Journal of Community Health

, Volume 39, Issue 6, pp 1179–1185

Utilization of a Free Fitness Center-Based Exercise Referral Program Among Women with Chronic Disease Risk Factors

  • Megan R. Waterman
  • John M. Wiecha
  • Jennifer Manne
  • Stephen M. Tringale
  • Elizabeth Costa
  • Jean L. Wiecha
Original Paper

DOI: 10.1007/s10900-014-9874-2

Cite this article as:
Waterman, M.R., Wiecha, J.M., Manne, J. et al. J Community Health (2014) 39: 1179. doi:10.1007/s10900-014-9874-2

Abstract

Physical activity (PA) reduces the risk for a number of chronic diseases including heart disease, hypertension, hyperlipidemia, and diabetes mellitus type 2. However, most Americans do not meet expert recommendations for exercise, and minorities and low-income persons are the most inactive. Community-based approaches to promoting PA include primary care exercise referral programs. This study examines patient characteristics associated with utilization of a community health center-based exercise referral program. Adult female patients of a community health center with an affiliated fitness center, in Boston, MA, were included in the study if they received a referral to the fitness center from their primary care provider. Demographic and medical information was abstracted from the medical chart, and fitness records were abstracted to measure activation of a fitness center membership (creation of an account denoting at least an initial visit) and utilization over time. Overall, 503 (40 %) of the 1,254 referred women in the study sample activated their membership. Black women were almost 60 % more likely to activate their membership (adjusted OR 1.6, 95 % CI 1.2–2.2), and women with higher co-morbidity counts were almost 45 % more likely to activate (adjusted OR 1.4, 95 % CI 1.0–2.0). Once activated, a minority of women participated at levels likely to improve cardiometabolic fitness. Of the 503 activations, 96 (19 %) had no participation, 359 (71 %) had low participation, and only 48 (10 %) had high participation. No independent predictors of participation were identified. These findings suggest that program design may benefit from developing activation, initial participation, and retention strategies that address population-specific barriers.

Keywords

Health behavior Exercise Health education Community health services Health promotion Patient compliance 

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Megan R. Waterman
    • 1
  • John M. Wiecha
    • 2
  • Jennifer Manne
    • 3
  • Stephen M. Tringale
    • 4
  • Elizabeth Costa
    • 5
  • Jean L. Wiecha
    • 6
  1. 1.Department of Family MedicineUniversity of Illinois at ChicagoChicagoUSA
  2. 2.Department of Family Medicine/Office of Medical EducationBoston University School of MedicineBostonUSA
  3. 3.Boston University School of MedicineBostonUSA
  4. 4.Codman Square Health CenterDorchesterUSA
  5. 5.AthenaHealthWatertownUSA
  6. 6.RTI International, Inc.Research Triangle ParkUSA

Personalised recommendations