Implementation and Effectiveness of a Community-based Exercise on Prescription Program for Adults With Chronic Diseases

Study Overview
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Brief Summary
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The objectives were (1) to evaluate the characteristics of the patients referred, and (2) the effect of a community-based Exercise on Prescription program on their physical capacities and their quality of life. The program consisted in 30 supervised physical activity (PA) group sessions (75 min) over a 4-month period and participant were prescribed the program by their doctors. The participants had chronic diseases among type 2 diabetes, mental disorders, musculoskeletal disorders, childhood and adult obesity and stabilized cardiovascular diseases. Tests and questionnaires were completed before and after the program. Physical tests were the 6-minute walk test, the timed up & go, the 30-s stand up chair, the single leg support test and the back scratch and toe-touch tests. Questionnaires were the self-administered Ricci and Gagnon questionnaire about PA level and the 12-Item Short Form Survey for measuring quality of life. Personal goal from the participants and medical objective from their doctors were collected before the program.

Official Title
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Implementation and Effectiveness of a Community-based Exercise on Prescription Program for Adults With Chronic Diseases

Conditions
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Prescription, Physical Activity, Chronic Disease

Intervention / Treatment
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* Other: Exercise prescription


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All participant referred to the Exercise on Prescription Program (Caen) Exclusion Criteria: French language not sufficiently read and/or spoken Lack of clear information on the study Alteration of higher functions or sensory disturbance making understanding and adherence to the research protocol impossible.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Exercise prescription|All individuals referred to the community-based Exercise on Prescription program|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 6MWT | The six minute walking test (distance in meters) | Change from Baseline 6MWT at the end of the program (4 months) | 
| TUG | The Timed up and Go (time in seconds) | Change from Baseline TUG at the end of the program (4 months) | 
| 30s Stand Up Chair | number of times the patient comes to a full standing position in 30 seconds (n) | Change from Baseline 30s Stand Up Chair at the end of the program (4 months) | 
| single leg stance test | length of time standing on one foot, right and left | Change from Baseline single leg stance test at the end of the program (4 months) | 
| left back scratch | Distance between one hand over the shoulder with the palm touching the back down and the other hand up the back from the waist with the palm facing outwards (in centimeters) | Change from Baseline left back scratch at the end of the program (4 months) | 
| toe-touch test | Distance from the fingers to the floor whil the participant is bending from the hips forward and try to touch the ends of the fingers to the tips of the toes | Change from Baseline toe-touch test at the end of the program (4 months) | 
| Ricci & Gagnon | self-administered Ricci and Gagnon questionnaire about physical activity profile (score over 45, greater for higher levels of physical activity) | Change from Baseline Ricci & Gagnon at the end of the program (4 months) | 
| SF12 | the 12-Item Short Form Survey (SF-12) for measuring quality of life, population mean 50; range 0-100, greater scores for better quality of life | Change from Baseline SF12 at the end of the program (4 months) | 
| Personal Goal | Personal goal from the participants were collected | Achievement of personal goal at the end of the program (4 months) | 
| Medical objective | Medical objective from the participants' doctors were collected | Achievement of medical goal at the end of the program (4 months) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Address | Individuals were asked whether or not they lived in priority areas | One assessment at the beginning, At enrollment | 
| Age | Individuals were asked about their age | One assessment at the beginning, At enrollment | 
| Body mass | Body mass (kg) was measured | One assessment at the beginning, At enrollment | 
| Height | Height (cm) was measured | One assessment at the beginning, At enrollment | 
| Chronic condition | The chronic condition for which individuals had been referred to the exercise program was collected. | One assessment at the beginning, At enrollment |