Suchergebnisse

Background:Exercise referral schemes feature as one of the prevalent primary care physical activity interventions in the United Kingdom, without extensive understanding of how those involved in providing and participating view success. The present research explores and reveals the constituents of "success," through comparison, contradiction, and integration of qualitative and quantitative research findings.Method:A population-based cohort design formed the basis for a mixed method approach to the research. The quantitative component used a three-stage binary logistic regression to identify patient sociodemographic characteristics and referral reasons associated with three outcomes ( n = 1,315). The qualitative component ( n = 28) comprised four focus groups with patients ( n = 17), individual interviews with exercise providers ( n = 4), and referring health professionals ( n = 7). The research components were compared at discussion stage to offer insights into the concept of "success."Results:The integrated findings highlighted the multidimensional nature of the concept of success, containing a wide range of concepts such as empowerment, inclusion, and confidence. The traditional notions of success such as, attendance, weight loss, and blood pressure reduction featured amid a more holistic view which incorporated psychological and social aspects as both influences and outcomes.Conclusion:These findings can enable future development of more representative evaluations of the benefits of exercise referral. This mixed methods research approach can facilitate the development of sophisticated, tailored, evidence-based interventions in the future.

The health benefits of physically activity (PA) are well documented; therefore, promoting PA and associated guidelines to the population is considered an important task for any government. To support the strategy development for communication of the recently updated PA guidelines, the UK Chief Medical Officers' (CMO) Expert Panel for Communication was created. To help inform this process a rapid review was performed to identify how other nations may be tackling the communication of their PA guidelines and PA more generally. The rapid review used elements of the Health-enhancing physical activity (HEPA) policy audit tool (PAT) created by the World Health Organization (WHO) and investigated all 195 countries. Seventy-seven countries had their own guidelines, 53 used the WHO guidelines (of which 47 used the Regional Office for Africa), and for 65 countries no guidelines could be found. For the communication of PA or PA guidelines, 27 countries used infographics, 56 had government policies/documents, and 11 used a mass media campaign. However only 6 of these communication strategies had been evaluated. Although many countries used infographics, there were no associated evaluations. As such any future communication strategies should incorporate an evaluation of effectiveness. Mass media campaigns had the strongest evidence base, proving to be an effective communication strategy, particularly when incorporating aspects of social marketing. This review provides an insight into what strategies countries worldwide have taken to communicate PA guidelines and PA promotion. These should be carefully considered when deciding how best to communicate and promote PA guidelines.