Attendance of exercise referral schemes in the UK: a systematic review.
Attendance of exercise referral schemes in the UK: a systematic review.
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DOI：
10.1177/001789690506400208
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发表时间：
2005-01-01
影响因子：
1.3
通讯作者：
James, D.
中科院分区：
文献类型：
--
作者：
Gidlow, C.;Johnston, L. H.;James, D.
本系统综述的目的是探讨英国运动转诊计划（ERS）的出席情况，参加者，参与者退出计划的原因，并比较现有ERS与随机对照试验（RCT）的评价。对主要数据库进行了检索，以确定调查ERS干预措施的研究，这些研究基于英国的初级保健，报告了与就诊相关的结果，并发表在同行评议的期刊上。现有ERS的5项评价和4项RCT符合纳入标准。参与者招募方法是两种类型研究之间唯一显著的差异。在随机对照试验和评价中，转诊率和就诊率各不相同，但相当。出席率普遍很低;约80%接受转介的参与者在方案结束前退出。接受转诊的妇女多于男子（60%对40%），但没有证据表明妇女的就诊率更高。报告的参与者特征中没有一个与出勤率一致相关。参加者的减员和负面评论的大多数原因与参加休闲设施有关的实际问题有关。本次审查突出了紧急救济系统的高减员率。然而，对出勤率的衡量和报告不佳，以及参与者概况分析不充分，使我们无法确定人口中哪些部分最有可能出勤或辍学。从转诊开始的适当数据收集方案将使我们能够了解ERS对哪些人是成功的。
The aims of this systematic review were to explore the attendance of UK exercise referral schemes (ERS), who attends them, why participants drop out of schemes, and to compare evaluations of existing ERS with randomized controlled trials (RCTs). A search of major databases was conducted to identify studies investigating ERS interventions that were based in primary care in the UK, reported attendance-related outcomes, and were published in peer-reviewed journals. Five evaluations of existing ERS and four RCTs met the inclusion criteria. Method of participant recruitment was the only marked difference between the two types of study. In RCTs and evaluations, rates of referral uptake and attendance were varied but comparable. Attendance was generally poor; approximately 80% of participants who took up referral dropped out before the end of the programmes. More women than men took up referral (60% vs. 40%), but there was no evidence of higher attendance in women. None of the participant characteristics reported were consistently associated with attendance. Most of the reasons for attrition and negative comments from participants related to practical problems associated with attending leisure facilities. The present review highlighted a high level of attrition in ERS. However, poor measurement and reporting of attendance, and inadequate participant profiling, prevented us from identifying which sections of the population were most likely to attend or drop out. Adequate data collection regimens, beginning at the point of referral would enable us to learn whom exactly ERS are proving successful for.