scholarly journals Identification of dropout predictors to a community-based physical activity programme that uses motivational interviewing

Author(s):  
Matthew Wade ◽  
Nicola Brown ◽  
Bernadette Dancy ◽  
Steven Mann ◽  
Conor Gissane ◽  
...  
2018 ◽  
Author(s):  
Matthew Wade ◽  
Nicola Brown ◽  
Bernadette Dancy ◽  
Steven Mann ◽  
Conor Gissane ◽  
...  

Background: Participant dropout reduces intervention effectiveness. Predicting dropout has been investigated for Exercise Referral Schemes, but not physical activity (PA) interventions with Motivational Interviewing (MI). Methods: Data from attendees (n=619) to a community-based PA programme utilising MI techniques were analysed using a chi-squared test to determine dropout and attendance group differences. Binary logistic regression investigated the likelihood of dropout before 12-weeks. Results: 44.7% of participants dropped out, with statistical (P<0.05) differences between groups for age, PA, and disability. Regression for each variable showed participants aged 61-70 years (OR=0.28, CI=0.09 to 0.79; P=0.018), >70 years (OR=0.30, CI=0.09 to 0.90; P=0.036), and high PA (OR=0.40, CI=0.20 to 0.75; P=0.006) reduced dropout likelihood. Endocrine system disorders (OR=4.24, CI=1.19 to 19.43; P=0.036) and musculoskeletal disorders (OR=3.14, CI=1.84 to 5.45; P<0.001) increased dropout likelihood. Significant variables were combined in a single regression model. Dropout significantly reduced for 61-70 year olds (OR=0.31, CI=0.10 to 0.90; P=0.035), and high PA (OR=0.39, CI=0.19 to 0.76; P=0.008). Musculoskeletal disorders increased dropout (OR=2.67, CI=1.53 to 4.75; P<0.001). Conclusions: Age, PA, and disability type significantly influence dropout at 12-weeks. These are the first results specific to MI based programmes indicating the inclusion of MI and highlighting the need for further research.


2020 ◽  
Author(s):  
Matthew Wade ◽  
Nicola Brown ◽  
James Steele ◽  
Steven Mann ◽  
Bernadette Dancy ◽  
...  

Background: Brief advice is recommended to increase physical activity (PA) within primary care. This study assessed change in PA levels and mental wellbeing after a motivational interviewing (MI) community-based PA intervention and the impact of signposting [SP] and Social Action [SA] (i.e. weekly group support) pathways. Methods: Participants (n=2084) took part in a community-based, primary care PA programme using MI techniques. Self-reported PA and mental wellbeing data were collected at baseline (following an initial 30-minute MI appointment), 12-weeks, six-months, and 12-months. Participants were assigned based upon the surgery they attended to the SP or SA pathway. Multilevel models were used to derive point estimates and 95%CIs for outcomes at each time point and change scores. Results: Participants increased PA and mental wellbeing at each follow-up time point through both participant pathways and with little difference between pathways. Retention was similar between pathways at 12-weeks, but the SP pathway retained more participants at six-months and 12-months. Conclusions: Both pathways produced similar improvements in PA and mental wellbeing, suggesting the effectiveness of MI based PA interventions. However, due to lower resources required yet similar effects, SP pathways are recommended over SA to support PA in primary care settings.


2020 ◽  
Author(s):  
Matthew Wade ◽  
Nicola Brown ◽  
James Steele ◽  
Steven Mann ◽  
Bernadette Dancy ◽  
...  

Background: Brief advice is recommended to increase physical activity (PA) within primary care. This study assessed change in PA levels and mental wellbeing after a motivational interviewing (MI) community-based PA intervention and the impact of signposting [SP] and Social Action [SA] (i.e. weekly group support) pathways. Methods: Participants (n=2084) took part in a community-based, primary care PA programme using MI techniques. Self-reported PA and mental wellbeing data were collected at baseline (following an initial 30-minute MI appointment), 12-weeks, six-months, and 12-months. Participants were assigned based upon the surgery they attended to the SP or SA pathway. Multilevel models were used to derive point estimates and 95%CIs for outcomes at each time point and change scores. Results: Participants increased PA and mental wellbeing at each follow-up time point through both participant pathways and with little difference between pathways. Retention was similar between pathways at 12-weeks, but the SP pathway retained more participants at six-months and 12-months. Conclusions: Both pathways produced similar improvements in PA and mental wellbeing, suggesting the effectiveness of MI based PA interventions. However, due to lower resources required yet similar effects, SP pathways are recommended over SA to support PA in primary care settings.


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