Randomised controlled trial of an augmented exercise referral scheme using web-based behavioural support for inactive adults with chronic health conditions: the e-coachER trial.
dc.contributor.author | Taylor, Adrian | |
dc.contributor.author | Taylor, RS | |
dc.contributor.author | Ingram, Wendy | |
dc.contributor.author | Dean, SG | |
dc.contributor.author | Jolly, K | |
dc.contributor.author | Mutrie, N | |
dc.contributor.author | Lambert, J | |
dc.contributor.author | Yardley, L | |
dc.contributor.author | Streeter, Adam | |
dc.contributor.author | Greaves, C | |
dc.contributor.author | McAdam, C | |
dc.contributor.author | Price, L | |
dc.contributor.author | Anokye, NK | |
dc.contributor.author | Campbell, J | |
dc.date.accessioned | 2021-01-14T11:59:04Z | |
dc.date.issued | 2020-11-27 | |
dc.identifier.issn | 0306-3674 | |
dc.identifier.issn | 1473-0480 | |
dc.identifier.uri | http://hdl.handle.net/10026.1/16800 | |
dc.description.abstract |
OBJECTIVE: To determine whether adding web-based support (e-coachER) to an exercise referral scheme (ERS) increases objectively assessed physical activity (PA). DESIGN: Multicentre trial with participants randomised to usual ERS alone (control) or usual ERS plus e-coachER (intervention). SETTING: Primary care and ERS in three UK sites from 2015 to 2018. PARTICIPANTS: 450 inactive ERS referees with chronic health conditions. INTERVENTIONS: Participants received a pedometer, PA recording sheets and a user guide for the web-based support. e-coachER interactively encouraged the use of the ERS and other PA options. MAIN OUTCOME MEASURES: Primary and key secondary outcomes were: objective moderate-to-vigorous PA (MVPA) minutes (in ≥10 min bouts and without bouts), respectively, after 12 months. Secondary outcomes were: other accelerometer-derived and self-reported PA measures, ERS attendance, EQ-5D-5L, Hospital Anxiety and Depression Scale and beliefs about PA. All outcomes were collected at baseline, 4 and 12 months. Primary analysis was an intention to treat comparison between intervention and control arms at 12-month follow-up. RESULTS: There was no significant effect of the intervention on weekly MVPA at 12 months between the groups recorded in ≥10 min bouts (mean difference 11.8 min of MVPA, 95% CI: -2.1 to 26.0; p=0.10) or without bouts (mean difference 13.7 min of MVPA, 95% CI: -26.8 to 54.2; p=0.51) for 232 participants with usable data. There was no difference in the primary or secondary PA outcomes at 4 or 12 months. CONCLUSION: Augmenting ERS referrals with web-based behavioural support had only a weak, non-significant effect on MVPA. TRIAL REGISTRATION NUMBER: ISRCTN15644451. | |
dc.format.extent | 444-+ | |
dc.format.medium | Print-Electronic | |
dc.language | eng | |
dc.language.iso | eng | |
dc.subject | accelerometer | |
dc.subject | behaviour | |
dc.subject | chronic | |
dc.subject | physical activity | |
dc.subject | primary care | |
dc.title | Randomised controlled trial of an augmented exercise referral scheme using web-based behavioural support for inactive adults with chronic health conditions: the e-coachER trial. | |
dc.type | journal-article | |
dc.type | Journal Article | |
dc.type | Multicenter Study | |
dc.type | Randomized Controlled Trial | |
plymouth.author-url | https://www.ncbi.nlm.nih.gov/pubmed/33247001 | |
plymouth.issue | 8 | |
plymouth.volume | 55 | |
plymouth.publisher-url | https://bjsm.bmj.com/content/early/2020/11/24/bjsports-2020-103121 | |
plymouth.publication-status | Published | |
plymouth.journal | Br J Sports Med | |
dc.identifier.doi | 10.1136/bjsports-2020-103121 | |
plymouth.organisational-group | /Plymouth | |
plymouth.organisational-group | /Plymouth/Faculty of Health | |
plymouth.organisational-group | /Plymouth/Faculty of Health/Peninsula Medical School | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy | |
plymouth.organisational-group | /Plymouth/Research Groups | |
plymouth.organisational-group | /Plymouth/Research Groups/FoH - Community and Primary Care | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Health and Community | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED) | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS | |
plymouth.organisational-group | /Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR) | |
plymouth.organisational-group | /Plymouth/Users by role | |
plymouth.organisational-group | /Plymouth/Users by role/Academics | |
plymouth.organisational-group | /Plymouth/Users by role/Researchers in ResearchFish submission | |
dc.publisher.place | England | |
dcterms.dateAccepted | 2020-11-05 | |
dc.rights.embargodate | 2021-1-16 | |
dc.identifier.eissn | 1473-0480 | |
dc.rights.embargoperiod | Not known | |
rioxxterms.funder | National Institute for Health Research | |
rioxxterms.identifier.project | A multi-centred RCT of an augmented exercise referral scheme using web-based behavioural support in individuals with metabolic, musculo-skeletal and mental health conditions. | |
rioxxterms.versionofrecord | 10.1136/bjsports-2020-103121 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.licenseref.startdate | 2020-11-27 | |
rioxxterms.type | Journal Article/Review | |
plymouth.funder | A multi-centred RCT of an augmented exercise referral scheme using web-based behavioural support in individuals with metabolic, musculo-skeletal and mental health conditions.::National Institute for Health Research |