Determinants of physical activity and adherence to a 24‐week home‐based walking program in African American and Caucasian women

Wilbur, JoEllen; Miller, Arlene Michaels; Chandler, Peggy; McDevitt, Judith

doi:10.1002/nur.10083

Cited by 88 publications

(62 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The elder age groups reported doing their exercises regularly within this study, in accordance with findings from Sluijs et al 12 With the elderly age patients', compliance has been shown to be dependent on whether the primary health care practitioner showed an active interest in whether the patient has completed the exercises asked of them. 9 Our study was in concordance with Wilbur et al 21 showing that marital status and number of children had no influence over either self-efficacy, self-determination, or adherence to prescribed PRA. Those with higher levels of education tended to be more compliant, contradicting findings from Sluijs et al who…”

Section: Discussionsupporting

confidence: 91%

See 1 more Smart Citation

Patient compliance to exercise prescription at the Victoria University Osteopathic Medicine Clinic

Wheller

Gosling

Herman

2006

International Journal of Osteopathic Medicine

View full text Add to dashboard Cite

Research has demonstrated a positive relationship between the level of adherence to PRA and recovery from a variety of musculoskeletal conditions, and has shown noncompliance to home-based exercise programs reduces the probability of successful outcome for therapeutic intervention. No previous research has focused on compliance to prescription and methods of prescription used in the osteopathic medicine setting.Objectives: To establish compliance rates at Victoria University Osteopathic Medicine Clinic (VUOMC) to prescribed home-exercises and to assess current practitioner prescription methods at VUOMC.Design: Prospective survey study. Methods:Over a 5 week period, all consenting return patients of VUOMC were surveyed (N = 94) prior to the commencement of their return treatment visit on their adherence to exercises prescribed at the previous treatment using a tool developed by the researchers. Compliance of patients was calculated by comparing the participants' survey markings of prescription, to those recordings of the prescription made by the treating 4 th and 5 th year student practitioners in the participants' case file.Results: Sixty-seven percent of return patients were prescribed PRA and 33% were not. Total compliance rate to PRA was 55(59%) of respondents, with 39(41%) noncompliant. When combining prescription methods into broader categories, Diagrams were used in 15% of cases to instruct patients in PRA compared to Verbal instruction in 80% of cases. Verbal instruction had a total compliance of 41(56%) and non- Research has demonstrated a positive relationship between the level of adherence to exercise programs and recovery from a variety of musculoskeletal conditions. 2-5 It has also been reported that non-compliance to home-based exercise programs reduces the probability of successful outcome for therapeutic intervention. 3 Despite the positive results shown with adherence to PRA, compliance to practitioner prescribed exercise is low, with a 40-50% dropout rate in the first six months. 4 Therefore, as the need for PRA grows, it is important for practitioners to understand which method of prescription will gain them the greatest amount of patient compliance, and in turn increase speed of patient recovery.Numerous factors affect compliance, the degree to which the advice of a health professional is addressed and followed, 4 with several terms (compliance, motivation, adherence and non-compliance) having overlapping boundaries. Compliance can be described as both an attitude, consisting of the willingness or intent to follow the health prescription, or a behaviour that involves the actual carrying out of the prescription. 1 Non-compliance includes reluctance and behaviour characterised by

show abstract

Section: Discussionsupporting

confidence: 91%

“…Wilbur et al 21 found that once the women in a 24-week home based walking program adhered to the frequency of the prescribed exercise, their adherence to duration and intensity was greater than 90%, indicating that once the prescribed exercise was performed it was performed correctly.…”

Section: Discussionmentioning

confidence: 99%

Patient compliance to exercise prescription at the Victoria University Osteopathic Medicine Clinic

Wheller

Gosling

Herman

2006

International Journal of Osteopathic Medicine

View full text Add to dashboard Cite

show abstract

“…Among the many individual-level exercise-adherence correlates, much attention is currently being focused on the role of exercise selfeffi cacy, the degree of confi dence an individual has in being able to engage in exercise. The positive correlation between exercise-adherence rates and exercise self-effi cacy has been observed by Bent, Jones, Molloy, Chamberlain, and Tennant (2001), as well as in a growing number of other studies (e.g., McAuley, Jerome, Elavsky, Marquez, & Ramsey, 2003;Ostir, Cohen-Mansfi eld, Leveille, Volpto, & Guralnik, 2003;Wilbur, Miller, Chandler, & McDevitt, 2003).…”

Section: Predictors Of Exercise Adherencementioning

confidence: 57%

Chronic Osteoarthritis and Adherence to Exercise: A Review of the Literature

Marks

Allegrante²

2005

Journal of Aging and Physical Activity

103

View full text Add to dashboard Cite

Osteoarthritis (OA) is a chronic disease that disables many aging adults. People with OA are often asked to adhere to prescribed exercise regimens that must be undertaken in the presence of pain and other disease-related symptoms. We conducted a review of literature that focused on what is known about exercise adherence and the factors that infl uence exercise adherence among people with OA. Results revealed multiple determinants of exercise adherence; however, these determinants have not been carefully studied in the context of exercise adherence and OA. Almost all studies of exercise adherence among people with OA are short-term and do not use validated measures of adherence. Moreover, poor adherence is the most compelling explanation for the declining impact of the benefi ts of exercise over time. We conclude that interventions to enhance self-effi cacy, social support, and skills in long-term monitoring of progress are necessary to foster exercise adherence among people with OA.

show abstract

“…Surprisingly, results indicate the dropouts in the present study are according to the percentage found for others supervised exercise programs. The typical dropout rate from different types of supervised exercise programs reported by literature is around 50% [15][16][17][18][19][20] . Considering barefoot and minimalist shoe interventions together, our study observed 58.8% of dropouts from an instructed minimal running training.…”

Section: Discussionmentioning

confidence: 99%

Adherence to Six Months of Instructed Minimalist and Barefoot Running Training

Azevedo

Nóbrega

Amadio

et al. 2016

Rev Bras Med Esporte

View full text Add to dashboard Cite

Introduction: The interest in minimalist and barefoot running is growing continuously. However, there is no data on how many runners drop out during this process. Objective: To describe the adhesion and dropout rates of a six-month instructed training program based on barefoot and minimalist footwear running. Methods: Thirty-four recreational runners participated in the study: 20 runners started the race training barefoot, while 14 runners were involved in training with minimalist footwear. Adhesion to intervention programs was evaluated through training spreadsheets and recording attendance at training sessions, while dropouts were evaluated at the end of training. A questionnaire was sent to participants who dropped out of the training, to obtain information related on why they had abandoned it. Results: Considering all participants (n=34), 41.2% of the runners completed six months with reduced plantar protection; 70% of all dropouts occurred in barefoot training; the main reasons for leaving the training were injury/pain (40%) and lack of time/suitable place for training (40%); and the majority of dropouts (50%) occurred in the first month of training. Barefoot training (n=20) showed 70% dropouts, 57.1% of them due to lack of time/suitable place for training; and 71.4% of the dropouts occurred in the first month of the intervention. The training with minimalist footwear (n=14) had fewer dropouts (42.9%) than the barefoot training, all of them due to injury/pain; 50% of them occurred in the third month of intervention. Conclusion: Dropouts usually occur at the beginning of training. Training involving barefoot running has more dropouts than training with minimalist footwear. Intervention programs lasting six months based on minimalist footwear/barefoot seems to have similar adhesion to other supervised exercise programs. The main reasons for dropping out are injury/pain and lack of time/suitable place to run.

show abstract

Determinants of physical activity and adherence to a 24‐week home‐based walking program in African American and Caucasian women

Cited by 88 publications

References 34 publications

Patient compliance to exercise prescription at the Victoria University Osteopathic Medicine Clinic

Patient compliance to exercise prescription at the Victoria University Osteopathic Medicine Clinic

Chronic Osteoarthritis and Adherence to Exercise: A Review of the Literature

Adherence to Six Months of Instructed Minimalist and Barefoot Running Training

Contact Info

Product

Resources

About