The National Exercise Referral Scheme in Wales: Exploring scheme implementation over the past 10 years
ISPAH ePoster Library. Morgan K. Oct 16, 2018; 225579; 483
Dr. Kelly Morgan
Dr. Kelly Morgan
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Abstract Introduction:<\b>
Primary care is recognised as a key setting for the promotion of physical activity and one of the most popular approaches is through exercise referral schemes. In 2012, a standardized National Exercise Referral scheme (NERS) was rolled out across all 22 local authorities in Wales. While an earlier evaluation of NERS revealed promising impacts upon self-reported physical activity and mental health outcomes, the ongoing fidelity of implementation is unknown. This study explored experiences of programme implementation both within- and across local authorities since the national roll out. Methods:<\b>
Semi-structured interviews were carried out with the NERS national coordinator (n=1) and each local authority coordinator (n=21). Interviews explored coordinators opinions of how scheme implementation has changed over time, views on how protocols work, and any issues, which make the scheme particularly easy or difficult to implement in their area. Results:<\b>
Findings demonstrate the variability of implementation across local authorities, with instances of both programme innovation and programme drift. The results will be presented in relation to i) the quality of NERS implementation, ii) barriers and facilitators of implementation, iii) the role of the exercise coordinator in scheme adaptation and iv) local context and patient opportunities for physical activity upon scheme completion. Conclusion:<\b>
These results will provide evidence about post-trial implementation of NERS in different local authorities and help programme developers to understand what kinds of changes can be made to NERS to meet the needs of local stakeholders. External funding details Health and Care Research Wales
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