FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4366990168> ?p ?o ?g. }

• W4366990168 abstract "Abstract Background Exercise Referral Schemes (ERSs) have been implemented across Western nations to stimulate an increase in adult physical activity but evidence of their effectiveness and cost-effectiveness is equivocal. Poor ERS uptake and adherence can have a negative impact on effectiveness and cost-effectiveness and, if patterned by socio-demographic factors, can also introduce or widen health inequalities. Different modes of ERS delivery have the potential to reduce costs and enhance uptake and adherence. This study aimed to examine 1) the effect of delivery mode, in addition to other socio-demographic and programme-related factors, on scheme uptake, adherence, and outcomes, and 2) the impact of delivery mode on expected resource and corresponding costs of delivering core parts of the programme. Methods This was an observational cohort study with cost analysis. Routine monitoring data covering a three-year period (2020–2022) from one large UK ERS (number of patients = 28,917) were analysed. During this period, in response to the Covid-19 pandemic, three different modes of delivery were operated in succession: face-to-face, remote, and modified (all sessions face-to-face, all remote, or a mixture of the two). Multi-level binary and linear regression were performed to examine the effect of mode of delivery and socio-demographic characteristics on uptake, adherence, physical activity, and a range of health outcomes. Cost data were sourced from regional-level coordinators and through NERS audits supplied by national-level NERS programme managers and summarised using descriptive statistics. Results In comparison to face-to-face delivery, the modified group had lower programme uptake and higher adherence, while the remote group had lower levels of adherence. There was a small positive effect on levels of physical activity measured at scheme completion with programme type having no effect on this. There were also small positive effects on all health outcomes examined, with evidence of remote delivery resulting in poorer average effects on heart rate and quality of life in comparison to face-to-face delivery. Being older and coming from an area of lower deprivation increased the likelihood of uptake and adherence, whereas being female increased the chance of uptake but was associated with lower adherence. Patients referred to the programme from secondary care were more likely to take up the programme than those referred from primary care for prevention purposes, however their attendance at exercise sessions was lower. There were small positive effects on all health outcomes examined, with evidence of remote delivery resulting in poorer average improvements in heart rate and quality of life in comparison to face-to-face delivery. Cost per participant for the full 16-week programme was substantially higher when content was delivered virtually than when it was delivered face-to-face. Conclusions This study strengthens existing evidence concerning the effect of socio-economic factors on ERS uptake and adherence and contributes new evidence concerning the effect of delivery mode. The findings direct the attention of ERS providers towards specific patient sub-groups who, if inequalities are to be addressed, require additional intervention to support uptake and adherence. At a time when providers may be considering alternative modes of delivery, these findings challenge expectations that implementing virtual delivery will necessarily lead to cost savings." @default.
• W4366990168 created "2023-04-27" @default.
• W4366990168 creator A5003950072 @default.
• W4366990168 creator A5008042369 @default.
• W4366990168 creator A5016180807 @default.
• W4366990168 creator A5021221208 @default.
• W4366990168 creator A5022464997 @default.
• W4366990168 creator A5023501787 @default.
• W4366990168 creator A5036535417 @default.
• W4366990168 creator A5038171281 @default.
• W4366990168 creator A5044906020 @default.
• W4366990168 creator A5054339023 @default.
• W4366990168 creator A5062844961 @default.
• W4366990168 creator A5073778572 @default.
• W4366990168 date "2023-04-25" @default.
• W4366990168 modified "2023-09-29" @default.
• W4366990168 title "Moving an exercise referral scheme to remote delivery during the Covid-19 pandemic: an observational study examining the impact on uptake, adherence, outcomes, and costs" @default.
• W4366990168 cites W1548648904 @default.
• W4366990168 cites W1967895464 @default.
• W4366990168 cites W1968484190 @default.
• W4366990168 cites W1987677590 @default.
• W4366990168 cites W2002039313 @default.
• W4366990168 cites W2002725916 @default.
• W4366990168 cites W2006656639 @default.
• W4366990168 cites W2040993620 @default.
• W4366990168 cites W2055371599 @default.
• W4366990168 cites W2062029309 @default.
• W4366990168 cites W2063456450 @default.
• W4366990168 cites W2090614132 @default.
• W4366990168 cites W2097776342 @default.
• W4366990168 cites W2113099380 @default.
• W4366990168 cites W2118385537 @default.
• W4366990168 cites W2119368397 @default.
• W4366990168 cites W2120209590 @default.
• W4366990168 cites W2122517769 @default.
• W4366990168 cites W2123051366 @default.
• W4366990168 cites W2126881613 @default.
• W4366990168 cites W2129228990 @default.
• W4366990168 cites W2136587958 @default.
• W4366990168 cites W2151198975 @default.
• W4366990168 cites W2157241396 @default.
• W4366990168 cites W2160292257 @default.
• W4366990168 cites W2168530338 @default.
• W4366990168 cites W2288431679 @default.
• W4366990168 cites W2619052117 @default.
• W4366990168 cites W2745710369 @default.
• W4366990168 cites W2798148638 @default.
• W4366990168 cites W2890695304 @default.
• W4366990168 cites W2905679147 @default.
• W4366990168 cites W2915042310 @default.
• W4366990168 cites W2924025384 @default.
• W4366990168 cites W2944916966 @default.
• W4366990168 cites W2978644324 @default.
• W4366990168 cites W3007347765 @default.
• W4366990168 cites W3033741229 @default.
• W4366990168 cites W3084173815 @default.
• W4366990168 cites W3153469886 @default.
• W4366990168 cites W3210923803 @default.
• W4366990168 doi "https://doi.org/10.21203/rs.3.rs-2670997/v1" @default.
• W4366990168 hasPublicationYear "2023" @default.
• W4366990168 type Work @default.
• W4366990168 citedByCount "0" @default.
• W4366990168 crossrefType "posted-content" @default.
• W4366990168 hasAuthorship W4366990168A5003950072 @default.
• W4366990168 hasAuthorship W4366990168A5008042369 @default.
• W4366990168 hasAuthorship W4366990168A5016180807 @default.
• W4366990168 hasAuthorship W4366990168A5021221208 @default.
• W4366990168 hasAuthorship W4366990168A5022464997 @default.
• W4366990168 hasAuthorship W4366990168A5023501787 @default.
• W4366990168 hasAuthorship W4366990168A5036535417 @default.
• W4366990168 hasAuthorship W4366990168A5038171281 @default.
• W4366990168 hasAuthorship W4366990168A5044906020 @default.
• W4366990168 hasAuthorship W4366990168A5054339023 @default.
• W4366990168 hasAuthorship W4366990168A5062844961 @default.
• W4366990168 hasAuthorship W4366990168A5073778572 @default.
• W4366990168 hasBestOaLocation W43669901681 @default.
• W4366990168 hasConcept C105795698 @default.
• W4366990168 hasConcept C112930515 @default.
• W4366990168 hasConcept C121955636 @default.
• W4366990168 hasConcept C142724271 @default.
• W4366990168 hasConcept C144133560 @default.
• W4366990168 hasConcept C199521495 @default.
• W4366990168 hasConcept C23131810 @default.
• W4366990168 hasConcept C2776135927 @default.
• W4366990168 hasConcept C2779134260 @default.
• W4366990168 hasConcept C3008058167 @default.
• W4366990168 hasConcept C3019080777 @default.
• W4366990168 hasConcept C33923547 @default.
• W4366990168 hasConcept C39896193 @default.
• W4366990168 hasConcept C512399662 @default.
• W4366990168 hasConcept C524204448 @default.
• W4366990168 hasConcept C71924100 @default.
• W4366990168 hasConcept C89623803 @default.
• W4366990168 hasConcept C99454951 @default.
• W4366990168 hasConceptScore W4366990168C105795698 @default.
• W4366990168 hasConceptScore W4366990168C112930515 @default.
• W4366990168 hasConceptScore W4366990168C121955636 @default.
• W4366990168 hasConceptScore W4366990168C142724271 @default.
• W4366990168 hasConceptScore W4366990168C144133560 @default.
• W4366990168 hasConceptScore W4366990168C199521495 @default.

• next