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Predictors of Adherence to a videoconference-Based Therapeutic Exercise Intervention in Eldercare Workers: A
Sabrina C Teno1, Ana Rodriguez-Larrad2,3, Jon Irazusta2,3
1Centro de Investigação Em Educação Física, Desporto, Exercício e Saúde (CIDEFES), Universidade Lusófona de Humanidades e Tecnologias, Lisboa, Portugal.
Purpose:
To identify predictors of adherence to a videoconference-based therapeutic exercise intervention in eldercare workers.
Methods:
This exploratory secondary analysis of the ReViEEW randomized controlled trial included 105 eldercare professionals who completed a 12-week supervised exercise program delivered via real-time videoconference, consisting of two weekly sessions lasting 45 min each. Adherence was defined as the percentage of sessions completed at the prescribed intensity. Baseline variables included sociodemographic, lifestyle, anthropometric, muscle performance, low back pain, psychological, and work-related factors. Associations with adherence were examined using bivariate analyses and multivariable linear regression.
Results:
Mean adherence was 64% (± 27). In multivariable analysis (R2=0.226; p<0.001), adherence was positively associated with compliance with physical activity guidelines (β=0.199; p=0.032), regular resistance training (β=0.182; p=0.050), and greater personal accomplishment (β=0.216; p=0.017), and negatively associated with hypnotic or anxiolytic medication use (β=-0.209; p=0.023) and rotating work shifts (β=-0.182; p=0.047). Other variables were not significant after adjustment.
Conclusions:
Adherence to videoconference-based workplace exercise was associated with behavioral, psychosocial, and occupational factors in eldercare workers. Prior physical activity and resistance training experience, as well as higher personal accomplishment, facilitated adherence, whereas rotating shifts and medication use represented barriers. These findings highlight the importance of integrating exercise programs within organizational structures and tailoring interventions to workers' behavioral and psychosocial profiles to enhance participation and sustainability. However, future studies are needed to confirm these findings in other populations and workplace settings.
Trial Registration:
ClinicalTrials.gov, NCT05050526. Registered 20 September 2021-Prospectively registered, https://www.
Clinicaltrials:
gov/study/NCT05050526.
