Rogers, A;
Harris, T;
Victor, C;
Woodcock, A;
Limb, E;
Kerry, S;
Iliffe, S;
Whincup, P;
Ekelund, U;
Beighton, C;
et al.
Rogers, A; Harris, T; Victor, C; Woodcock, A; Limb, E; Kerry, S; Iliffe, S; Whincup, P; Ekelund, U; Beighton, C; Ussher, M; Adams, F; Cook, DG
(2014)
Which older people decline participation in a primary care trial of physical activity and why: insights from a mixed methods approach.
BMC GERIATRICS, 14 (46).
ISSN 1471-2318
https://doi.org/10.1186/1471-2318-14-46
SGUL Authors: Cook, Derek Gordon Harris, Teresa Jane Kerry, Sally Margaret Limb, Elizabeth Sarah Ussher, Michael Henry Whincup, Peter Hynes
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Abstract
Background: Physical activity is of vital importance to older peoples’ health. Physical activity intervention studies with older people often have low recruitment, yet little is known about non-participants.
Methods: Patients aged 60–74 years from three UK general practices were invited to participate in a nurse-supported
pedometer-based walking intervention. Demographic characteristics of 298 participants and 690 non-participants
were compared. Health status and physical activity of 298 participants and 183 non-participants who completed a
survey were compared using age, sex adjusted odds ratios (OR) (95% confidence intervals). 15 non-participants
were interviewed to explore perceived barriers to participation.
Results: Recruitment was 30% (298/988). Participants were more likely than non-participants to be female (54% v 47%;
p = 0.04) and to live in affluent postcodes (73% v 62% in top quintile; p < 0.001). Participants were more likely
than non-participants who completed the survey to have an occupational pension OR 2.06 (1.35-3.13), a limiting
longstanding illness OR 1.72 (1.05-2.79) and less likely to report being active OR 0.55 (0.33-0.93) or walking fast
OR 0.56 (0.37-0.84). Interviewees supported general practice-based physical activity studies, particularly walking, but barriers to participation included: already sufficiently active, reluctance to walk alone or at night, physical symptoms, depression, time constraints, trial equipment and duration.
Conclusion: Gender and deprivation differences suggest some selection bias. However, trial participants reported
more health problems and lower activity than non-participants who completed the survey, suggesting appropriate trial selection in a general practice population. Non-participant interviewees indicated that shorter interventions, addressing physical symptoms and promoting confidence in pursuing physical activity, might increase trial recruitment and uptake of practice-based physical activity endeavours.
Item Type: |
Article
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Additional Information: |
Copyright: 2014 Rogers et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated |
Keywords: |
Science & Technology, Life Sciences & Biomedicine, Geriatrics & Gerontology, Gerontology, GERIATRICS & GERONTOLOGY, GERONTOLOGY, Physical activity, Non-participation, Primary care, Older people, Recruitment, RANDOMIZED CONTROLLED-TRIAL, EXERCISE ADHERENCE, ALAMEDA COUNTY, ADULTS, INTERVENTION, POPULATION, CHALLENGES, DEPRESSION, MOTIVATORS, BARRIERS, Geriatrics, 1103 Clinical Sciences |
SGUL Research Institute / Research Centre: |
Academic Structure > Population Health Research Institute (INPH) |
Journal or Publication Title: |
BMC GERIATRICS |
ISSN: |
1471-2318 |
Related URLs: |
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Dates: |
Date | Event |
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12 April 2014 | Published |
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Web of Science ID: |
WOS:000335556400001 |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/107077 |
Publisher's version: |
https://doi.org/10.1186/1471-2318-14-46 |
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