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Table 5 ERS uptake and adherence in mental health referrals

From: Evaluation of the uptake, retention and effectiveness of exercise referral schemes for the management of mental health conditions in primary care: a systematic review

Study details ERS information Outcome measure Results
1. Uptake
2. Adherence
Results in non-MH referrals (if applicable)
1. Uptake
2. Adherence
Harrison
2005 [27]
Routine practice
12 weeks leisure centre-based Attended first appointment 1. Attended first appointment
- MH = 280 (uptake 82.6%)
2. N/I
1. Attended first appointment
- C = 4945 (uptake 78.9%)
2. N/I
Crone 2008 [28]
Routine practice
8-12 weeks leisure centre-based Uptake
- Attended first session
Completed
- Attended ≥80% of scheduled sessions
1. Uptake
- MH = 79 (uptake 59.0%)
2. Completed
- MH = 29 (adherence 36.7%)
1. Uptake
- C = 1917 (uptake 69.3%)
2. Completed
- C = 935 (adherence 48.8%)
Chalder
2012 [29]
Trial
32 weeks regular face-to-face consultations and telephone calls Failed to attend
- Did not attend first ERS session
Received adequate dose
- Had ≥5 sessions
1. Failed to attend
- ERS group = 11 (uptake 94.5%)
2. Received adequate dose at 4 months
- ERS group = 102 (59.6% adherence)
Received adequate dose at 8 months
- ERS group = 129 (75.4% adherence)
Did not assess
Moore
2013 [31]
Trial
16 weeks leisure centre-based Did not enter
Partial attendance
(0-16 weeks)
Completed
1. Did not enter
- MH = 52 (uptake 83.2%)
2. Partial attendance
- MH = 152
Completed
- MH = 106 (adherence 41.1%)
1. Did not enter
- C = 109 (uptake 85.8%)
Adjusted OR 0.82 (95%CI 0.57 to 1.17)
2. Partial attendance
- C = 294
Completed
- C = 367 (adherence 55.5%)
Adjusted OR 0.57 (95%CI 0.43 to 0.75)
Forsyth
2015 [32]
Trial
12 weeks regular face-to-face consultations and telephone calls Declined referral
Discontinued participation
1. Declined referral
- ERS group = 9 (uptake 85.2%)
2. Discontinued participation
- ERS group = 21 (adherence 59.6%)
Did not assess
Tobi
2017 [33]
Routine practice
20-26 weeks leisure centre-based Adherence
- Attended ≥80% of scheduled sessions
- Two recorded progress assessments
1. N/I
2. Adherence
- MH = 53 (adherence 37.6%)
1. N/I
2. Adherence
- C = 263 (adherence 47.0%)
- Between group difference P = 0.04
Avery
2020 [34]
Routine practice
Unlimited number of in person or video link yoga classes Follow through/uptake
- Attendance at ≥1 yoga class
1. Uptake
- MH = 63 (uptake 42.3%)
Stress/anxiety (42%)
Depression (40%)
Post-traumatic stress disorder (45%)
2. N/I
1. Uptake
- C = 74 (uptake 27.1%)
2. N/I
Morgan
2020 [35]
Routine practice
16 weeks leisure centre-based Did not take up
Uptake
1. Uptake
- MH only = 4677 (54.4% uptake)
- MH+CHD = 3730 (61.9% uptake)
- All MH = 8407 (57.5% uptake)
2. N/I
1. Uptake
- C = 10,699 (67.7% uptake)
- OR 0.79, 95%CI 0.74 to 0.84
2. N/I
  1. * = information obtained from author, MH mental health, C comparator, ERS exercise referral scheme, N/I no information available, CHD coronary heart disease, SD standard deviation, OR odds ratio, CI confidence interval, P<0.05 = significant difference