Department of Primary and Community Care, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, P.O. Box 9101 6500 HB. The Netherlands.
Department of Healthy Living, RIVM, Bilthoven, P.O Box 1, 3720 BA, The Netherlands.
Health Promot Int. 2021 Aug 30;36(4):989-999. doi: 10.1093/heapro/daaa134.
Care Sport Connectors (CSCs) have been appointed to create a connection between primary care and physical activity (PA) sectors to stimulate inactive residents into becoming physically active. Adequate recruitment strategies are necessary to reach the intended target group in order to foster the sustainability of lifestyle interventions. The objective of this study is to explore PA behavior and health characteristics of the target group reached by CSCs and if these characteristics differ between participants when grouped based on how they were recruited. Participants from lifestyle interventions were included between September 2014 and April 2016 using a purposive sampling method. Participants were recruited through CSCs via public relations (n = 135), a personal letter (n = 136), or a referral (n = 98) and compared based on their PA level, health-related quality of life, motivation, self-efficacy, morbidity and health-related fitness. Scores were analyzed with a multi-level (mixed model) analysis measured before the intervention. The three groups were different in PA level (p = 0.002). The outcomes regarding health-related quality of life, motivation, and number of somatic disorders were also significantly different for the three groups, except for the categories of mental health (p = 0.145) and self-efficacy (p = 0.464). For all dimensions, the referral group scored the least favorable. The investment in time and money for an active recruitment strategy like referrals is worthwhile because it provides CSCs the opportunity to reach people who are inactive and at risk of chronic disease. Future studies are necessary to reveal the effect on PA levels and health in the long-term.
保健运动连接器（CSC）被任命为连接初级保健和体育活动（PA）部门，以激励非活跃居民变得活跃。为了达到预期目标群体，需要采取充分的招聘策略，以促进生活方式干预的可持续性。本研究的目的是探讨 CSC 所接触的目标群体的体育活动行为和健康特征，以及如果根据他们的招募方式将参与者分组，这些特征是否存在差异。采用目的抽样法，于 2014 年 9 月至 2016 年 4 月纳入生活方式干预的参与者。参与者通过 CSC 通过公共关系（n=135）、个人信件（n=136）或推荐（n=98）进行招募，并根据其体育活动水平、健康相关生活质量、动机、自我效能、发病率和健康相关体能进行比较。在干预前用多级（混合模型）分析测量了分数。三组在体育活动水平（p=0.002）方面存在差异。三组之间健康相关生活质量、动机和躯体障碍数量的结果也存在显著差异，但心理健康（p=0.145）和自我效能（p=0.464）除外。在所有维度中，推荐组的得分最不理想。积极招聘策略（如推荐）的时间和金钱投资是值得的，因为它为 CSC 提供了接触不活跃和患有慢性病风险人群的机会。需要进一步研究以揭示长期内对体育活动水平和健康的影响。
