1. Exercise Referral in NHS Greater Glasgow and Clyde: enhancing the scheme to achieve long term behaviour change Richard Forsyth, Health and Fitness Development Officer; Fiona Hamilton, Health Improvement Senior; Margaret McGranachan, Public Health Researcher; Claire Rae; Live Active Senior Adviser; Julie Truman, Senior Researcher; Thanks to FMR for conducting fieldwork, analysis and report

2. About the scheme Aim – To improve the health of the Greater Glasgow and Clyde population by –Increasing physical activity levels by assisting participants to become more active and supporting them to gain the knowledge tools and confidence to lead a physically active life –Behavioural physical activity intervention (12 month duration) –Established 1997 –> 8,500 new referrals per annum

3. The enhancements The enhancements Central administrator First StepsMotivator

4. Data sources To identify the impact of the enhancements on attrition and outcomes MonitoringCompleters Leisure centre staff MotivatorsNon adherers Exercise counsellors Exercise instructors Health Professionals Refer to the scheme

5. First Steps Key findings Appropriate targeting of those furthest from regular exercise More likely to complete the scheme Benefits to BMI; HADS score; PAR and health state (but not superior to participants attending the unenhanced scheme) Long term follow up was very positive Health warning Data analysis based on 72 participants Telephone follow up of 30 completers

6. Motivator Key findings Appears to be targeted at the most challenging group More likely to complete Improvements to BMI, HADS, PAR and Health State Favourable long term follow-up Motivator experienced benefits Health warning Date analysis of 149 participants Telephone interviews with 30 participants

7. Central Administrator Key findings Improved screening of referrals More likely to attend 6 month appointment Increased scheme capacity Reduced burden on leisure centre reception staff Flexible booking procedure and management

8. Lessons and limitations for the scheme Lessons and Limitations Data quality Length of the scheme Roll out of enhancements Improve range of outcome measures collected Central admin capacity

9. Further information Julie Truman, Senior Researcher, NHSGGC Tel 0141 201 4874 Email julie.truman@ggc.scot.nhs.ukjulie.truman@ggc.scot.nhs.uk Richard Forsyth, Health and Fitness Development Officer, Glasgow Life Tel 0141 287 0238, Email richard.forsyth@glasgow.gov.ukrichard.forsyth@glasgow.gov.uk http://www.phru.net/rande/Shared%20Documents/Forms/Shared% 20Documents%20Custom%20View.aspx?RootFolder=%2frand e%2fShared%20Documents%2fReports&View=%7b8ABFA622 %2dEFFA%2d4E53%2d9A38%2d2B82C7DE7EF6%7d