Active HERE: Early-stage findings from an innovative intervention to increase physical activity in hard-to-engage rural/ semi-rural populations with complex health needs.
PHE ePoster Library. Rose P. Sep 12, 2017; 186593; 25
Peter Rose
Peter Rose
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Abstract BACKGROUND: With approximately 34,600 physically inactive adults in Herefordshire, ActiveHERE is a three-year programme to engage this population with physical activity, thereby reducing risk of preventable physical and mental morbidity.METHOD: ActiveHERE combines motivational interviewing, goal setting and signposting to engage inactive adults with suitable entry-level, locally-based sporting activities. The 12-week person-centred intervention is delivered independently from partner healthcare practitioners who refer target participants. Personal choice is offered by collaborating with a wide range of activity providers. A mixed-methods evaluation assesses ActiveHERE's impact on physical activity levels, well-being and self-efficacy.RESULTS: First-year results show ActiveHERE has successfully engaged mainly older, inactive adults living in rural/ semi-rural areas. Some 60% live with one or more chronic health conditions.Pre-post analysis found levels of physical activity increased between weeks 0-12 (p<.001). Weekly participation in sport increased (1%-71%), contributing to a seven-fold increase in median average MET-minutes of physical activity. Self-reported mental well-being and self-efficacy also increased between weeks 0-12 (p<.001).Qualitative analysis found participants were enabled to sustain increased physical activity through personalised support tailored to their often fluctuating and complex health needs. Increased social interaction was a highly valued secondary outcome, which participants reported enabled them to sustain physical activity over time and improved mental well-being. Many participants became motivated to make additional positive lifestyle changes, e.g. engaging with weight management services.CONCLUSIONS: Early findings indicate the ActiveHERE model reduces demographic health inequalities by increasing physical activity, mental well-being and self-efficacy in hard-to-engage groups. External funding details Sport England and Herefordshire Council Public Health
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