Trial reportBMJ open2018
A new model of exercise referral scheme in primary care: is the effect on adherence to physical activity sustainable in the long term? A 15-month randomised controlled trial.
Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00714831 (Referral From Primary Health Care Centers to a Physical Activity Program), which is not on this map. Cited by 33 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Referral From Primary Health Care Centers to a Physical Activity Program: Establishing Long-Term Adherence? A Randomized Controlled Trial
Who cites it
33 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Are physical activity referral scheme components associated with increased physical activity, scheme uptake, and adherence rate? A meta-analysis and meta-regression.The international journal of behavioral nutrition and physical activity · 2024Pooled it
- A systematic review and narrative synthesis of physical activity referral schemes' components.The international journal of behavioral nutrition and physical activity · 2023Pooled it
- Functionality of Physical Activity Referral Schemes (PARS): A Systematic Review.Frontiers in public health · 2020Pooled it
- Exercise-Based Interventions to Enhance Long-Term Sustainability of Physical Activity in Older Adults: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.International journal of environmental research and public health · 2019Pooled it
- Attitudes Towards Sport in Early Adolescence: A Scale Adaptation Study for Sustainable Good Health and Well-Being.Healthcare (Basel, Switzerland) · 2026Article
- From theory into practice: insights from a real-world implementation model for tailored exercise prescription in chronic diseases.BMC sports science, medicine & rehabilitation · 2025Article
- Physical activity interventions for Asian Americans in cancer prevention and control: a scoping review.Cancer causes & control : CCC · 2025Article
- Better together: Service user and delivery staff experiences of the SPACES physical activity intervention for people with severe mental illness - a qualitative study of a feasibility trial.Mental health and physical activity · 2025Article
- Determining patient eligibility for a physical activity referral scheme through EHR data extraction.BMC medical informatics and decision making · 2025Article
- Referrals from Health Care Professionals to Community-Based Exercise Programmes Targeting People with Balance and Mobility Limitations: An Interviewer-Administered Survey.Physiotherapy Canada. Physiotherapie Canada · 2025Article
- Barriers and Predictors of Long-Term Physical Activity Maintenance: The STRRIDE I Reunion Cohort.Translational journal of the American College of Sports Medicine · 2025Article
- Article
- Effectiveness of a brief multicomponent intervention to improve physical activity level and functional capacity in fibromyalgia and chronic fatigue syndrome (Synchronize+).Frontiers in physiology · 2024Article
- State of the Art Physiotherapist-Led Approaches to Safe Aging in Place.Archives of physiotherapy · 2022Article
- Barriers and facilitators on the implementation of physical activity in Primary Health Care: A systematic review.Preventive medicine reports · 2022Review
- Impact of physical activity programs and services for older adults: a rapid review.The international journal of behavioral nutrition and physical activity · 2022Review
- Factors associated with increased physical activity among patients prescribed physical activity in Swedish routine health care including an offer of counselor support: a 1-year follow-up.BMC public health · 2022Observational
- Implementation of the EIRA 3 Intervention by Targeting Primary Health Care Practitioners: Effectiveness in Increasing Physical Activity.International journal of environmental research and public health · 2021Article
- Socioecological Factors Associated with an Urban Exercise Prescription Program for Under-Resourced Women: A Mixed Methods Community-Engaged Research Project.International journal of environmental research and public health · 2021Article
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionStudies had not yet overcome the most relevant barriers to physical activity (PA) adherence. An exercise referral scheme (ERS) with mechanisms to promote social support might enhance adherence to PA in the long term.
settingA randomised controlled trial in 10 primary care centres in Spain.
objectiveTo assess the effectiveness of a primary care-based ERS linked to municipal resources and enhancing social support and social participation in establishing adherence to PA among adults over a 15-month period.
participants422 insufficiently active participants suffering from at least one chronic condition were included. 220 patients (69.5 (8.4) years; 136 women) were randomly allocated to the intervention group (IG) and 202 (68.2 (8.9) years; 121 women) to the control group (CG).
interventionsThe IG went through a 12-week standardised ERS linked to community resources and with inclusion of mechanisms to enhance social support. The CG received usual care from their primary care practice. OUTCOMES: The main outcome measure was self-report PA with the International Physical Activity Questionnaire and secondary outcomes included stages of change and social support to PA practice. DATA COLLECTION: Participant-level data were collected via questionnaires at baseline, and at months 3, 9 and 15. BLINDING: The study statistician and research assessors were blinded to group allocation.
resultsCompared with usual care, follow-up data at month 15 for the ERS group showed a significant increase of self-reported PA (IG: 1373±1845 metabolic equivalents (MET) min/week, n=195; CG: 919±1454 MET min/week, n=144; P=0.009). Higher adherence (in terms of a more active stage of change) was associated with higher PA level at baseline and with social support.
conclusionsPrescription from ordinary primary care centres staff yielded adherence to PA practice in the long term. An innovative ERS linked to community resources and enhancing social support had shown to be sustainable in the long term. TRIAL REGISTRATION NUMBER: NCT00714831; Results.
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