Exercise Referral in NHS Greater Glasgow and
Clyde: enhancing the scheme to achieve long
term behaviour change
Richard Forsyth, Health and Fitness Development Officer;
Fiona Hamilton, Health Improvement Senior;
Margaret McGranachan, Public Health Researcher;
Claire Rae; Live Active Senior Adviser;
Julie Truman, Senior Researcher;
Thanks to FMR for conducting fieldwork, analysis and report
About the scheme
• Aim – To improve the health of the Greater Glasgow
and Clyde population by
– Increasing physical activity levels by assisting participants to become
more active and supporting them to gain the knowledge tools and
confidence to lead a physically active life
– Behavioural physical activity intervention (12 month duration)
– Established 1997
– > 8,500 new referrals per annum
The enhancements
Central
administrator
The
enhancements
Motivator
First Steps
Data sources
Monitoring
Health
Professionals
Refer to the
scheme
Exercise
instructors
Completers
To identify
the impact of the
enhancements on
attrition and
outcomes
Exercise
counsellors
Leisure
centre
staff
Motivators
Non adherers
First Steps
Key findings
• Appropriate targeting of those furthest from regular exercise
• More likely to complete the scheme
• Benefits to BMI; HADS score; PAR and health state (but not
superior to participants attending the unenhanced scheme)
• Long term follow up was very positive
Health warning
• Data analysis based on 72 participants
• Telephone follow up of 30 completers
Motivator
Key findings
•
•
•
•
•
Appears to be targeted at the most challenging group
More likely to complete
Improvements to BMI, HADS, PAR and Health State
Favourable long term follow-up
Motivator experienced benefits
Health warning
• Date analysis of 149 participants
• Telephone interviews with 30 participants
Central Administrator
Key findings
•
•
•
•
•
Improved screening of referrals
More likely to attend 6 month appointment
Increased scheme capacity
Reduced burden on leisure centre reception staff
Flexible booking procedure and management
Lessons and limitations for the
scheme
Data quality
Central admin
capacity
Length of the
scheme
Lessons and
Limitations
Improve range
of outcome
measures
collected
Roll out of
enhancements
Further information
Julie Truman, Senior Researcher, NHSGGC
Tel 0141 201 4874
Email julie.truman@ggc.scot.nhs.uk
Richard Forsyth, Health and Fitness Development Officer, Glasgow
Life Tel 0141 287 0238, Email richard.forsyth@glasgow.gov.uk
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