2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Exercise referral schemes (ERS) are internationally recognised, yet
|
|
|
|
|
|
|
|
|
|
little attention has been paid to discrete referral groups or the
|
|
|
|
|
|
|
|
|
|
influence of wider social determinants of health. The primary
|
|
|
|
|
|
|
|
|
|
quantitative element of this mixed methods study used a mixed effects
|
|
|
|
|
|
|
|
|
|
linear model to examine associations of sociodemographic predictors,
|
|
|
|
|
|
|
|
|
|
obesity class and profession of referrer on weight and physical activity
|
|
|
|
|
|
|
|
|
|
(PA) variables for weight-related referrals (n= 3624) to an established
|
|
|
|
|
|
|
|
|
|
24-week ERS. Chained equations modelling imputed missing data. The
|
|
|
|
|
|
|
|
|
|
embedded qualitative element (n= 7) used individual semi-structured
|
|
|
|
|
|
|
|
|
|
interviews to explore participant weight-related expectations and
|
|
|
|
|
|
|
|
|
|
experiences. Age, gender and profession of referrer influenced weight
|
|
|
|
|
|
|
|
|
|
loss. PA increased and was influenced by age and gender. The weight gap
|
|
|
|
|
|
|
|
|
|
between the most and least obese narrowed over time but the PA gap
|
|
|
|
|
|
|
|
|
|
between most and least widened. Age, employment and obesity class were
|
|
|
|
|
|
|
|
|
|
most predictive of missing data but would unlikely alter overall
|
|
|
|
|
|
|
|
|
|
conclusions. Qualitative themes were weight-loss support, personal
|
|
|
|
|
|
|
|
|
|
circumstances and strategies, and weight expectations versus wellbeing
|
|
|
|
|
|
|
|
|
|
rewards. This ERS worked, did not widen existing obesity inequalities,
|
|
|
|
|
|
|
|
|
|
but demonstrated evidence of PA inequalities for those living with
|
|
|
|
|
|
|
|
|
|
deprivation. To improve equity of experience, we recommend further
|
|
|
|
|
|
|
|
|
|
stakeholder dialogue around referral experience and ongoing support
|
|
|
|
|
|
|
|
|
|
needs.'
|
|
|
|
|
affiliation: 'Dodd-Reynolds, CJ (Corresponding Author), Univ Durham, Dept Sport \&
|
|
|
|
|
Exercise Sci, Durham DH1 3HN, England.
|
|
|
|
|
|
|
|
|
|
Dodd-Reynolds, CJ (Corresponding Author), Univ Durham, Wolfson Res Inst Hlth \&
|
|
|
|
|
Wellbeing, Phys Act Special Interest Grp, Durham DH1 3HN, England.
|
|
|
|
|
|
|
|
|
|
Dodd-Reynolds, CJ (Corresponding Author), Univ Durham, Durham Res Methods Ctr, Durham
|
|
|
|
|
DH1 3HN, England.
|
|
|
|
|
|
|
|
|
|
Dodd-Reynolds, Caroline J., Univ Durham, Dept Sport \& Exercise Sci, Durham DH1
|
|
|
|
|
3HN, England.
|
|
|
|
|
|
|
|
|
|
Dodd-Reynolds, Caroline J.; Kasim, Adetayo; Akhter, Nasima, Univ Durham, Wolfson
|
|
|
|
|
Res Inst Hlth \& Wellbeing, Phys Act Special Interest Grp, Durham DH1 3HN, England.
|
|
|
|
|
|
|
|
|
|
Dodd-Reynolds, Caroline J.; Vallis, Dimitris; Kasim, Adetayo, Univ Durham, Durham
|
|
|
|
|
Res Methods Ctr, Durham DH1 3HN, England.
|
|
|
|
|
|
|
|
|
|
Kasim, Adetayo; Akhter, Nasima, Univ Durham, Dept Anthropol, Durham DH1 3HN, England.
|
|
|
|
|
|
|
|
|
|
Hanson, Coral L., Edinburgh Napier Univ, Sch Hlth \& Social Care, Edinburgh EH11
|
|
|
|
|
4BN, Midlothian, Scotland.'
|
|
|
|
|
article-number: '5297'
|
|
|
|
|
author: Dodd-Reynolds, Caroline J. and Vallis, Dimitris and Kasim, Adetayo and Akhter,
|
|
|
|
|
Nasima and Hanson, Coral L.
|
|
|
|
|
author-email: 'caroline.dodd-reynolds@durham.ac.uk
|
|
|
|
|
|
|
|
|
|
dimitris.vallis@durham.ac.uk
|
|
|
|
|
|
|
|
|
|
a.s.kasim@durham.ac.uk
|
|
|
|
|
|
|
|
|
|
nasima.akhter@durham.ac.uk
|
|
|
|
|
|
|
|
|
|
c.hanson@napier.ac.uk'
|
|
|
|
|
author_list:
|
|
|
|
|
- family: Dodd-Reynolds
|
|
|
|
|
given: Caroline J.
|
|
|
|
|
- family: Vallis
|
|
|
|
|
given: Dimitris
|
|
|
|
|
- family: Kasim
|
|
|
|
|
given: Adetayo
|
|
|
|
|
- family: Akhter
|
|
|
|
|
given: Nasima
|
|
|
|
|
- family: Hanson
|
|
|
|
|
given: Coral L.
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
doi: 10.3390/ijerph17155297
|
|
|
|
|
eissn: 1660-4601
|
|
|
|
|
files: []
|
|
|
|
|
journal: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
|
|
|
|
|
keywords: 'exercise referral; obesity; physical activity; inequalities;
|
|
|
|
|
|
|
|
|
|
sociodemographic'
|
|
|
|
|
keywords-plus: 'PHYSICAL-ACTIVITY; PRIMARY-CARE; SOCIOECONOMIC POSITION;
|
|
|
|
|
|
|
|
|
|
COST-EFFECTIVENESS; PUBLIC-HEALTH; INTERVENTIONS; OBESITY; INEQUALITIES;
|
|
|
|
|
|
|
|
|
|
VALIDATION; PREDICTORS'
|
|
|
|
|
language: English
|
|
|
|
|
month: AUG
|
|
|
|
|
number: '15'
|
|
|
|
|
number-of-cited-references: '63'
|
|
|
|
|
orcid-numbers: 'Hanson, Coral L/0000-0003-1602-1968
|
|
|
|
|
|
|
|
|
|
Akhter, Nasima/0000-0002-5424-1593
|
|
|
|
|
|
|
|
|
|
Kasim, Adetayo Safiriyu/0000-0002-0411-3059
|
|
|
|
|
|
|
|
|
|
Dodd-Reynolds, Caroline/0000-0003-0670-8264'
|
|
|
|
|
papis_id: 3d0784520a11afb58c89134af7158c87
|
|
|
|
|
ref: Doddreynolds2020northumberlandexerci
|
|
|
|
|
researcherid-numbers: 'Hanson, Coral L/K-4215-2017
|
|
|
|
|
|
|
|
|
|
Akhter, Nasima/AAL-3670-2020
|
|
|
|
|
|
|
|
|
|
'
|
|
|
|
|
times-cited: '4'
|
|
|
|
|
title: 'The Northumberland Exercise Referral Scheme as a Universal Community Weight
|
|
|
|
|
Management Programme: A Mixed Methods Exploration of Outcomes, Expectations and
|
|
|
|
|
Experiences across a Social Gradient'
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000559216300001
|
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
|
usage-count-since-2013: '1'
|
|
|
|
|
volume: '17'
|
|
|
|
|
web-of-science-categories: Environmental Sciences; Public, Environmental \& Occupational
|
|
|
|
|
Health
|
|
|
|
|
year: '2020'
|
