Factors associated with patients self-reported adherence to prescribed physical activity in routine primary health care

BMC Fam Pract. 2010 May 19;11:38. doi: 10.1186/1471-2296-11-38.


Background: Written prescriptions of physical activity have increased in popularity. Such schemes have mostly been evaluated in terms of efficacy in clinical trials. This study reports on a physical activity prescription referral scheme implemented in routine primary health care (PHC) in Sweden. The aim of this study was to evaluate patients' self-reported adherence to physical activity prescriptions at 3 and 12 months and to analyse different characteristics associated with adherence to these prescriptions.

Methods: Prospective prescription data were obtained for the general population in 37 of 42 PHC centres in Ostergötland County, during 2004. The study population consisted of 3300.

Results: The average adherence rate to the prescribed activity was 56% at 3 months and 50% at 12 months. In the multiple logistic regression models, higher adherence was associated with higher activity level at baseline and with prescriptions including home-based activities.

Conclusions: Prescription from ordinary PHC staff yielded adherence in half of the patients in this PAR scheme follow-up.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Attitude of Health Personnel
  • Exercise Therapy* / methods
  • Female
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Patient Compliance / psychology*
  • Patient Compliance / statistics & numerical data
  • Practice Patterns, Physicians'
  • Primary Health Care*
  • Prospective Studies
  • Self Report*
  • Sweden
  • Time Factors