Strathprints Home | Open Access | Browse | Search | User area | Copyright | Help | Library Home | SUPrimo

Evaluation of a standard provision versus an autonomy promotive exercise referral programme : rationale and study design

Jolly, Kate and Duda, Joan L. and Daley, Amanda and Eves, Frank F. and Mutrie, Nanette and Ntoumanis, Nikos and Rouse, Peter C. and Lodhia, Rekha and Williams, Geoffrey C. (2009) Evaluation of a standard provision versus an autonomy promotive exercise referral programme : rationale and study design. BMC Public Health, 9 (176). -. ISSN 1471-2458

[img]
Preview
PDF (PMC_176_.pdf)
Download (281Kb) | Preview

    Abstract

    Background: The National Institute of Clinical Excellence in the UK has recommended that the effectiveness of ongoing exercise referral schemes to promote physical activity should be examined in research trials. Recent empirical evidence in health care and physical activity promotion contexts provides a foundation for testing the utility of a Self Determination Theory (SDT)-based exercise referral consultation. Methods/Design: Design: An exploratory cluster randomised controlled trial comparing standard provision exercise on prescription with a Self Determination Theory-based (SDT) exercise on prescription intervention. Participants: 347 people referred to the Birmingham Exercise on Prescription scheme between November 2007 and July 2008. The 13 exercise on prescription sites in Birmingham were randomised to current practice (n = 7) or to the SDT-based intervention (n = 6). Outcomes measured at 3 and 6-months: Minutes of moderate or vigorous physical activity per week assessed using the 7-day Physical Activity Recall; physical health: blood pressure and weight; health status measured using the Dartmouth CO-OP charts; anxiety and depression measured by the Hospital Anxiety and Depression Scale and vitality measured by the subjective vitality score; motivation and processes of change: perceptions of autonomy support from the advisor, satisfaction of the needs for competence, autonomy, and relatedness via physical activity, and motivational regulations for exercise. Discussion: This trial will determine whether an exercise referral programme based on Self Determination Theory increases physical activity and other health outcomes compared to a standard programme and will test the underlying SDT-based process model (perceived autonomy support, need satisfaction, motivation regulations, outcomes) via structural equation modelling. Trial registration: The trial is registered as Current Controlled trials ISRCTN07682833.

    Item type: Article
    ID code: 27348
    Keywords: standard provision, autonomy promotive exercise referral programme, study design, Sports Medicine, Public Health, Environmental and Occupational Health
    Subjects: Medicine > Internal medicine > Sports Medicine
    Department: Faculty of Humanities and Social Sciences (HaSS) > School of Psychological Science and Health > Physical Activity for Health
    Related URLs:
      Depositing user: Mr Stewart Smith
      Date Deposited: 06 Sep 2010 17:23
      Last modified: 05 Sep 2014 13:18
      URI: http://strathprints.strath.ac.uk/id/eprint/27348

      Actions (login required)

      View Item

      Fulltext Downloads: