Controlled Comparison of Retention and Adherence in Home- vs Center-Initiated Exercise Interventions in Women Ages 40–65 Years: The S.W.E.A.T. Study (Sedentary Women Exercise Adherence Trial)

2003 ◽  
Vol 36 (1) ◽  
pp. 17-29 ◽  
Author(s):  
K.L. Cox ◽  
V. Burke ◽  
T.J. Gorely ◽  
L.J. Beilin ◽  
I.B. Puddey
Keyword(s):  
Exercise Adherence ◽  
Exercise Interventions ◽  
Sedentary Women

scholarly journals Reporting of post-operative rehabilitation interventions for Total knee arthroplasty: a scoping review

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Nora Bakaa ◽  
Lu Hsi Chen ◽  
Lisa Carlesso ◽  
Julie Richardson ◽  
Luciana Macedo
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Scoping Review ◽  
Literature Search ◽  
Exercise Adherence ◽  
Risk Of Bias ◽  
Cochrane Library ◽  
Quality Of Reporting ◽  
Exercise Interventions ◽  
Total Knee

Abstract Objective The aim of this study was to evaluate the completeness of reporting of exercise adherence and exercise interventions delivered as part of clinical trials of post-operative total knee replacement (TKA) rehabilitation. Design: Scoping review Literature search A literature search was conducted in PubMed, EMBASE, AMED, CINAHL, SPORTDiscus and Cochrane Library. Study selection criteria All randomized controlled trials (RCT) that examined post-operative exercise-based interventions for total knee arthroplasty were eligible for inclusion. Studies that were multifactorial or contained exercise interventions for both hip and knee arthroplasty were also included. Data synthesis The definition, type of measurement used and outcome for exercise adherence were collected and analyzed descreptively. Quality of reporting of exercise interventions were assessed using the Consensus for Exercise Reporting Tool (CERT) and the Cochrane Risk of Bias Tool. Results There were a total of 112 RCTs included in this review. The majority of RCTs (63%, n = 71) did not report exercise adherence. Only 23% (n = 15) of studies provided a definition of adherence. RCTs were of poor quality, with 85% (n = 95) of studies having high or unclear risk of bias. Reporting of exercise interventions was poor, with only 4 items (of 19) (21%) of the CERT adequately reported (88–99%), with other items not fulfilled on at least 60% of the RCTs. There were no RCTs that had fulfilled all the criteria for the CERT. Conclusion The RCTs included in this study poorly reported exercise adherence, as well as description of the post-operative TKA rehabilitation intervention. Future RCTs should use valid and reliable measures of adherence and a proper tool for reporting of exercise interventions (e.g., CERT, TiDER). Pre-registration OSF:https://osf.io/9ku8a/

scholarly journals Gender Perspective on Older People’s Exercise Preferences and Motivators in the Context of Falls Prevention: A Qualitative Study

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Marlene Sandlund ◽  
Petra Pohl ◽  
Christina Ahlgren ◽  
Dawn A. Skelton ◽  
Anita Melander-Wikman ◽  
...  
Keyword(s):  
Fall Prevention ◽  
Qualitative Content Analysis ◽  
Exercise Adherence ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Gender Perspective ◽  
Exercise Interventions ◽  
History Of ◽  
Exercise Programmes ◽  
The Individual

Background. Several factors have previously been identified to positively influence the uptake and adherence for fall prevention exercise programmes. There is, however, a lack of studies investigating if men and women differ in their views and preferences for fall prevention exercises. Aim. To explore exercise preferences and motivators of older community-dwelling women and men in the context of falls prevention from a gender perspective. Methods. Workshops including multistage focus group discussions were conducted with 18 older community-dwelling people with and without history of falls. Participants were purposively selected and divided into two groups. Each group met on six occasions over a period of five months. Participatory and Appreciative Action and Reflection methodology was used to guide the discussions. A qualitative content analysis approach was used in the analysis. Results. Older participants had many diverse preferences and confirmed that individually tailored exercise, in terms of mode, intensity, challenge, and social context, is important. Moreover, important factors for exercise adherence and maintenance included the experience of individual confirmation; different spirit lifters to increase enjoyment; and personal tricks to maintain exercise routines. The individual differences within genders were more diverse than the differences between women and men. Conclusion. Exercise interventions to prevent falls should be individually tailored, based on the specific needs and preferences of the older participant, and do not appear to require gender specific approaches. To increase adherence, intrinsic motivation for exercise may be encouraged by competence enhancing confirmations, energizing spirit lifters, and practical tips for exercise maintenance. The study provides an awareness about women’s and men’s preferences for fall prevention exercises, and this information could be used as guidance in designing inclusive exercise interventions.

Long-term effects of exercise on blood pressure and lipids in healthy women aged 40–65 years: The Sedentary Women Exercise Adherence Trial (SWEAT)

2001 ◽  
Vol 19 (10) ◽  
pp. 1733-1743 ◽  
Author(s):  
Kay L. Cox ◽  
Valerie Burke ◽  
Alan R. Morton ◽  
Helen F. Gillam ◽  
Lawrence J. Beilin ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Exercise Adherence ◽  
Long Term Effects ◽  
Healthy Women ◽  
Sedentary Women

scholarly journals Examination of a Peer-Led, Non-Diet Nutrition and Exercise Adherence Pilot Program on a College Campus

2013 ◽  
Vol 11 (1) ◽  
pp. 84-96 ◽  
Author(s):  
Linda A. Keeler ◽  
Dawn E. Clifford ◽  
August Buck ◽  
Petra Kowalski ◽  
Michelle N. Morris
Keyword(s):  
General Education ◽  
Stages Of Change ◽  
Intervention Group ◽  
Exercise Adherence ◽  
Intuitive Eating ◽  
Control Group ◽  
College Females ◽  
Post Intervention ◽  
Control Group Design ◽  
Exercise Interventions

A non-equivalent control group design was utilized to investigate the effect of a non-diet, peer-led, tailored nutrition and exercise adherence intervention (FitU) on exercise stages of change, intuitive eating, and barriers to healthy eating and exercise in college females. Female students (n=17) who enrolled in the 8-10 week program served as the intervention group and general education students who did not receive an intervention served as the control group (n=16). Surveys were administered pre and post intervention over two consecutive semesters. Utilizing ANCOVA analyses, reported barriers to eating healthy decreased (p=.008) and one intuitive eating subscale, eating for physical rather than emotional reasons improved significantly (p=.01) in the intervention group compared to control from pre to post. Further, 65% of the intervention group reported an improvement in exercise stage of change and none relapsed compared with only 20% improvement and 40% relapse in the control group from pre to postintervention. The majority of the intervention participants also reported improved dietary (82.4%) and exercise (76.5%) patterns/thoughts. Peer-led and individually tailored, non-diet nutrition and exercise interventions may effectively promote healthy behaviors among college females.

scholarly journals Exercise Adherence and Effect of Self-Regulatory Behavior Change Techniques in Patients Undergoing Curative Cancer Treatment: Secondary Analysis from the Phys-Can Randomized Controlled Trial

2020 ◽  
Vol 19 ◽  
pp. 153473542094683 ◽  
Author(s):  
Anne-Sophie Mazzoni ◽  
Hannah L Brooke ◽  
Sveinung Berntsen ◽  
Karin Nordin ◽  
Ingrid Demmelmaier
Keyword(s):  
Cancer Treatment ◽  
Endurance Training ◽  
Secondary Analysis ◽  
Exercise Adherence ◽  
Dropout Rates ◽  
Behavior Change Techniques ◽  
Exercise Interventions ◽  
Training Groups ◽  
Regulatory Behavior ◽  
Exercise Type

Introduction: Adherence to exercise interventions in patients with cancer is often poorly described. Further, it is unclear if self-regulatory behavior change techniques (BCTs) can improve exercise adherence in cancer populations. We aimed to (1) describe exercise adherence in terms of frequency, intensity, time, type (FITT-principles) and dropouts, and (2) determine the effect of specific self-regulatory BCTs on exercise adherence in patients participating in an exercise intervention during curative cancer treatment. Methods: This study was a secondary analysis using data from a Swedish multicentre RCT. In a 2×2 factorial design, 577 participants recently diagnosed with curable breast, colorectal or prostate cancer were randomized to 6 months of high (HI) or low-to-moderate intensity (LMI) exercise, with or without self-regulatory BCTs (e.g., goal-setting and self-monitoring). The exercise program included supervised group-based resistance training and home-based endurance training. Exercise adherence (performed training/prescribed training) was assessed using attendance records, training logs and heart rate monitors, and is presented descriptively. Linear regression and logistic regression were used to assess the effect of self-regulatory BCTs on each FITT-principle and dropout rates, according to intention-to-treat. Results: For resistance training (groups with vs without self-regulatory BCTs), participants attended on average 52% vs 53% of prescribed sessions, performed 79% vs 76% of prescribed intensity, and 80% vs 77% of prescribed time. They adhered to exercise type in 71% vs 68% of attended sessions. For endurance training (groups with vs without self-regulatory BCTs), participants performed on average 47% vs 51% of prescribed sessions, 57% vs 62% of prescribed intensity, and 71% vs 72% of prescribed time. They adhered to exercise type in 79% vs 78% of performed sessions. Dropout rates (groups with vs without self-regulatory BCTs) were 29% vs 28%. The regression analysis revealed no effect of the self-regulatory BCTs on exercise adherence. Conclusion: An exercise adherence rate ≥50% for each FITT-principle and dropout rates at ~30% can be expected among patients taking part in long-term exercise interventions, combining resistance and endurance training during curative cancer treatment. Our results indicate that self-regulatory BCTs do not improve exercise adherence in interventions that provide evidence-based support to all participants (e.g., supervised group sessions). Trial registration: NCT02473003

Exercise interventions for patients with advanced cancer: A systematic review of recruitment, attrition, and exercise adherence rates

2019 ◽  
Vol 17 (6) ◽  
pp. 686-696
Author(s):  
G. Sheill ◽  
E. Guinan ◽  
L. Brady ◽  
D. Hevey ◽  
J. Hussey
Keyword(s):  
Systematic Review ◽  
Advanced Cancer ◽  
Exercise Adherence ◽  
Physical Symptoms ◽  
Assessment Tools ◽  
Attrition Rate ◽  
Exercise Programs ◽  
Attrition Rates ◽  
Exercise Interventions ◽  
Patient Reported

AbstractPurposePatients with advanced cancer can experience debilitating physical symptoms, making participation in exercise programs difficult. This systematic review investigated the recruitment, adherence, and attrition rates of patients with advanced cancer participating in exercise interventions and examined components of exercise programs that may affect these rates.MethodsRelevant studies were identified in a systematic search of CINAHL, PubMed, PsycINFO, and EMBASE to December 2017. Two quality assessment tools were used, and levels of evidence were assigned according to the Oxford Centre for Evidence-Based Medicine (CEBM) guidelines.ResultsThe search identified 18 studies published between 2004 and 2017. Recruitment, adherence, and attrition rates varied widely among the studies reviewed. The mean recruitment rate was 49% (standard deviation [SD] = 17; range 15–74%). Patient-reported barriers to recruitment included time constraints and difficulties in traveling to exercise centers. Levels of adherence ranged from 44% to 95%; however, the definition of adherence varied substantially among trials. The average attrition rate was 24% (SD = 8; range 10–42%), with progression of disease status reported as the main cause for dropout during exercise interventions.Significance of resultsConcentrated efforts are needed to increase the numbers of patients with advanced disease recruited to exercise programs. Broadening the eligibility criteria for exercise interventions may improve accrual numbers of patients with advanced cancer to exercise trials and ensure patients recruited are representative of clinical practice.

scholarly journals Effects of Short Versus Long Bouts of Aerobic Exercise in Sedentary Women With Fibromyalgia: A Randomized Controlled Trial

2003 ◽  
Vol 83 (4) ◽  
pp. 340-358 ◽  
Author(s):  
Candice L Schachter ◽  
Angela J Busch ◽  
Paul M Peloso ◽  
M Suzanne Sheppard
Keyword(s):  
Aerobic Exercise ◽  
Physical Function ◽  
Disease Severity ◽  
Self Efficacy ◽  
Exercise Adherence ◽  
Signs And Symptoms ◽  
Well Being ◽  
Efficacy Analysis ◽  
Home Based ◽  
Sedentary Women

Abstract Background and Purpose. The purposes of this study were: (1) to assess the effectiveness of a 16-week progressive program of home-based, videotape-based, low-impact aerobic exercise on physical function and signs and symptoms of fibromyalgia in previously sedentary women aged 20 to 55 years and (2) to compare the effects of 1 long exercise bout versus 2 short exercise bouts per training day (fractionation) on physical function, signs and symptoms of fibromyalgia, and exercise adherence. Subjects. One hundred forty-three sedentary women were randomly assigned to 1 of 3 groups: a group who trained using a long bout of exercise (LBE group, n=51), a group who trained using short bouts of exercise (SBE group, n=56), and a group who performed no exercise (NE group, n=36). Methods. The SBE group exercised twice daily, and the LBE group worked out once daily. Both groups progressed in total daily training duration from 10 to 30 minutes, 3 to 5 times a week, for 16 weeks. Physical and psychological well-being, symptoms, and self-efficacy were evaluated using a multivariate analysis of variance. Results. Dropout rates for the NE, SBE, and LBE groups were 14%, 38%, and 29%, respectively. The NE group differed from the LBE group in disease severity, self-efficacy, and psychological well-being (midtest, efficacy analysis) and from the SBE group in disease severity and self-efficacy (posttest, efficacy analysis). Exercise adherence was greater for the LBE group than for the SBE group between weeks 5 and 8 of the training program. No other differences between exercise groups were found. Discussion and Conclusion. Progressive, home-based, low-impact aerobics improved physical function and fibromyalgia symptoms minimally in participants who completed at least two thirds of the recommended exercise. Fractionation of exercise training provided no advantage in terms of exercise adherence, improvements in fibromyalgia symptoms or physical function. High attrition rates and problems with exercise adherence were experienced in both exercise groups.

scholarly journals “It was just for us”: qualitative evaluation of an exercise intervention for African-American couples

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lyndsey M. Hornbuckle ◽  
Cristina S. Barroso ◽  
Amy Rauer ◽  
Chloe S. Jones ◽  
Kerri M. Winters-Stone
Keyword(s):  
African American ◽  
Health Disparities ◽  
Exercise Intervention ◽  
Exercise Adherence ◽  
Qualitative Evaluation ◽  
Romantic Partners ◽  
Gradual Transition ◽  
Cardiometabolic Health ◽  
Exercise Interventions

Abstract Background Promoting long-term exercise adherence should be a key focus for health and fitness professionals working to reduce obesity and cardiometabolic health disparities, and all-cause mortality in inactive African-American (AA) adults. Data have suggested that romantic partners can improve long-term exercise adherence and that this dyadic approach should be examined in exercise interventions. Therefore, the purpose of this study was to conduct a qualitative evaluation of a pilot exercise intervention conducted in older AA couples. Methods Two semi-structured focus groups were utilized to compare participants’ perceptions of and experiences during the pilot intervention across two randomly assigned treatment conditions (exercising together with partner [ET; n = 8] versus exercising separately [ES: n = 6]). Participants (mean age: 64.7 ± 6.8 years) of a previous 12-week pilot exercise intervention (walking ≥3 days/week, 30 min/day plus supervised resistance training 2 days/week) were interviewed. Verbatim transcripts were coded using an open coding approach. Results Three key themes (intervention value/benefits, intervention difficulties, and suggested improvements) emerged. Although all couples identified health and relationship benefits of the intervention, some differences surfaced within themes across the two intervention groups. Conclusions Overall, these qualitative data suggest that couples had a positive experience while participating in the pilot study. In addition, key learning points to improve the intervention were identified including a more gradual transition to independent exercise, more flexibility training, and the incorporation of tangential education. These data will help investigators continue to develop the intervention, which is ultimately designed to promote long-term exercise adherence to reduce cardiometabolic health disparities in the AA community.

Factors Affecting Exercise Attendance and Completion in Sedentary Older Adults: A Meta-Analytic Approach

2008 ◽  
Vol 5 (3) ◽  
pp. 385-397 ◽  
Author(s):  
Seung-Youn Hong ◽  
Susan Hughes ◽  
Thomas Prohaska
Keyword(s):  
Older Adults ◽  
Exercise Adherence ◽  
Randomized Control Trials ◽  
Completion Rates ◽  
Attendance Rates ◽  
Regression Analyses ◽  
Factors Affecting ◽  
Exercise Interventions ◽  
Home Based ◽  
Randomized Control

Background:Many different constructs are used currently in the literature to assess exercise adherence. This study examined whether the same or different variables predict exercise attendance and exercise completion among sedentary older adults.Methods:Thirty-seven randomized control trials were selected from articles published between 1980 and 2000 that tested exercise interventions for sedentary older adults. Block-entry, weighted, hierarchical meta-regression analyses were conducted.Results:Different factors predicted attendance and completion. Group-based (P < .05) and resistance exercise (P < .1) predicted higher attendance rates than individual-based and aerobic exercise. In contrast, facility-based exercise was associated with higher completion rates than home-based exercise (P < .1).Conclusions:Results show that completing a program is not synonymous with good attendance. Program designers need to consider different strategies to boost both of these rates that need to be maximized to best benefit program participants.

Sign in / Sign up

Export Citation Format

Share Document