Gustavo Yuki, Luiz Hespanhol, Lisa Mohr, Adelle Kemlall Bhundoo, David Jiménez-Pavón, Bernhard Novak, Stefano Nuccio, Jose Daniel Jiménez García, Julian David Pillay, Lorenzo Rum, Celso Sánchez Ramírez, Lutz Vogt, Jan Wilke
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引用次数: 0
Abstract
Background: 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.
Methods: 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.
Results: 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.
Conclusion: 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.
背景：在线家庭锻炼为提高身体活动水平提供了机会。然而，在这类项目中，经常有高辍学率的报道。本研究旨在调查在线家庭锻炼计划退出的预测因素。方法：来自9个国家的760人参与了这项为期8周的前瞻性队列研究，该研究来源于一项随机对照试验。参与者被随机分为“4周直播运动->4周记录运动”组或“4周无干预->4周记录运动”组。使用每周问卷进行重复测量。分析疼痛强度、残疾、心理健康评分、运动动机、睡眠质量、冲动/焦虑和身体活动水平。结果：共有53.8%（95%置信区间[CI] 50.3%-57.3%）的参与者退出了该项目。确定的退出计划的预测因素是：考虑到前4周的基线幸福感（比值比[OR] 0.94, 95% CI 0.91-0.97）和残疾（比值比[OR] 1.02, 95% CI 1.002-1.04）；年龄(0.98;95% CI 0.96-1.00)和基线幸福感(0.93；95% CI 0.89-0.97)考虑整个随访（8周）；运动动机(0.92；95% CI 0.87至0.97)和一般冲动/焦虑(1.04；95% CI 1.01-1.07)随时间重复测量。结论：大约一半的参与者退出了在线家庭锻炼计划。心理健康和年龄的基线分数越高，预示着辍学的减少。较高的基线残疾预示着辍学率的增加。在随访期间，较高的运动动机与辍学减少有关，而较高的冲动和焦虑与辍学增加有关。
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