Cohort differences in exercise adherence among primary care patients referred for mental health versus physical health conditions

Article


Tobi, P., Kemp, Philip and Schmidt, Elena 2017. Cohort differences in exercise adherence among primary care patients referred for mental health versus physical health conditions. Primary Health Care Research & Development. 18 (5), pp. 463-471.
AuthorsTobi, P., Kemp, Philip and Schmidt, Elena
Abstract

Aim: To compare the characteristics of mental health and physical health participants attending an exercise
referral scheme (ERS) and investigate associations with their adherence to exercise.
Background: While people referred to an ERS with a mental health diagnosis have similar initial rates of
uptake as physical health participants, they are more likely to drop out. Comparisons of the groups to
understand their differences and how these might impact on their adherence have been limited by the
typically low numbers of mental health referrals in many schemes.
Methods: Retrospective analysis of a participant cohort. Data were extracted on all participants enrolled
over a 12- month period (n = 701) and included measurements at baseline, mid-point (13 weeks) and end of
programme (20-26 weeks). Differences were explored between the mental health (n=141) and physical
health (n=560) sub-cohorts, and between adherers and non-adherers in each group. Binomial logistic
regression estimated the effect of group-level factors associated with adherence.
Findings: Mental health referrals were more likely to be younger, White and unemployed, and had a lower
mean body mass index and lower proportion of participants with high blood pressure. They were also more
likely to drop out. While occupation was associated with exercise adherence among the physical health
group, no predictive factors were identified in the mental health group.
Conclusion: Participants referred for mental health disorders are more likely to drop out of exercise referral
schemes than those with physical health problems. While no factors were found to be predictive of their
exercise adherence, an understanding of their distinguishing characteristics and attendance behaviour can
guide in making better referral decisions concerning them and planning more appropriately tailored
support.

Keywordsexercise referral; exercise adherence; mental health; physical health
JournalPrimary Health Care Research & Development
Journal citation18 (5), pp. 463-471
ISSN1463-4236
1477-1128
Year2017
PublisherCambridge University Press
Accepted author manuscript
Digital Object Identifier (DOI)doi:10.1017/S1463423617000214
Publication dates
Print27 Jun 2017
Publication process dates
Deposited23 Jun 2017
Accepted20 Mar 2017
Copyright information© 2017 Cambridge University Press. This article has been published in a revised form in Primary Health Care Research & Development [http://doi.org/10.1017/S1463423617000214]. This version is free to view and download for private research and study only.
LicenseAll rights reserved (under embargo)
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