Predictors of adherence to a physical activity counseling intervention delivered by exercise physiologists: secondary analysis of the NewCOACH trial data
Natalie A Johnson,1–4 Ben Ewald,1–4 Ronald C Plotnikoff,3 Fiona G Stacey,1–4 Wendy J Brown,5 Mark Jones,1,4 Elizabeth G Holliday,1,4 Erica L James1–4 1School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NS...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2018-11-01
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| Series: | Patient Preference and Adherence |
| Subjects: | |
| Online Access: | https://www.dovepress.com/predictors-of-adherence-to-a-physical-activity-counseling-intervention-peer-reviewed-article-PPA |
| _version_ | 1818282246673530880 |
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| author | Johnson NA Ewald B Plotnikoff RC Stacey FG Brown WJ Jones M Holliday EG James EL |
| author_facet | Johnson NA Ewald B Plotnikoff RC Stacey FG Brown WJ Jones M Holliday EG James EL |
| author_sort | Johnson NA |
| collection | DOAJ |
| description | Natalie A Johnson,1–4 Ben Ewald,1–4 Ronald C Plotnikoff,3 Fiona G Stacey,1–4 Wendy J Brown,5 Mark Jones,1,4 Elizabeth G Holliday,1,4 Erica L James1–4 1School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia; 2Priority Research Centre in Health Behaviour, University of Newcastle, NSW, Australia; 3Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, NSW, Australia; 4Hunter Medical Research Institute, New Lambton Heights, NSW, Australia; 5Centre for Research on Exercise, Physical Activity and Health, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia Background: General practitioners (GPs) cite time as a barrier to physical activity counseling. An alternative for time-poor GPs in Australia is the referral of insufficiently active patients to exercise physiologists (EPs). As data on the predictors of adherence to physical activity counseling interventions are limited, this study aimed to identify the sociodemographic, medical, health, and psychological characteristics of insufficiently active primary care patients who adhered to a physical activity counseling intervention delivered by EPs. Methods: This secondary analysis of data from the NewCOACH randomized trial used logistic regression to identify predictors of adherence, defined as patient participation in at least four of the five physical activity counseling sessions. EPs provided information about the number of sessions, while other potential predictors were obtained from the self-administered baseline questionnaire and medical summary sheets provided by the GPs. Results: Of the 132 patients referred to an EP, 102 (77%) were adherent: 91 (69%) and eleven (8.3%) participated in all, or all but one, of the sessions, respectively. Of the remainder, seven (5.3%) patients participated in three sessions, seven (5.3%) participated in two sessions, five (3.8%) participated in one session, and eleven (8.3%) did not participate in any session. The odds of being adherent were 5.84 (95% CI 1.46–23.4, P≤0.05) times higher among retired participants than in those who were not in paid employment. The odds of being adherent 1) increased as the positive outcome expectation score increased (OR 1.89, 95% CI 1.12–3.18, P≤0.05) and 2) decreased as the duration (days) between referral and the initial counseling session increased (OR 0.95, 95% CI 0.92–0.98, P<0.01). Conclusion: More than three quarters of the patients participated in all, or all but one, of the sessions. Being retired, positive outcome expectations, and having a shorter wait between referral and the initial appointment predicted adherence. Keywords: insufficiently active, adherence, predictors, primary care, exercise physiologist, patients |
| first_indexed | 2024-12-13T00:17:58Z |
| format | Article |
| id | doaj.art-c584e2e8d4a64b9ea4ecd765e89b248c |
| institution | Directory Open Access Journal |
| issn | 1177-889X |
| language | English |
| last_indexed | 2024-12-13T00:17:58Z |
| publishDate | 2018-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj.art-c584e2e8d4a64b9ea4ecd765e89b248c2022-12-22T00:05:43ZengDove Medical PressPatient Preference and Adherence1177-889X2018-11-01Volume 122537254342700Predictors of adherence to a physical activity counseling intervention delivered by exercise physiologists: secondary analysis of the NewCOACH trial dataJohnson NAEwald BPlotnikoff RCStacey FGBrown WJJones MHolliday EGJames ELNatalie A Johnson,1–4 Ben Ewald,1–4 Ronald C Plotnikoff,3 Fiona G Stacey,1–4 Wendy J Brown,5 Mark Jones,1,4 Elizabeth G Holliday,1,4 Erica L James1–4 1School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia; 2Priority Research Centre in Health Behaviour, University of Newcastle, NSW, Australia; 3Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, NSW, Australia; 4Hunter Medical Research Institute, New Lambton Heights, NSW, Australia; 5Centre for Research on Exercise, Physical Activity and Health, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia Background: General practitioners (GPs) cite time as a barrier to physical activity counseling. An alternative for time-poor GPs in Australia is the referral of insufficiently active patients to exercise physiologists (EPs). As data on the predictors of adherence to physical activity counseling interventions are limited, this study aimed to identify the sociodemographic, medical, health, and psychological characteristics of insufficiently active primary care patients who adhered to a physical activity counseling intervention delivered by EPs. Methods: This secondary analysis of data from the NewCOACH randomized trial used logistic regression to identify predictors of adherence, defined as patient participation in at least four of the five physical activity counseling sessions. EPs provided information about the number of sessions, while other potential predictors were obtained from the self-administered baseline questionnaire and medical summary sheets provided by the GPs. Results: Of the 132 patients referred to an EP, 102 (77%) were adherent: 91 (69%) and eleven (8.3%) participated in all, or all but one, of the sessions, respectively. Of the remainder, seven (5.3%) patients participated in three sessions, seven (5.3%) participated in two sessions, five (3.8%) participated in one session, and eleven (8.3%) did not participate in any session. The odds of being adherent were 5.84 (95% CI 1.46–23.4, P≤0.05) times higher among retired participants than in those who were not in paid employment. The odds of being adherent 1) increased as the positive outcome expectation score increased (OR 1.89, 95% CI 1.12–3.18, P≤0.05) and 2) decreased as the duration (days) between referral and the initial counseling session increased (OR 0.95, 95% CI 0.92–0.98, P<0.01). Conclusion: More than three quarters of the patients participated in all, or all but one, of the sessions. Being retired, positive outcome expectations, and having a shorter wait between referral and the initial appointment predicted adherence. Keywords: insufficiently active, adherence, predictors, primary care, exercise physiologist, patientshttps://www.dovepress.com/predictors-of-adherence-to-a-physical-activity-counseling-intervention-peer-reviewed-article-PPAphysical activityadherencepredictorsprimary careexercise physiologistcounseling |
| spellingShingle | Johnson NA Ewald B Plotnikoff RC Stacey FG Brown WJ Jones M Holliday EG James EL Predictors of adherence to a physical activity counseling intervention delivered by exercise physiologists: secondary analysis of the NewCOACH trial data Patient Preference and Adherence physical activity adherence predictors primary care exercise physiologist counseling |
| title | Predictors of adherence to a physical activity counseling intervention delivered by exercise physiologists: secondary analysis of the NewCOACH trial data |
| title_full | Predictors of adherence to a physical activity counseling intervention delivered by exercise physiologists: secondary analysis of the NewCOACH trial data |
| title_fullStr | Predictors of adherence to a physical activity counseling intervention delivered by exercise physiologists: secondary analysis of the NewCOACH trial data |
| title_full_unstemmed | Predictors of adherence to a physical activity counseling intervention delivered by exercise physiologists: secondary analysis of the NewCOACH trial data |
| title_short | Predictors of adherence to a physical activity counseling intervention delivered by exercise physiologists: secondary analysis of the NewCOACH trial data |
| title_sort | predictors of adherence to a physical activity counseling intervention delivered by exercise physiologists secondary analysis of the newcoach trial data |
| topic | physical activity adherence predictors primary care exercise physiologist counseling |
| url | https://www.dovepress.com/predictors-of-adherence-to-a-physical-activity-counseling-intervention-peer-reviewed-article-PPA |
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