Randomised controlled trial of an augmented exercise referral scheme using web-based behavioural support for inactive adults with chronic health conditions: the e-coachER trial

Adrian Taylor, Rod Taylor, Wendy Ingram, Sarah Dean, Kate Jolly, Nanette Mutrie, Jeffrey Lambert, Lucy Yardley, Adam Streeter, Colin Greaves, Chloe McAdam, Lisa Price, Nana Anokye, John Campbell

Research output: Contribution to journalArticlepeer-review

Abstract

ABSTRACT Objective To determine whether adding web-based support (e-coachER) to an exercise referral scheme (ERS) increases objectively assessed physical activity (PA). Design Multicentre trial with participants randomised
to usual ERS alone (control) or usual ERS plus e-coachER (intervention). Setting Primary care and ERS in three UK sites from 2015 to 2018. Participants 450 inactive ERS referees with chronic health conditions. Interventions Participants received a pedometer, PA recording sheets and a user guide for the web-based support. e-coachER interactively encouraged the use of the ERS and other PA options. Main outcome measures Primary and key secondary outcomes were: objective moderate-to-vigorous PA (MVPA) minutes (in ≥10min bouts and without bouts), respectively, after 12 months. Secondary outcomes were: other accelerometer-derived and self-reported PA measures, ERS attendance, EQ-5D-5L, Hospital Anxiety and Depression Scale and beliefs about PA. All outcomes were collected at baseline, 4 and 12 months. Primary analysis was an intention to treat comparison between intervention and control arms at 12-month follow-up.
Results There was no significant effect of the intervention on weekly MVPA at 12 months between the groups recorded in ≥10min bouts (mean difference 11.8min of MVPA, 95%CI: −2.1 to 26.0; p=0.10) or
without bouts (mean difference 13.7min of MVPA,
95%CI: −26.8 to 54.2; p=0.51) for 232 participants
with usable data. There was no difference in the primary
or secondary PA outcomes at 4 or 12 months.
Conclusion Augmenting ERS referrals with web-based
behavioural support had only a weak, non-significant
effect on MVPA.
Trial registration number ISRCTN15644451.
Original languageEnglish
Pages (from-to)1
Number of pages8
JournalBritish Journal of Sports Medicine
DOIs
Publication statusAcceptance date - 5 Nov 2020

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