Effectiveness of exercise-referral schemes to promote physical activity in adults: systematic review
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
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Yn: British Journal of General Practice, Cyfrol 57, Rhif 545, 12.2007, t. 979-86.
Allbwn ymchwil: Cyfraniad at gyfnodolyn › Erthygl › adolygiad gan gymheiriaid
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T1 - Effectiveness of exercise-referral schemes to promote physical activity in adults
T2 - systematic review
AU - Williams, Nefyn H
AU - Hendry, Maggie
AU - France, Barbara
AU - Lewis, Ruth
AU - Wilkinson, Clare
PY - 2007/12
Y1 - 2007/12
N2 - BACKGROUND: Despite the health benefits of physical activity, most adults do not take the recommended amount of exercise.AIM: To assess whether exercise-referral schemes are effective in improving exercise participation in sedentary adults.DESIGN OF STUDY: Systematic review.METHOD: Studies were identified by searching MEDLINE, CINAHL, EMBASE, AMED, PsycINFO, SPORTDiscus, The Cochrane Library and SIGLE until March 2007. Randomised controlled trials (RCTs), observational studies, process evaluations and qualitative studies of exercise-referral schemes, defined as referral by a primary care clinician to a programme that encouraged physical activity or exercise were included. RCT results were combined in a meta-analysis where there was sufficient homogeneity.RESULTS: Eighteen studies were included in the review. These comprised six RCTs, one non-randomised controlled study, four observational studies, six process evaluations and one qualitative study. In addition, two of the RCTs and two of the process evaluations incorporated a qualitative component. Results from five RCTs were combined in a meta-analysis. There was a statistically significant increase in the numbers of participants doing moderate exercise with a combined relative risk of 1.20 (95% confidence intervals = 1.06 to 1.35). This means that 17 sedentary adults would need to be referred for one to become moderately active. This small effect may be at least partly due to poor rates of uptake and adherence to the exercise schemes.CONCLUSION: Exercise-referral schemes have a small effect on increasing physical activity in sedentary people. The key challenge, if future exercise-referral schemes are to be commissioned by the NHS, is to increase uptake and improve adherence by addressing the barriers described in these studies.
AB - BACKGROUND: Despite the health benefits of physical activity, most adults do not take the recommended amount of exercise.AIM: To assess whether exercise-referral schemes are effective in improving exercise participation in sedentary adults.DESIGN OF STUDY: Systematic review.METHOD: Studies were identified by searching MEDLINE, CINAHL, EMBASE, AMED, PsycINFO, SPORTDiscus, The Cochrane Library and SIGLE until March 2007. Randomised controlled trials (RCTs), observational studies, process evaluations and qualitative studies of exercise-referral schemes, defined as referral by a primary care clinician to a programme that encouraged physical activity or exercise were included. RCT results were combined in a meta-analysis where there was sufficient homogeneity.RESULTS: Eighteen studies were included in the review. These comprised six RCTs, one non-randomised controlled study, four observational studies, six process evaluations and one qualitative study. In addition, two of the RCTs and two of the process evaluations incorporated a qualitative component. Results from five RCTs were combined in a meta-analysis. There was a statistically significant increase in the numbers of participants doing moderate exercise with a combined relative risk of 1.20 (95% confidence intervals = 1.06 to 1.35). This means that 17 sedentary adults would need to be referred for one to become moderately active. This small effect may be at least partly due to poor rates of uptake and adherence to the exercise schemes.CONCLUSION: Exercise-referral schemes have a small effect on increasing physical activity in sedentary people. The key challenge, if future exercise-referral schemes are to be commissioned by the NHS, is to increase uptake and improve adherence by addressing the barriers described in these studies.
KW - Adult
KW - Costs and Cost Analysis
KW - Exercise
KW - Great Britain
KW - Health Behavior
KW - Health Promotion
KW - Humans
KW - Motor Activity
KW - Patient Compliance
KW - Program Evaluation
KW - Randomized Controlled Trials as Topic
KW - Referral and Consultation
KW - Journal Article
KW - Meta-Analysis
KW - Research Support, Non-U.S. Gov't
KW - Review
M3 - Article
C2 - 18252074
VL - 57
SP - 979
EP - 986
JO - British Journal of General Practice
JF - British Journal of General Practice
SN - 0960-1643
IS - 545
ER -