Do Subsidization and Monitoring Enhance Adherence to Prescribed Exercise?

Shepich, Jeffrey; Slowiak, Julie M.; Keniston, Allen H.

doi:10.4278/0890-1171-22.1.2

Cited by 12 publications

(10 citation statements)

References 13 publications

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“…It also found that while reducing external barriers could increase initial exercise participation, overcoming internal barriers was necessary to enhance long-term adherence. Proposed facilitators included helping with goal-setting related to exercise adherence and performance, public recognition for achieving goals, expressing managerial support for exercise, and external monitoring of adherence 18,20…”

Section: Discussionmentioning

confidence: 99%

“…Since approximately 50% of those who start a new exercise program will discontinue it within 6–12 months, lack of motivation to continue exercising is a common barrier to long-term adherence 16,18,21,22. The health belief model is based on the principle that healthy behaviors are determined by health beliefs, which are in turn related to the perceived seriousness of disease(s) that can be mitigated by healthy behaviors, individual susceptibility to disease(s), the perceived benefits of engaging in healthy behavior, and potential barriers to healthy behaviors 20.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Use of participant focus groups to identify barriers and facilitators to worksite exercise therapy adherence in randomized controlled trials involving firefighters

Mayer¹,

Nuzzo²,

Dagenais³

2013

PPA

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BackgroundFirefighters are at increased risk for back injuries, which may be mitigated through exercise therapy to increase trunk muscle endurance. However, long-term adherence to exercise therapy is generally poor, limiting its potential benefits. Focus groups can be used to identify key barriers and facilitators to exercise adherence among study participants.ObjectiveTo explore barriers and facilitators to worksite exercise therapy adherence among firefighters to inform future randomized controlled trials (RCTs).MethodsParticipants enrolled in a previous RCT requiring twice-weekly worksite exercise therapy for 24 weeks were asked to take part in moderated focus group discussions centered on eight open-ended questions related to exercise adherence. Responses were analyzed qualitatively using a social ecological framework to identify key intrapersonal, interpersonal, and institutional barriers and potential facilitators to exercise adherence.ResultsA total of 27 participants were included in the four focus group discussions, representing 50% of those assigned to a worksite exercise therapy group in the previous RCT, in which only 67% of scheduled exercise therapy sessions were completed. Lack of self-motivation was cited as the key intrapersonal barrier to adherence, while lack of peer support was the key interpersonal barrier reported, and lack of time to exercise during work shifts was the key institutional barrier identified.ConclusionFocus group discussions identified both key barriers and potential facilitators to increase worksite exercise therapy adherence among firefighters. Future studies should consider educating and reminding participants about the benefits of exercise, providing individual and group incentives based on exercise adherence and performance, providing outside monitoring of exercise adherence, varying the exercise routine, encouraging group exercise and competition, and scheduling exercise during each work shift.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Use of participant focus groups to identify barriers and facilitators to worksite exercise therapy adherence in randomized controlled trials involving firefighters

Mayer¹,

Nuzzo²,

Dagenais³

2013

PPA

View full text Add to dashboard Cite

show abstract

“…Health professionals have made considerable effort to identify factors related to adherence with therapeutic exercise by elderly people, in view of the fact that it could allow for greater success of proposed treatments, maintain patient independence, increase muscle capacity and function, and minimize ongoing use of health care services 14. However, there is no consensus in the literature as to the factors that contribute to adherence with exercise programs in the elderly.…”

Section: Introductionmentioning

confidence: 99%

Adherence of older women with strength training and aerobic exercise

Picorelli¹,

Pereira²,

Felício³

et al. 2014

CIA

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BackgroundParticipation of older people in a program of regular exercise is an effective strategy to minimize the physical decline associated with age. The purpose of this study was to assess adherence rates in older women enrolled in two different exercise programs (one aerobic exercise and one strength training) and identify any associated clinical or functional factors.MethodsThis was an exploratory observational study in a sample of 231 elderly women of mean age 70.5 years. We used a structured questionnaire with standardized tests to evaluate the relevant clinical and functional measures. A specific adherence questionnaire was developed by the researchers to determine motivators and barriers to exercise adherence.ResultsThe adherence rate was 49.70% in the aerobic exercise group and 56.20% in the strength training group. Multiple logistic regression models for motivation were significant (P=0.003) for the muscle strengthening group (R2=0.310) and also significant (P=0.008) for the aerobic exercise group (R2=0.154). A third regression model for barriers to exercise was significant (P=0.003) only for the muscle strengthening group (R2=0.236). The present study shows no direct relationship between worsening health status and poor adherence.ConclusionFactors related to adherence with exercise in the elderly are multifactorial.

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“…The studies that relied on self-reporting of physical activity cited potential problems with internal validity. Only one study had a truly objective measure of physical activity, using a computerized program in an exercise facility (Shepich, Slowiak, & Keniston, 2007). In this study, Shepich et al concluded that full subsidization and third party monitoring increased exercise rates (Shepich, 2007).…”

Section: Interventionsmentioning

confidence: 86%

“…Only one study had a truly objective measure of physical activity, using a computerized program in an exercise facility (Shepich, Slowiak, & Keniston, 2007). In this study, Shepich et al concluded that full subsidization and third party monitoring increased exercise rates (Shepich, 2007). Of course, this is not applicable across all populations, especially in the uninsured.…”

Section: Interventionsmentioning

confidence: 89%

The development, implementation and evaluation of a system based physical activity promotion program in a free, rural, primary care clinic

Summers¹

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Do Subsidization and Monitoring Enhance Adherence to Prescribed Exercise?

Abstract: Full subsidization and third-party monitoring increased exercise rates. These findings encourage use of both to enhance prescribed exercise rates and continued study of factors that contribute to the efficacy of prescribed exercise.

Cited by 12 publications

References 13 publications

Use of participant focus groups to identify barriers and facilitators to worksite exercise therapy adherence in randomized controlled trials involving firefighters

Use of participant focus groups to identify barriers and facilitators to worksite exercise therapy adherence in randomized controlled trials involving firefighters

Adherence of older women with strength training and aerobic exercise

The development, implementation and evaluation of a system based physical activity promotion program in a free, rural, primary care clinic

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