Cohort differences in exercise adherence among primary care patients referred for mental health versus physical health conditions
| Autor: | Philip Kemp, Elena Schmidt, Patrick Tobi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Gerontology
Adult Male 050103 clinical psychology medicine.medical_specialty Referral Binomial regression 03 medical and health sciences 0302 clinical medicine Medicine Humans 0501 psychology and cognitive sciences 030212 general & internal medicine Care Planning Aged Retrospective Studies Aged 80 and over Primary Health Care business.industry Mental Disorders 05 social sciences Public Health Environmental and Occupational Health Attendance Physical health Middle Aged Mental health Exercise Therapy Blood pressure Cohort Physical therapy Patient Compliance Female business Body mass index |
| Zdroj: | Primary health care researchdevelopment. 18(5) |
| ISSN: | 1477-1128 1463-4236 |
| Popis: | Aim To compare the characteristics of mental health and physical health participants attending an exercise referral scheme (ERS) and investigate associations with their adherence to exercise. Background While people referred to an ERS with a mental health diagnosis have similar initial rates of uptake as physical health participants, they are more likely to drop out. Comparisons of the groups to understand their differences and how these might impact on their adherence have been limited by the typically low numbers of mental health referrals in many schemes. Methods Retrospective analysis of a participant cohort. Data were extracted on all participants enrolled over a 12- month period (n = 701) and included measurements at baseline, mid-point (13 weeks) and end of programme (20-26 weeks). Differences were explored between the mental health (n=141) and physical health (n=560) subcohorts, and between adherers and non-adherers in each group. Binomial logistic regression estimated the effect of group-level factors associated with adherence. Findings Mental health referrals were more likely to be younger, White and unemployed, and had a lower mean body mass index and lower proportion of participants with high blood pressure. They were also more likely to drop out. While occupation was associated with exercise adherence among the physical health group, no predictive factors were identified in the mental health group. Conclusion Participants referred for mental health disorders are more likely to drop out of exercise referral schemes than those with physical health problems. While no factors were found to be predictive of their exercise adherence, an understanding of their distinguishing characteristics and attendance behaviour can guide in making better referral decisions concerning them and planning more appropriately tailored support. |
| Databáze: | OpenAIRE |
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