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Comparison of two modes of delivery of an exercise prescription scheme
journal contribution
posted on 2011-07-08, 00:00 authored by L Foley, Ralph MaddisonRalph Maddison, Z Jones, P Brown, A DavysAIM: Green Prescription (GRx) referrals from health professionals have been shown to be effective for increasing the physical activity levels of patients. Little is known about which methods of delivering the programme represents the best value for money. The purpose of this paper was to compare the cost and outcomes of two modes of delivery of a GRx programme. One mode offered phone support involving monthly telephone calls over a 3-4 month period to encourage physical activity participation. A second mode offered community support via weekly face-to-face support group meetings in which physical activities were offered. METHODS: The evaluation involved staff interviews, patient interviews and analysis of GRx records for the 2007 calendar year. RESULTS: There was a large rate of drop-out (68%) from GRx referral to registration. For those who registered, there was a clear preference for community support, and engagement of Maori and Pacific peoples was higher in this mode of delivery. The proportion (but not absolute number) of people who successfully completed their mode of delivery was higher with phone support. However, participants in community support self-reported a significantly greater number of days of exercise per week than those in phone support. The total expected cost per person for phone support was $102.07 and $108.15 for community support. A greater proportion of participants in community support were very satisfied overall with their mode of delivery. CONCLUSION: The two modes were comparable in cost and outcomes, though there was greater penetration of target ethnic populations in community support. Providing a choice of GRx mode of delivery allows participants to choose based on their personal and cultural needs.
History
Journal
New Zealand medical journalVolume
124Issue
1338Pagination
44 - 54Publisher
New Zealand Medical AssociationLocation
Wellington, New ZealandeISSN
1175-8716Language
engPublication classification
C Journal article; C1.1 Refereed article in a scholarly journalCopyright notice
2011, New Zealand Medical AssociationUsage metrics
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