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

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@article{0124723811cd4acd9583856ce6a45b6b,
title = "Evaluation of a standard provision versus an autonomy promotive exercise referral programme: rationale and study design",
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.",
keywords = "self-determination theory, physical-activity, dose-respoonse, subjective, validity, public health, weight loss, intervention, trial, scale, perspective",
author = "Catherine Jolly and Joan Duda and Amanda Daley and Francis Eves and N Mutrie and Nikolaos Ntoumanis and Peter Rouse and Rekha Lodhia and GC Williams",
year = "2009",
month = jan,
day = "1",
doi = "10.1186/1471-2458-9-176",
language = "English",
volume = "9",
pages = "176--184",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "Springer",
number = "1",

}

RIS

TY - JOUR

T1 - Evaluation of a standard provision versus an autonomy promotive exercise referral programme: rationale and study design

AU - Jolly, Catherine

AU - Duda, Joan

AU - Daley, Amanda

AU - Eves, Francis

AU - Mutrie, N

AU - Ntoumanis, Nikolaos

AU - Rouse, Peter

AU - Lodhia, Rekha

AU - Williams, GC

PY - 2009/1/1

Y1 - 2009/1/1

N2 - 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.

AB - 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.

KW - self-determination theory

KW - physical-activity

KW - dose-respoonse

KW - subjective

KW - validity

KW - public health

KW - weight loss

KW - intervention

KW - trial

KW - scale

KW - perspective

U2 - 10.1186/1471-2458-9-176

DO - 10.1186/1471-2458-9-176

M3 - Article

C2 - 19505293

VL - 9

SP - 176

EP - 184

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

ER -