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Related Experiment Videos

Promoting physical activity in general practice: should prescribed exercise be free?

S S Tai1, M Gould, P Smith

  • 1Department of Primary Care and Population Sciences, Royal Free and University College London School of Medicine, Whittington Hospital, UK.

Journal of the Royal Society of Medicine
|August 18, 1999
PubMed
Summary

Knowing about local exercise facilities improved adherence to National Health Service (NHS) prescribed exercise programs. However, lack of money remained a significant barrier, even for low-cost programs, suggesting cost reduction alone may not boost participation.

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Area of Science:

  • Public Health
  • Exercise Science
  • Health Services Research

Background:

  • General practitioners (GPs) in the UK commonly prescribe exercise programs.
  • Adherence to prescribed exercise is a challenge, with cost identified as a barrier in the USA.
  • National Health Service (NHS) exercise schemes are typically based in leisure centers.

Purpose of the Study:

  • To identify factors influencing adherence to NHS-prescribed exercise programs.
  • To investigate the impact of cost and knowledge of facilities on exercise adherence.
  • To analyze patient dropout rates and their determinants.

Main Methods:

  • Demographic and questionnaire data collected from 152 inner-London patients.
  • Logistic regression analysis used to determine adherence factors.

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  • Patients categorized based on program dropout (78% dropout rate).

    • Main Results:

    • 'Not knowing about local exercise facilities' was a significant positive predictor of adherence (OR 3.51).
    • 'Lack of money' was a significant negative predictor of adherence (OR 0.25), indicating higher dropout rates.
    • Low program cost did not improve adherence for patients citing financial barriers.

    Conclusions:

    • Awareness of exercise facilities is crucial for adherence to prescribed exercise programs.
    • Financial barriers significantly impede adherence, even in low-cost schemes.
    • The effectiveness of free or low-cost prescribed exercise in improving adherence requires further investigation.