Please use this identifier to cite or link to this item: http://buratest.brunel.ac.uk/handle/2438/8328
Title: Which older people decline participation in a primary care trial of physical activity and why: insights from a mixed methods approach
Authors: Rogers, A
Harris, T
Victor, CR
Woodcock, A
Limb, E
Kerry, S
Iliffe, S
Whincup, P
Ekelund, U
Beighton, C
Ussher, M
Adams, F
Cook, DG
Keywords: Physical activity;Non-participation;Primary care;Older people;Recruitment
Issue Date: 2014
Publisher: BioMed Central
Citation: BMC Geriatrics, 14: Article 46, Apr 2014
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.
Description: This article is available through the Brunel Open Access Publishing Fund. Copyright 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.
URI: http://www.biomedcentral.com/1471-2318/14/46
http://bura.brunel.ac.uk/handle/2438/8328
DOI: http://dx.doi.org/10.1186/1471-2318-14-46
ISSN: 1471-2318
Appears in Collections:Community Health and Public Health
Brunel OA Publishing Fund
Dept of Clinical Sciences Research Papers

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