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dc.contributorUniversitat Ramon Llull. Facultat de Psicologia, Ciències de l’Educació i de l’Esport Blanquerna
dc.contributorUniversitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna
dc.contributor.authorMartin-Borràs, Carme
dc.contributor.authorGiné-Garriga, Maria
dc.contributor.authorPuig-Ribera, Anna
dc.contributor.authorMartín-Cantera, Carlos
dc.contributor.authorSolà-Gonfaus, Mercè
dc.contributor.authorCuesta-Vargas, A.
dc.date.accessioned2018-09-14T10:20:25Z
dc.date.accessioned2023-07-12T12:05:34Z
dc.date.available2018-09-14T10:20:25Z
dc.date.available2023-07-12T12:05:34Z
dc.date.issued2017-12
dc.identifier.urihttp://hdl.handle.net/20.500.14342/763
dc.description.abstractIntroduction Studies had not yet overcome the most relevant barriers to physical activity (PA) adherence. An exercise referral scheme (ERS) with mechanisms to promote social support might enhance adherence to PA in the long term. Setting A randomised controlled trial in 10 primary care centres in Spain. Objective To assess the effectiveness of a primary carebased ERS linked to municipal resources and enhancing social support and social participation in establishing adherence to PA among adults over a 15-month period. Participants 422 insufficiently active participants suffering from at least one chronic condition were included. 220 patients (69.5 (8.4) years; 136 women) were randomly allocated to the intervention group (IG) and 202 (68.2 (8.9) years; 121 women) to the control group (CG). Interventions The IG went through a 12-week standardised ERS linked to community resources and with inclusion of mechanisms to enhance social support. The CG received usual care from their primary care practice. Outcomes The main outcome measure was self-report PA with the International Physical Activity Questionnaire and secondary outcomes included stages of change and social support to PA practice. Data collection Participant-level data were collected via questionnaires at baseline, and at months 3, 9 and 15. Blinding The study statistician and research assessors were blinded to group allocation. Results Compared with usual care, follow-up data at month 15 for the ERS group showed a significant increase of self-reported PA (IG: 1373±1845metabolic equivalents (MET) min/week, n=195; CG: 919±1454MET min/week, n=144; P=0.009). Higher adherence (in terms of a more active stage of change) was associated with higher PA level at baseline and with social support. Conclusions Prescription from ordinary primary care centres staff yielded adherence to PA practice in the long term. An innovative ERS linked to community resources and enhancing social support had shown to be sustainable in the long term. Trial registration number NCT00714831; Results.eng
dc.format.extent10 p.cat
dc.language.isoengcat
dc.publisherBMJ Publishing Groupcat
dc.relation.ispartofBMJ Open 2018;8:e017211cat
dc.rights© L'autor/a
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.sourceRECERCAT (Dipòsit de la Recerca de Catalunya)
dc.subject.otherExercici físiccat
dc.subject.otherAtenció primàriacat
dc.titleA new model of exercise referral scheme in primary care: is the effect on adherence to physical activity sustainable in the long term? A 15-month randomised controlled trialcat
dc.typeinfo:eu-repo/semantics/articlecat
dc.typeinfo:eu-repo/semantics/publishedVersioncat
dc.rights.accessLevelinfo:eu-repo/semantics/openAccess
dc.embargo.termscapcat
dc.identifier.doidoi:10.1136/ bmjopen-2017-017211cat


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