Who is not adhering to physical activity referrals, and why?

Figures & data

Table I. Descriptive statistics presenting results of the univariate logistic regression on non-adherence to PARs.

	Adherence		Non-adherence
	n	%	n	(%)	OR	95% CI	p-value for OR
Total (n = 4867)	3509	72	1358	28
Sex:							0.531
Female	2368	67	903	67	1.00
Male	1141	33	454	33	1.04	0.91–1.19
Age group (years):							0.012
18–29	161	5	70	5	1.22	0.90–1.66
30–44	639	18	300	22	1.32	1.09–1.59
45–64	1784	51	658	49	1.03	0.89–1.21
> 65	925	26	330	24	1.00
Activity level at baseline (7-day recall) (days):							< 0.001
0	833	28	542	44	2.10	1.75–2.52
1–2	929	29	330	27	1.21	1.00–1.48
3–4	604	19	142	12	0.80	0.64–1.02
5–7	759	24	222	18	1.00
Activity type:							< 0.001
Home-based activity	1,464	42	412	31	0.76	0.64–0.91
Facility-based activity	1,291	37	649	49	1.36	1.15–1.61
Combination of home-based and facility-based activities	715	21	265	20	1.00
Referral practitioner occupation:							0.260
Physician	1,194	35	488	37	1.18	0.98–1.42
Nurse	1,031	30	405	31	1.13	0.93–1.38
Physiotherapist	626	18	223	17	1.03	0.82–1.28
Other	605	18	210	16	1.00
Reason for prescription:							< 0.001
Sedentary lifestyle	113	3	48	4	1.09	0.75–1.56
Musculoskeletal disorder	746	21	292	22	1.00
Being overweight	292	8	111	8	0.97	0.75–1.26
Diabetes	365	10	91	7	0.64	0.49–0.83
High blood pressure	257	7	67	5	0.67	0.49–0.90
Cholesterol	22	1	10	1	1.16	0.54–2.48
Mental ill health	114	3	42	3	0.94	0.54–1.38
Other	124	4	30	2	0.62	0.41–0.94
Combination of reasons/diagnoses	1,476	42	667	49	1.16	0.98–1.36

Note: Data are presented as numbers (n) and proportions (%). P-values from the chi-squared test.

Table II. Results from the multiple logistic regression analysis on non-adherence to PARs.

	OR	95% CI	p-value
Sex			0.137
Age group			0.412
Activity level at baseline (7-day recall) (days):			< 0.001
0	2.01	1.67–2.42
1–2	1.20	0.98–1.46
3–4	0.80	0.63–1.02
5–7	1.00
Activity type:			< 0.001
Home-based activity	0.73	0.60–0.89
Facility-based activity	1.31	1.09–1.57
Combination of home-based and facility-based activities	1.00
Reason for prescription:			0.001
Sedentary lifestyle	1.07	0.71–1.60
Musculoskeletal disorder	1.00
Being overweight	1.00	0.76–1.33
Diabetes	0.85	0.62–1.16
High blood pressure	0.82	0.59–1.13
Cholesterol	1.42	0.63–3.20
Mental ill health	1.00	0.66–1.53
Other	0.66	0.42–1.04
Combination of reasons/diagnoses	1.29	1.07–1.55

Note: Results are adjusted for age and sex. P-values from the chi-squared test.

Table III. Descriptive statistics of reasons for non–adherence to PARs at follow-up, data are presented as numbers (n) and proportions (%).

		Main reason for non-adherence to PAR at follow-up (%)
	n	Sickness	Pain	Low motivation	No time	Economic factors	Other	p-value
Total	609	19	14	18	12	5	31
Sex:	608							0.05
Female	402	21	16	15	13	5	31
Male	206	15	12	24	12	5	32
Age group (years):	609							< 0.001
18–29	38	8	3	18	18	21	32
30–44	136	17	10	15	18	7	32
45–64	298	19	14	20	12	4	31
> 65	137	25	22	16	5	1	31
Activity level at baseline (7-day recall) (days):	558							0.054
0	289	20	14	22	9	5	30
1–2	143	14	13	22	15	7	29
3–4	40	18	15	12	18	2	35
5–7	86	21	13	7	21	5	34
Activity type:	597							0.001
Home-based activity	164	22	18	31	11	1	18
Facility-based activity	345	16	14	13	12	7	38
Combination of home-based and facility-based activities	88	24	13	15	17	3	28
Referral practitioner occupation:	585							0.112
Physician	253	17	15	16	16	5	31
Nurse	185	21	14	23	14	2	26
Physiotherapist	73	25	16	15	7	7	30
Other	74	19	12	19	5	9	35
Reason for prescription:	609							0.007
Sedentary lifestyle	37	11	19	13	11	11	35
Musculoskeletal disorder	133	21	23	10	7	7	32
Being overweight	73	12	7	25	11	3	42
Diabetes	44	18	20	16	14	2	30
High blood pressure	36	31	8	11	19	3	28
Cholesterol	6	0	17	17	17	0	50
Mental ill health	24	4	8	17	17	12	42
Other	12	25	0	33	0	8	33
Combination of reasons/diagnoses	244	21	13	22	14	4	25

Note: Data are presented as numbers (n) and proportions (%). P-values from the chi-squared test.