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Predictors of adherence to a physical activity counseling intervention delivered by exercise physiologists: secondary analysis of the NewCOACH trial data

机译：运动生理学家提供的参加体育锻炼咨询干预措施的预测指标：NewCOACH试验数据的二次分析

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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.
机译：背景：全科医生（GP）将时间作为体育锻炼咨询的障碍。在澳大利亚，时间不佳的全科医生的另一种选择是将活动不足的患者转介给运动生理学家（EP）。由于关于坚持体育锻炼咨询干预的预测指标的数据有限，因此本研究旨在确定依从性强的EP进行体育锻炼咨询干预的，缺乏积极性的初级保健患者的社会人口统计学，医学，健康和心理特征。方法：对来自NewCOACH随机试验的数据进行的第二次分析使用逻辑回归分析来确定依从性的预测因子，定义为依从性，定义为患者参与了五次体育锻炼咨询中至少四次。 EP提供了有关会议次数的信息，而其他潜在的预测因素则是从GP提供的自我管理的基线调查表和医学摘要表中获得的。结果：在132名转诊为EP的患者中，有102名（77％）依从：91名（69％）和11名（8.3％）分别参加了全部或除一次以外的所有疗程。在其余的患者中，七（5.3％）名患者参加了三届会议，七名（5.3％）参加了两届会议，五名（3.8％）参加了一届会议，而十一名（8.3％）未参加任何一届会议。与未从事有薪工作的人相比，退休的参加者的几率高出5.84倍（95％CI 1.46-23.4，P≤0.05）。坚持的几率1）随着积极结果期望得分的提高而增加（OR 1.89，95％CI 1.12–3.18，P≤0.05），2）随着转诊和初次咨询之间的持续时间（天）的增加而降低（OR 0.95，95％CI 0.92-0.98，P <0.01）。结论：超过四分之三的患者参加了所有或除一个疗程外的所有疗程。退休，积极的结果期望以及转诊和初次任命之间的等待时间较短，可以预测遵守情况。

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