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

Kate Jolly, Joan L. Duda, Amanda Daley, Frank F. Eves, Nanette Mutrie, Nikos Ntoumanis, Peter C. Rouse, Rekha Lodhia, Geoffrey C. Williams

Research output: Contribution to journalArticle

24 Citations (Scopus)

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.

LanguageEnglish
Article number176
Pages-
Number of pages9
JournalBMC Public Health
Volume9
DOIs
Publication statusPublished - 8 Jun 2009

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Personal Autonomy
Referral and Consultation
Prescriptions
Motivation
Anxiety
Depression
Health
Carbon Monoxide
Mental Competency
Health Status
Randomized Controlled Trials
Blood Pressure
Delivery of Health Care
Weights and Measures
Research

Keywords

  • standard provision
  • autonomy promotive exercise referral programme
  • study design

Cite this

Jolly, K., Duda, J. L., Daley, A., Eves, F. F., Mutrie, N., Ntoumanis, N., ... Williams, G. C. (2009). Evaluation of a standard provision versus an autonomy promotive exercise referral programme: rationale and study design. BMC Public Health, 9, -. [176]. https://doi.org/10.1186/1471-2458-9-176
Jolly, Kate ; Duda, Joan L. ; Daley, Amanda ; Eves, Frank F. ; Mutrie, Nanette ; Ntoumanis, Nikos ; Rouse, Peter C. ; Lodhia, Rekha ; Williams, Geoffrey C. / Evaluation of a standard provision versus an autonomy promotive exercise referral programme : rationale and study design. In: BMC Public Health. 2009 ; Vol. 9. pp. -.
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Jolly, K, Duda, JL, Daley, A, Eves, FF, Mutrie, N, Ntoumanis, N, Rouse, PC, Lodhia, R & Williams, GC 2009, 'Evaluation of a standard provision versus an autonomy promotive exercise referral programme: rationale and study design' BMC Public Health, vol. 9, 176, pp. -. https://doi.org/10.1186/1471-2458-9-176

Evaluation of a standard provision versus an autonomy promotive exercise referral programme : rationale and study design. / Jolly, Kate; Duda, Joan L.; Daley, Amanda; Eves, Frank F.; Mutrie, Nanette; Ntoumanis, Nikos; Rouse, Peter C.; Lodhia, Rekha; Williams, Geoffrey C.

In: BMC Public Health, Vol. 9, 176, 08.06.2009, p. -.

Research output: Contribution to journalArticle

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T1 - Evaluation of a standard provision versus an autonomy promotive exercise referral programme

T2 - BMC Public Health

AU - Jolly, Kate

AU - Duda, Joan L.

AU - Daley, Amanda

AU - Eves, Frank F.

AU - Mutrie, Nanette

AU - Ntoumanis, Nikos

AU - Rouse, Peter C.

AU - Lodhia, Rekha

AU - Williams, Geoffrey C.

PY - 2009/6/8

Y1 - 2009/6/8

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.Trial registration: The trial is registered as Current Controlled trials ISRCTN07682833.

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.Trial registration: The trial is registered as Current Controlled trials ISRCTN07682833.

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KW - autonomy promotive exercise referral programme

KW - study design

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