scholarly journals Identification of dropout predictors to a community-based physical activity programme that uses motivational interviewing

2018 ◽  
Author(s):  
Matthew Wade ◽  
Nicola Brown ◽  
Bernadette Dancy ◽  
Steven Mann ◽  
Conor Gissane ◽  
...  
Keyword(s):  
Physical Activity ◽  
Motivational Interviewing ◽  
Musculoskeletal Disorders ◽  
Endocrine System ◽  
Binary Logistic Regression ◽  
Community Based ◽  
Chi Squared ◽  
First Results ◽  
Dropout Predictors ◽  
Single Regression

Background: Participant dropout reduces intervention effectiveness. Predicting dropout has been investigated for Exercise Referral Schemes, but not physical activity (PA) interventions with Motivational Interviewing (MI). Methods: Data from attendees (n=619) to a community-based PA programme utilising MI techniques were analysed using a chi-squared test to determine dropout and attendance group differences. Binary logistic regression investigated the likelihood of dropout before 12-weeks. Results: 44.7% of participants dropped out, with statistical (P<0.05) differences between groups for age, PA, and disability. Regression for each variable showed participants aged 61-70 years (OR=0.28, CI=0.09 to 0.79; P=0.018), >70 years (OR=0.30, CI=0.09 to 0.90; P=0.036), and high PA (OR=0.40, CI=0.20 to 0.75; P=0.006) reduced dropout likelihood. Endocrine system disorders (OR=4.24, CI=1.19 to 19.43; P=0.036) and musculoskeletal disorders (OR=3.14, CI=1.84 to 5.45; P<0.001) increased dropout likelihood. Significant variables were combined in a single regression model. Dropout significantly reduced for 61-70 year olds (OR=0.31, CI=0.10 to 0.90; P=0.035), and high PA (OR=0.39, CI=0.19 to 0.76; P=0.008). Musculoskeletal disorders increased dropout (OR=2.67, CI=1.53 to 4.75; P<0.001). Conclusions: Age, PA, and disability type significantly influence dropout at 12-weeks. These are the first results specific to MI based programmes indicating the inclusion of MI and highlighting the need for further research.

The impact of participant pathways on the effectiveness of a community-based physical activity intervention grounded in motivational interviewing

2020 ◽  
Author(s):  
Matthew Wade ◽  
Nicola Brown ◽  
James Steele ◽  
Steven Mann ◽  
Bernadette Dancy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Motivational Interviewing ◽  
Social Action ◽  
Multilevel Models ◽  
Physical Activity Intervention ◽  
Mental Wellbeing ◽  
Community Based ◽  
The Impact ◽  
Time Point

Background: Brief advice is recommended to increase physical activity (PA) within primary care. This study assessed change in PA levels and mental wellbeing after a motivational interviewing (MI) community-based PA intervention and the impact of signposting [SP] and Social Action [SA] (i.e. weekly group support) pathways. Methods: Participants (n=2084) took part in a community-based, primary care PA programme using MI techniques. Self-reported PA and mental wellbeing data were collected at baseline (following an initial 30-minute MI appointment), 12-weeks, six-months, and 12-months. Participants were assigned based upon the surgery they attended to the SP or SA pathway. Multilevel models were used to derive point estimates and 95%CIs for outcomes at each time point and change scores. Results: Participants increased PA and mental wellbeing at each follow-up time point through both participant pathways and with little difference between pathways. Retention was similar between pathways at 12-weeks, but the SP pathway retained more participants at six-months and 12-months. Conclusions: Both pathways produced similar improvements in PA and mental wellbeing, suggesting the effectiveness of MI based PA interventions. However, due to lower resources required yet similar effects, SP pathways are recommended over SA to support PA in primary care settings.

scholarly journals The impact of participant pathways on the effectiveness of a community-based physical activity intervention grounded in motivational interviewing

2020 ◽  
Author(s):  
Matthew Wade ◽  
Nicola Brown ◽  
James Steele ◽  
Steven Mann ◽  
Bernadette Dancy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Motivational Interviewing ◽  
Social Action ◽  
Multilevel Models ◽  
Physical Activity Intervention ◽  
Mental Wellbeing ◽  
Community Based ◽  
The Impact ◽  
Time Point

Background: Brief advice is recommended to increase physical activity (PA) within primary care. This study assessed change in PA levels and mental wellbeing after a motivational interviewing (MI) community-based PA intervention and the impact of signposting [SP] and Social Action [SA] (i.e. weekly group support) pathways. Methods: Participants (n=2084) took part in a community-based, primary care PA programme using MI techniques. Self-reported PA and mental wellbeing data were collected at baseline (following an initial 30-minute MI appointment), 12-weeks, six-months, and 12-months. Participants were assigned based upon the surgery they attended to the SP or SA pathway. Multilevel models were used to derive point estimates and 95%CIs for outcomes at each time point and change scores. Results: Participants increased PA and mental wellbeing at each follow-up time point through both participant pathways and with little difference between pathways. Retention was similar between pathways at 12-weeks, but the SP pathway retained more participants at six-months and 12-months. Conclusions: Both pathways produced similar improvements in PA and mental wellbeing, suggesting the effectiveness of MI based PA interventions. However, due to lower resources required yet similar effects, SP pathways are recommended over SA to support PA in primary care settings.

scholarly journals Levels of Physical Activity and Prevalence of Musculoskeletal Disorders Among Physicians in Saudi Arabia Post COVID-19 Lockdown: An Epidemiological Cross-Sectional Analysis

2021 ◽  
Vol 12 ◽  
pp. 215013272110403
Author(s):  
Reem S. AlOmar
Keyword(s):  
Physical Activity ◽  
Saudi Arabia ◽  
Musculoskeletal Disorders ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Moderate Activity ◽  
Activity Levels ◽  
Cross Sectional ◽  
Increased Risk ◽  
Physical Activity Levels

Introduction: Musculoskeletal disorders (MSDs) are common worldwide. Recommendations to reduce discomfort often commence with increasing physical activity levels. In Saudi Arabia, levels of physical activity prior to the COVID-19 pandemic were low. This cross-sectional study aims at estimating the prevalence of MSDs among Saudi physicians, as well as determining the pattern and level of physical activity post lockdown and examining their association. Methods: Physical activity levels were assessed via the International Physical Activity Questionnaire and MSDs were assessed via the Nordic Musculoskeletal Questionnaire. Chi-squared tests with significance levels of <.05 were performed to explore bivariate associations. Unadjusted and adjusted odds ratios (ORs) along with their 95% confidence intervals (CIs) were given by binary logistic regression analyses. Results: A total of 3492 physicians participated in this study, and over half of them (63.55%) reported low physical activity. Risk of MSDs increased with aging and with increasing BMI ( P for trend <.05). Females were more likely to report MSDs (OR = 1.23, 95% CI = 1.07-1.86), as well as physicians with a chronic condition (OR = 1.52, 95% CI = 1.24-1.37) and those who work in shifts (OR = 1.18, 95% CI = 1.03-1.37). Moderate activity conferred a non-significant protective effect (OR = 0.95, 95% CI = 0.79-1.13), whilst high physical activity had a non-significant increased risk of MSDs in this population. Conclusion: Physical activity in this population is astonishingly low, while prevalence of MSDs is relatively high. Significant factors include age, sex, shift work, and the presence of chronic conditions. Current results warrant the consideration of preventive measures for physicians.

Sign in / Sign up

Export Citation Format

Share Document