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Costs and outcomes of an exercise referral programme - A 1-year follow-up study.

Romé, Åsa LU ; Persson, Ulf; Ekdahl, Charlotte LU and Gard, Gunvor LU (2014) In European Journal of Physiotherapy 16(2). p.82-92
Abstract
Aims: To analyse, at a one year follow up, cost offset and outcomes of changing the physical activity (PA) behaviour due to a primary care intervention.

Methodology: Participants were 528 inactive individuals with life-style related health problems, 18-84 years, and randomised into a high-dose intervention group (n=270) or a low-dose intervention group (n=258). The four month lasting intervention “Physical Activity on Prescription” (PAP) contained exercise, education and motivational counselling. At the one year follow up 178 individuals (95 in the high-dose group, 83 in the low-dose group) were assessed with the IPAQ (International Physical Activity Questionnaire) short form, perceived PA and functional ability (Six Minute Walk... (More)
Aims: To analyse, at a one year follow up, cost offset and outcomes of changing the physical activity (PA) behaviour due to a primary care intervention.

Methodology: Participants were 528 inactive individuals with life-style related health problems, 18-84 years, and randomised into a high-dose intervention group (n=270) or a low-dose intervention group (n=258). The four month lasting intervention “Physical Activity on Prescription” (PAP) contained exercise, education and motivational counselling. At the one year follow up 178 individuals (95 in the high-dose group, 83 in the low-dose group) were assessed with the IPAQ (International Physical Activity Questionnaire) short form, perceived PA and functional ability (Six Minute Walk Test). Motivation and attitudes towards PA were assessed with a questionnaire (Gard et al), and analysed based on factor analysis.

Major findings: PA increased significantly, but without differences between high-dose and low-dose groups. The rate of inactive individuals decreased from 75% to 53%. Analysis of motivation showed no differences between the groups.

Principal conclusion: The PAP-program significantly improved physical activity behaviour at the one year follow up, and reduced costs for inactivity by 22%. Economic incentives, i.e. expenditures and individuals own valuation of leisure time, seem to influence preferences for participation in the PAP-program. Social-cognitive factors seem important when changing PA behaviour. Prescribed exercise may work pre-motivational for changed physical activity behaviour. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Physical activity, inactivity, life style, health promotion, motivation.
in
European Journal of Physiotherapy
volume
16
issue
2
pages
82 - 92
publisher
Informa Healthcare
external identifiers
  • scopus:84901405413
ISSN
2167-9177
DOI
10.3109/21679169.2014.886291
language
English
LU publication?
yes
id
56235998-14a8-402f-8529-b5af44ef41a7 (old id 4446130)
date added to LUP
2015-06-26 13:20:46
date last changed
2017-01-01 05:40:13
@article{56235998-14a8-402f-8529-b5af44ef41a7,
  abstract     = {Aims: To analyse, at a one year follow up, cost offset and outcomes of changing the physical activity (PA) behaviour due to a primary care intervention. <br/><br>
Methodology: Participants were 528 inactive individuals with life-style related health problems, 18-84 years, and randomised into a high-dose intervention group (n=270) or a low-dose intervention group (n=258). The four month lasting intervention “Physical Activity on Prescription” (PAP) contained exercise, education and motivational counselling. At the one year follow up 178 individuals (95 in the high-dose group, 83 in the low-dose group) were assessed with the IPAQ (International Physical Activity Questionnaire) short form, perceived PA and functional ability (Six Minute Walk Test). Motivation and attitudes towards PA were assessed with a questionnaire (Gard et al), and analysed based on factor analysis. <br/><br>
Major findings: PA increased significantly, but without differences between high-dose and low-dose groups. The rate of inactive individuals decreased from 75% to 53%. Analysis of motivation showed no differences between the groups. <br/><br>
Principal conclusion: The PAP-program significantly improved physical activity behaviour at the one year follow up, and reduced costs for inactivity by 22%. Economic incentives, i.e. expenditures and individuals own valuation of leisure time, seem to influence preferences for participation in the PAP-program. Social-cognitive factors seem important when changing PA behaviour. Prescribed exercise may work pre-motivational for changed physical activity behaviour.},
  author       = {Romé, Åsa and Persson, Ulf and Ekdahl, Charlotte and Gard, Gunvor},
  issn         = {2167-9177},
  keyword      = {Physical activity,inactivity,life style,health promotion,motivation.},
  language     = {eng},
  number       = {2},
  pages        = {82--92},
  publisher    = {Informa Healthcare},
  series       = {European Journal of Physiotherapy},
  title        = {Costs and outcomes of an exercise referral programme - A 1-year follow-up study.},
  url          = {http://dx.doi.org/10.3109/21679169.2014.886291},
  volume       = {16},
  year         = {2014},
}