Predictors of dropping out from a home tele-exercise programme: A cohort study derived from a randomised controlled trial.

Journal: Health promotion perspectives

Volume: 14

Issue: 3

Year of Publication: 

Affiliated Institutions:  Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), Sao Paulo, Brazil. Department of Physical Therapy, Faculty of Medicine, University of Sao Paulo (USP), Sao Paulo, Brazil. Department of Sports Medicine and Exercise Physiology, Goethe University Frankfurt, Frankfurt/Main, Germany. Department of Basic Medical Sciences, Durban University of Technology, South Africa. ImFine Research Group, Department of Health and Human Performance, Universidad Politécnica de Madrid; Exercise is Medicine, Spain. Institute of Human Movement Science, Sport and Health, University of Graz, Austria. Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy. Sciences of Physical Activity, Sports and Health School, University of Santiago of Chile (USACH), Chile.

Abstract summary 

Online home exercises represent opportunities to increase physical activity levels. However, high dropout rates are commonly reported in such programmes. This study aimed to investigate the predictors of dropping out from an online home exercise programme.A total of 760 individuals from nine countries participated in this 8-week prospective cohort study derived from a randomised controlled trial. The participants were randomised into "4-week live-streamed exercise ->4-week recorded exercise" or "4-week no intervention ->4-week recorded exercise" group. Repeated measurements using weekly questionnaires were performed. Pain intensity, disability, mental well-being score, exercise motivation, sleep quality, impulsiveness/anxiety, and physical activity level were analysed.A total of 53.8% (95% confidence interval [CI] 50.3%-57.3%) participants dropped out from the programme. The identified predictors of dropping out from the programme were: well-being (odds ratio [OR] 0.94, 95% CI 0.91-0.97) and disability (OR 1.02, 95% CI 1.002-1.04) at baseline considering the first 4 weeks; age (0.98; 95% CI 0.96-1.00) and baseline well-being (0.93; 95% CI 0.89-0.97) considering the entire follow-up (8 weeks); exercise motivation (0.92; 95% CI 0.87 to 0.97) and general impulsiveness/anxiety (1.04; 95% CI 1.01-1.07) repeated measured over time.About half of the participants dropped out from the online home exercise programme. Higher baseline scores in mental well-being and age predicted a reduction in dropping out. Higher baseline disability predicted an increase in dropping out. During the follow-up, higher exercise motivation was associated with a reduction in dropping out, and higher impulsiveness and anxiety were associated with an increase in dropping out.

Authors & Co-authors:  Yuki Gustavo G Hespanhol Luiz L Mohr Lisa L Bhundoo Adelle Kemlall AK Jiménez-Pavón David D Novak Bernhard B Nuccio Stefano S García Jose Daniel Jiménez JDJ Pillay Julian David JD Rum Lorenzo L Ramírez Celso Sánchez CS Vogt Lutz L Wilke Jan J

Study Outcome 

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Statistics
Citations :  Muellmann S, Forberger S, Möllers T, Bröring E, Zeeb H, Pischke CR. Effectiveness of eHealth interventions for the promotion of physical activity in older adults: a systematic review. Prev Med. 2018;108:93–110. doi: 10.1016/j.ypmed.2017.12.026.
Authors :  13
Identifiers
Doi : 10.34172/hpp.42935
SSN : 2228-6497
Study Population
Male,Female
Mesh Terms
Other Terms
Exercise;Health plan implementation;Implementation science;Social isolation;Telehealth
Study Design
Cohort Study
Study Approach
Country of Study
Publication Country
Iran