M. Kelly
Retrospective cohort study of the South Tyneside Exercise Referral Scheme 2009–14: Predictors of dropout and barriers to adherence
Kelly, M.; Rae, G.; Walker, D.; Partington, S.; Dodd-Reynolds, C.J.; Caplin, N.
Authors
G. Rae
D. Walker
S. Partington
Dr Caroline Dodd-Reynolds caroline.dodd-reynolds@durham.ac.uk
Head Of Department
N. Caplin
Abstract
Background Exercise Referral Schemes (ERS) are a prevalent method of increasing physical activity levels. However, they suffer from participant dropout and research predicting dropout or barriers to adherence are limited. This study aimed to focus upon the effect of referral characteristics on dropout, dropout predictors and whether self-reported barriers to exercise predict dropout. Methods ERS data from 2009 to 2014 were retrieved for analysis. Chi-squared and t-tests were used to investigate differences between referral characteristics, and logistic regression used to investigate dropout predictors. Results Of 6894 participants, 37.8% (n = 2608) dropped out within 6 weeks and 50.03% (n = 3449) by the final 12th week. More males adhered (P < 0.001) with dropouts being significantly younger (P < 0.001). Dropout predictors were smoking (OR = 1.58, 95% CI: 1.29–1.93) or being a Tier 3 referral (OR = 1.47, 95% CI: 1.25–1.73). Increasing age (OR = 0.98, 95% CI: 0.98–0.99), drinking alcohol (OR = 0.82, 95% CI: 0.71–0.95), secondary care referrals (OR = 0.68, 95% CI: 0.52–0.90), having a lack of motivation (OR = 0.81, 95% CI: 0.69–0.95) or a lack of childcare (OR = 0.69, 95% CI: 0.50–0.95) decreased the likelihood of dropout. Conclusion ERS dropout continues to be problematic. Smoking and having moderate-high comorbidities predicted dropout. Increasing age and patient-reported barriers of a lack of time or childcare decreased dropout risk. The reasons for dropout require further investigation.
Citation
Kelly, M., Rae, G., Walker, D., Partington, S., Dodd-Reynolds, C., & Caplin, N. (2016). Retrospective cohort study of the South Tyneside Exercise Referral Scheme 2009–14: Predictors of dropout and barriers to adherence. Journal of Public Health, 39(4), e257-e264. https://doi.org/10.1093/pubmed/fdw122
Journal Article Type | Article |
---|---|
Acceptance Date | Oct 14, 2016 |
Online Publication Date | Nov 29, 2016 |
Publication Date | Nov 29, 2016 |
Deposit Date | Oct 18, 2016 |
Publicly Available Date | Nov 29, 2017 |
Journal | Journal of Public Health |
Print ISSN | 1741-3842 |
Electronic ISSN | 1741-3850 |
Publisher | Oxford University Press |
Peer Reviewed | Peer Reviewed |
Volume | 39 |
Issue | 4 |
Pages | e257-e264 |
DOI | https://doi.org/10.1093/pubmed/fdw122 |
Public URL | https://durham-repository.worktribe.com/output/1395206 |
Files
Accepted Journal Article
(203 Kb)
PDF
Copyright Statement
This is a pre-copyedited, author-produced PDF of an article accepted for publication in ournal of Public Health following peer review. The version of record Kelly, M., Rae, G., Walker, D., Partington, S., Dodd-Reynolds C.J. & Caplin, N. (2016). Retrospective cohort study of the South Tyneside Exercise Referral Scheme 2009–14: Predictors of dropout and barriers to adherence. Journal of Public Health is available online at: https://doi.org/10.1093/pubmed/fdw122.
You might also like
Downloadable Citations
About Durham Research Online (DRO)
Administrator e-mail: dro.admin@durham.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2025
Advanced Search