
Public health
Age Factors
Public Health
Environmental and Occupational Health
Retrospective cohort study
General Medicine
Middle Aged
Exercise referral
medicine.disease
Comorbidity
England
Physical therapy
Patient Compliance
Female
0305 other medical science
business
Demography
Zdroj: Journal of public health, 2016, Vol.39(4), pp.e257-e264 [Peer Reviewed Journal]
ISSN: 1741-3850
1741-3842
DOI: 10.1093/pubmed/fdw122
Popis: Background Exercise Referral Schemes (ERS) are a prevalent method of increasing physical activity levels. However, they suffer from participant dropout and research predicting dropout or barriers to adherence are limited. This study aimed to focus upon the effect of referral characteristics on dropout, dropout predictors and whether self-reported barriers to exercise predict dropout. Methods ERS data from 2009 to 2014 were retrieved for analysis. Chi-squared and t-tests were used to investigate differences between referral characteristics, and logistic regression used to investigate dropout predictors. Results Of 6894 participants, 37.8% (n = 2608) dropped out within 6 weeks and 50.03% (n = 3449) by the final 12th week. More males adhered (P < 0.001) with dropouts being significantly younger (P < 0.001). Dropout predictors were smoking (OR = 1.58, 95% CI: 1.29–1.93) or being a Tier 3 referral (OR = 1.47, 95% CI: 1.25–1.73). Increasing age (OR = 0.98, 95% CI: 0.98–0.99), drinking alcohol (OR = 0.82, 95% CI: 0.71–0.95), secondary care referrals (OR = 0.68, 95% CI: 0.52–0.90), having a lack of motivation (OR = 0.81, 95% CI: 0.69–0.95) or a lack of childcare (OR = 0.69, 95% CI: 0.50–0.95) decreased the likelihood of dropout. Conclusion ERS dropout continues to be problematic. Smoking and having moderate-high comorbidities predicted dropout. Increasing age and patient-reported barriers of a lack of time or childcare decreased dropout risk. The reasons for dropout require further investigation.
Databáze: OpenAIRE
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