Approaches to increase physical activity: reviewing the evidence for exercise-referral schemes

Morgan, Olivia

doi:10.1016/j.puhe.2004.06.008

Cited by 105 publications

(100 citation statements)

References 15 publications

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“…One of these identified nine randomised controlled trials (RCTs) up until 2002, and concluded that they appeared to increase physical activity levels in certain populations, namely individuals who were not sedentary but already slightly active, older adults, and those who were overweight but not obese. 8 However, the increased level of physical activity may not be sustained beyond 12 weeks. The review included six RCTs that did not involve primary care referral to exercise-referral schemes.…”

Section: Aimmentioning

confidence: 99%

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Effectiveness of exercise-referral schemes to promote physical activity in adults: systematic review

et al. 2007

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MethodStudies were identified by searching MEDLINE, CINAHL, EMBASE, AMED, PsycINFO, SPORTDiscus, The Cochrane Library and SIGLE until March 2007. Randomised controlled trials (RCTs), observational studies, process evaluations and qualitative studies of exercise-referral schemes, defined as referral by a primary care clinician to a programme that encouraged physical activity or exercise were included. RCT results were combined in a meta-analysis where there was sufficient homogeneity. ResultsEighteen studies were included in the review. These comprised six RCTs, one non-randomised controlled study, four observational studies, six process evaluations and one qualitative study. In addition, two of the RCTs and two of the process evaluations incorporated a qualitative component. Results from five RCTs were combined in a meta-analysis. There was a statistically significant increase in the numbers of participants doing moderate exercise with a combined relative risk of 1.20 (95% confidence intervals = 1.06 to 1.35). This means that 17 sedentary adults would need to be referred for one to become moderately active. This small effect may be at least partly due to poor rates of uptake and adherence to the exercise schemes. ConclusionExercise-referral schemes have a small effect on increasing physical activity in sedentary people. The key challenge, if future exercise-referral schemes are to be commissioned by the NHS, is to increase uptake and improve adherence by addressing the barriers described in these studies.

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Section: Aimmentioning

confidence: 99%

“…The present findings are similar to these previous reviews in that it was concluded that exercise-referral schemes increased physical activity in some people. 8,10 However, exercise referral was more costly than usual care, 9 increases may not be maintained in the long term, 10 and attendance was poor.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

Effectiveness of exercise-referral schemes to promote physical activity in adults: systematic review

et al. 2007

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“…The study design contrasts with other studies on exercise referral in 3 specific ways. First, the majority of studies on exercise referral tend to be from a positivist theoretical perspective [20][21][22][23][24], rather than an interpretivist perspective [15,17,18,25]. Second, the deployment of 3 data collection and analysis phases differed to traditional schemes that have a 12 week intervention [15,[26][27][28][29][30] and a 12 week follow up [31,32].…”

Section: E T Hod De Signmentioning

confidence: 99%

Long-term engagement with a practice-based exercise referral scheme: Patients’ perceptions of effectiveness

Queen

Crone

Parker

2015

EJPCH

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DisclaimerThe University of Gloucestershire has obtained warranties from all depositors as to their title in the material deposited and as to their right to deposit such material.The University of Gloucestershire makes no representation or warranties of commercial utility, title, or fitness for a particular purpose or any other warranty, express or implied in respect of any material deposited.The University of Gloucestershire makes no representation that the use of the materials will not infringe any patent, copyright, trademark or other property or proprietary rights.The University of Gloucestershire accepts no liability for any infringement of intellectual property rights in any material deposited but will remove such material from public view pending investigation in the event of an allegation of any such infringement. We recommend you cite the published (post-print) version.The URL for the published version is http://ubplj.org/index.php/ejpch/article/view/1006 DisclaimerThe University of Gloucestershire has obtained warranties from all depositors as to their title in the material deposited and as to their right to deposit such material.The University of Gloucestershire makes no representation or warranties of commercial utility, title, or fitness for a particular purpose or any other warranty, express or implied in respect of any material deposited.The University of Gloucestershire makes no representation that the use of the materials will not infringe any patent, copyright, trademark or other property or proprietary rights.The University of Gloucestershire accepts no liability for any infringement of intellectual property rights in any material deposited but will remove such material from public view pending investigation in the event of an allegation of any such infringement. PLEASE SCROLL DOWN FOR TEXT.Europe a n J ourna l for Pe rson Ce nt e re d H e a lt hc a re 2 0 1 5 V ol 3 I ssue 3 pp 3 6 9 -3 76 Abst ra c t Objectives: Limited and contradictory evidence exists on the long-term effectiveness of exercise referral schemes (ERS) for physical activity promotion and its impact on perceived health status. The intention of this study was to investigate patients' views of a physical activity intervention on their self-assessed health status, a key component of person-centered healthcare. Methods: A longitudinal qualitative study design was employed with 12 patients aged 55-74 attending a primary care physical activity intervention. Semi-structured interviews took place on 3 occasions over a 12 month period in a Primary Care Health Centre. Transcripts of recorded interviews were coded and thematically analysed using grounded theory techniques. 369 ARTICLE Long-t e rm e nga ge m e nt w it h a pra c t ic e -ba se d e x e rc ise re fe rra l sc he m e : Pa t ie nt s' pe rc e pt ions of e ffe c t ive ne ss Results:The majority of patients believed that their engagement with the Scheme and resultant long-term increase in physical activity behaviour, helped to improve their health status. This was evident through i...

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“…However, PARS have not been a universal failure with some schemes reporting sustained improvement in clients' physical activity levels and subsequent positive health indicators (NHS, 2001). Success across a number of specific schemes has also been reported (Seefeldt, Malina and Clark, 2002), although scepticism remains over changes in long term lifestyle habits (Riddoch et al 1998;Morgan 2005 (Leijon et al, 2010). Some schemes consider retention as low as 20% to be successful (Cock, Adams, Ibbestson and Baugh, 2008).…”

Section: Physical Activity Referral Schemes (Pars)mentioning

confidence: 99%

Exercise, service and support: client experiences of physical activity referral schemes (PARS)

Vinson

Parker

2012

Qualitative Research in Sport, Exercise and Health

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Physical Activity Referral Schemes (PARS) continue to represent one of the most prevalent interventions in the fight against chronic illness such as Coronary Heart Disease (CHD) and obesity. Despite this, issues surrounding low retention and adherence continue to hinder the potential effectiveness of such schemes on public health. This article reports on the second stage of a larger investigation into client experiences of PARS focussing specifically on findings from five client focus groups and interviews with five scheme organisers. The analysis reveals three main factors impacting on participants' perceptions of the quality of service and support at the scheme: the organisation of PARS provision, engagement with the PARS community, and the client support networks. The article demonstrates that staff have a considerable role to play in engaging clients in the PARS system and that scheme organisers should give serious thought to ensuring that clients have valuable and sustainable networks of support. Furthermore, it is suggested that scheme organisers need to facilitate a system in which staff are genuinely engaged with the needs of clients and are able to provide individualised programmes of physical activity.

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Approaches to increase physical activity: reviewing the evidence for exercise-referral schemes

Cited by 105 publications

References 15 publications

Effectiveness of exercise-referral schemes to promote physical activity in adults: systematic review

Effectiveness of exercise-referral schemes to promote physical activity in adults: systematic review

Long-term engagement with a practice-based exercise referral scheme: Patients’ perceptions of effectiveness

Exercise, service and support: client experiences of physical activity referral schemes (PARS)

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