Department of Sport, Exercise and Rehabilitation, Faculty of Health and Life Sciences, University of Northumbria, Newcastle upon Tyne, UK.
BMJ Open. 2013 Aug 2;3(8):e002849. doi: 10.1136/bmjopen-2013-002849.
Exercise on referral schemes (ERS) are widely commissioned in the UK but there is little evidence of their association with physical activity levels. We sought to assess the Northumberland exercise on referral scheme in terms of increased levels of physical activity and identify predictors of engagement.
A naturalistic observational study.
9 local authority leisure sites in Northumberland.
2233 patients referred from primary and secondary care between July 2009 and September 2010.
A 24-week programme including motivational consultations and supervised exercise sessions for participants.
Uptake, 12-week adherence, 24-week completion, changes in Godin Leisure-Time Exercise Questionnaire scores after 24-weeks and attendance levels at supervised exercise sessions during the scheme. Three binary logistic regressions were used to examine demographic and referral factors associated with initial uptake, 12-week adherence and 24-week completion.
Uptake was 81% (n=1811), 12-week adherence was 53.5% (n=968) and 24-week completion was 42.9% (n=777). Participants who completed significantly increased their self-reported physical activity levels at 24-weeks t (638)=-11.55, p<0.001. Completers attended a mean of 22.87 (12.47 SD) of a target 48 supervised sessions. Increasing age, being female and leisure site were associated with uptake, increasing age, Index of Multiple Deprivation and leisure site were associated with 12-week adherence and Body Mass Index and leisure site were associated with 24-week completion. Each regression significantly increased the prediction accuracy of stage of exit (non-starters vs starters 81.5%, dropouts before 12 weeks vs 12-week adherers 66.9%, and dropouts between 13 and 24 weeks 82.2%).
Completers of the Northumberland ERS increased physical activity at 24 weeks, although the levels achieved were below the current UK guidelines of 150 min of moderate exercise per week. Leisure site was associated with uptake, adherence and completion.
在英国，广泛委托进行运动转介计划（ERS），但几乎没有证据表明它们与身体活动水平有关。我们旨在评估诺森伯兰运动转介计划在提高身体活动水平方面的效果，并确定参与的预测因素。
自然观察研究。
诺森伯兰的 9 个地方当局休闲场所。
2009 年 7 月至 2010 年 9 月期间从初级和二级保健机构转介的 2233 名患者。
一项为期 24 周的计划，包括参与者的动机咨询和监督运动课程。
接受率、12 周坚持率、24 周完成率、24 周后 Godin 休闲时间运动问卷评分的变化以及计划期间监督运动课程的出勤率。使用三个二元逻辑回归来检查与初始接受率、12 周坚持率和 24 周完成率相关的人口统计学和转介因素。
接受率为 81%（n=1811），12 周坚持率为 53.5%（n=968），24 周完成率为 42.9%（n=777）。完成者在 24 周时自我报告的身体活动水平显著增加 t（638）=-11.55，p<0.001。完成者平均参加了目标 48 次监督课程中的 22.87（12.47 SD）次。年龄增长、女性和休闲场所与接受率相关，年龄增长、多重贫困指数和休闲场所与 12 周坚持率相关，身体质量指数和休闲场所与 24 周完成率相关。每次回归都显著提高了退出阶段的预测准确性（非启动者与启动者 81.5%，12 周前辍学者与 12 周坚持者 66.9%，13 至 24 周辍学者 82.2%）。
诺森伯兰 ERS 的完成者在 24 周时增加了身体活动量，但达到的水平低于英国目前每周 150 分钟中等强度运动的指南。休闲场所与接受率、坚持率和完成率有关。
