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Related Experiment Videos

Access to exercise referral schemes -- a population based analysis.

R A Harrison1, F McNair, L Dugdill

  • 1Evidence for Population Health Unit, University of Manchester, Oxford Road, Manchester, UK. roger.harrison@manchester.ac.uk

Journal of Public Health (Oxford, England)
|October 7, 2005
PubMed
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Exercise referral schemes show limited impact on population sedentary behavior, despite positive patient reception. Practitioner reluctance and low attendance in certain age groups hinder effectiveness. Further research is needed to optimize these public health interventions.

Area of Science:

  • Public Health
  • Exercise Science
  • Health Services Research

Background:

  • Sedentary behavior is a significant public health concern globally.
  • Community-based exercise referral schemes aim to increase physical activity but their effectiveness is debated.
  • Existing evidence lacks population-level analysis and detailed patient characteristics for exercise referral schemes.

Purpose of the Study:

  • To quantify patient referrals and access to a district-wide exercise referral scheme.
  • To analyze the characteristics of patients referred and accessing the scheme.
  • To evaluate the effectiveness of exercise referral schemes from a population perspective.

Main Methods:

  • Prospective data collection from a patient register for a district-wide exercise referral scheme.

Related Experiment Videos

  • Analysis of referral rates and influencing factors (practitioner and patient characteristics).
  • Inclusion of 6,610 adult referrals over 5 years from 125 general practices.

    • Main Results:

    • 6,610 adults referred (60.8% female, mean age 51.3 years), representing 4% of the sedentary population.
    • Most common referrals: musculoskeletal or cardiovascular risk; 79% attended at least one appointment.
    • Attendance varied by age and referral reason; sex, deprivation, and practice referral volume did not impact attendance.

    Conclusions:

    • Patients perceive exercise referral schemes positively, but practitioner referral rates are low.
    • Significant doubt exists regarding the population-level impact of these schemes on sedentary behavior.
    • Long-term physical activity impact requires further investigation to optimize public health strategies.