dc.contributor.author | Rogers, A | en_US |
dc.contributor.author | Harris, T | en_US |
dc.contributor.author | Victor, C | en_US |
dc.contributor.author | Woodcock, A | en_US |
dc.contributor.author | Limb, E | en_US |
dc.contributor.author | Kerry, S | en_US |
dc.contributor.author | Iliffe, S | en_US |
dc.contributor.author | Whincup, P | en_US |
dc.contributor.author | Ekelund, U | en_US |
dc.contributor.author | Beighton, C | en_US |
dc.contributor.author | Ussher, M | en_US |
dc.contributor.author | Adams, F | en_US |
dc.contributor.author | Cook, DG | en_US |
dc.date.accessioned | 2015-02-16T10:50:01Z | |
dc.date.available | 2014-03-26 | en_US |
dc.date.issued | 2014-04-12 | en_US |
dc.identifier.uri | http://www.biomedcentral.com/1471-2318/14/46 | |
dc.identifier.uri | http://qmro.qmul.ac.uk/xmlui/handle/123456789/6519 | |
dc.description | © 2014 Rogers et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain
Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | |
dc.description.abstract | BACKGROUND: Physical activity is of vital importance to older peoples' health. Physical activity intervention studies with older people often have low recruitment, yet little is known about non-participants. METHODS: Patients aged 60-74 years from three UK general practices were invited to participate in a nurse-supported pedometer-based walking intervention. Demographic characteristics of 298 participants and 690 non-participants were compared. Health status and physical activity of 298 participants and 183 non-participants who completed a survey were compared using age, sex adjusted odds ratios (OR) (95% confidence intervals). 15 non-participants were interviewed to explore perceived barriers to participation. RESULTS: Recruitment was 30% (298/988). Participants were more likely than non-participants to be female (54% v 47%; p = 0.04) and to live in affluent postcodes (73% v 62% in top quintile; p < 0.001). Participants were more likely than non-participants who completed the survey to have an occupational pension OR 2.06 (1.35-3.13), a limiting longstanding illness OR 1.72 (1.05-2.79) and less likely to report being active OR 0.55 (0.33-0.93) or walking fast OR 0.56 (0.37-0.84). Interviewees supported general practice-based physical activity studies, particularly walking, but barriers to participation included: already sufficiently active, reluctance to walk alone or at night, physical symptoms, depression, time constraints, trial equipment and duration. CONCLUSION: Gender and deprivation differences suggest some selection bias. However, trial participants reported more health problems and lower activity than non-participants who completed the survey, suggesting appropriate trial selection in a general practice population. Non-participant interviewees indicated that shorter interventions, addressing physical symptoms and promoting confidence in pursuing physical activity, might increase trial recruitment and uptake of practice-based physical activity endeavours. | en_US |
dc.description.sponsorship | This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit Programme (Grant Reference Number PB-PG-0909-20055). | en_US |
dc.format.extent | 46 - ? | en_US |
dc.language | eng | en_US |
dc.language.iso | en | en_US |
dc.relation.ispartof | BMC Geriatr | en_US |
dc.subject | Aged | en_US |
dc.subject | Female | en_US |
dc.subject | Humans | en_US |
dc.subject | Male | en_US |
dc.subject | Middle Aged | en_US |
dc.subject | Motor Activity | en_US |
dc.subject | Patient Participation | en_US |
dc.subject | Primary Health Care | en_US |
dc.subject | Walking | en_US |
dc.title | Which older people decline participation in a primary care trial of physical activity and why: insights from a mixed methods approach. | en_US |
dc.type | Article | |
dc.identifier.doi | 10.1186/1471-2318-14-46 | en_US |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/24725730 | en_US |
pubs.notes | Not known | en_US |
pubs.publication-status | Published online | en_US |
pubs.volume | 14 | en_US |
dcterms.dateAccepted | 2014-03-26 | en_US |
qmul.funder | Randomised controlled trial of a pedometer and accelerometer based intervention combined with primary care physical activity consultations patients aged 60-74 years::National Institute of Health Research | en_US |