نبذة مختصرة : Background: Physical activity is of vital importance to older peoples' health. Physical activity intervention studies with older people often have low recruitment, yet little is known about non-participants. Methods:Patients aged 60-74 years from three UK general practices were invited to participate in a nurse-supported pedometer-based walking intervention. Demographic characteristics of 298 participants and 690 non-participants were compared. Health status and physical activity of 298 participants and 183 non-participants who completed a survey were compared using age, sex adjusted odds ratios (OR) (95% confidence intervals). 15 non-participants were interviewed to explore perceived barriers to participation. Results: Recruitment was 30% (298/988). Participants were more likely than non-participants to be female (54% v 47%; p = 0.04) and to live in affluent postcodes (73% v 62% in top quintile; p < 0.001). Participants were more likely than non-participants who completed the survey to have an occupational pension OR 2.06 (1.35-3.13), a limiting longstanding illness OR 1.72 (1.05-2.79) and less likely to report being active OR 0.55 (0.33-0.93) or walking fast OR 0.56 (0.37-0.84). Interviewees supported general practice-based physical activity studies, particularly walking, but barriers to participation included: already sufficiently active, reluctance to walk alone or at night, physical symptoms, depression, time constraints, trial equipment and duration. Conclusion: Gender and deprivation differences suggest some selection bias. However, trial participants reported more health problems and lower activity than non-participants who completed the survey, suggesting appropriate trial selection in a general practice population. Non-participant interviewees indicated that shorter interventions, addressing physical symptoms and promoting confidence in pursuing physical activity, might increase trial recruitment and uptake of practice-based physical activity endeavours.
Relation: Rogers A, Harris T, Victor CR, Woodcock A, Limb ES, Kerry SM, Iliffe S, Whincup PH, Ekelund U, Beighton C, Ussher M, Adams F & Cook DG (2014) Which older people decline participation in a primary care trial of physical activity and why: insights from a mixed methods approach. BMC Geriatrics, 14, Art. No.: 46. https://doi.org/10.1186/1471-2318-14-46; 46; http://hdl.handle.net/1893/27052; WOS:000335556400001; 2-s2.0-84899475625; 880483; http://dspace.stir.ac.uk/bitstream/1893/27052/1/Rogers%20et%20al.pdf
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