Abstract:
BACKGROUND:The Wales National Exercise Referral Scheme (NERS) is a 16-week programme including motivational interviewing, goal setting and relapse prevention. METHOD:A pragmatic randomised controlled trial with nested economic evaluation of 2160 inactive participants with coronary heart disease risk (CHD, 1559, 72%), mild to moderate depression, anxiety or stress (79, 4%) or both (522, 24%) randomised to receive (1) NERS or (2) normal care and brief written information. Outcome measures at 12 months included the 7-day physical activity recall, the hospital anxiety and depression scale. RESULTS:Ordinal regression identified increased physical activity among those randomised to NERS compared with those receiving normal care in all participants (OR 1.19, 95% CI 0.99 to 1.43), and among those referred for CHD only (OR 1.29, 95% CI 1.04 to 1.60). For those referred for mental health reason alone, or in combination with CHD, there were significantly lower levels of anxiety (-1.56, [corrected] 95% CI -2.75 to -0.38) and depression (-1.39, [corrected] 95% CI -2.60 to -0.18), but no effect on physical activity. The base-case incremental cost-effectiveness ratio was £12,111 per quality adjusted life year, falling to £9741 if participants were to contribute £2 per session. CONCLUSIONS:NERS was effective in increasing physical activity among those referred for CHD risk only. Among mental health referrals, NERS did not influence physical activity but was associated with reduced anxiety and depression. Effects were dependent on adherence. NERS is likely to be cost effective with respect to prevailing payer thresholds. Trial registration Current Controlled Trials ISRCTN47680448.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Murphy SM,Edwards RT,Williams N,Raisanen L,Moore G,Linck P,Hounsome N,Din NU,Moore Ldoi
10.1136/jech-2011-200689subject
Has Abstractpub_date
2012-08-01 00:00:00pages
745-53issue
8eissn
0143-005Xissn
1470-2738pii
jech-2011-200689journal_volume
66pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To explore the association between physical neighbourhood stressors and smoking, and the contribution of these stressors to neighbourhood and individual socioeconomic inequalities in smoking. METHODS:Data were analysed of participants of the baseline measurement of the Dutch GLOBE study (1991), aged 20 years...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.043851
更新日期:2006-08-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to examine disease concurrence, using diabetes mellitus as an ullustrative example. DESIGN:The study involved a general practice morbidity survey, conducted over 12 months in 1981-82. All patients who consulted their general practitioners with a diagnosis of diabetes mellitus (type 1 or typ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.45.1.73
更新日期:1991-03-01 00:00:00
abstract::One thousand school boys aged 8 to 16 were examined for their somatotype, physical growth, sexual maturation, and smoking habits. Fifty-two boys were found to be smokers, of whom 30 were regularly smoking between two and 20 bidis or cigarettes a day for a mean duration of 2.5 years. The mean height and weight of the s...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.34.4.295
更新日期:1980-12-01 00:00:00
abstract:OBJECTIVES:The fall in the prevalence of left handedness with age has been attributed to either premature mortality or a cohort effect of forced dextrality. Evidence for forced dextrality was sought to differentiate between these competing theories. DESIGN:6097 Edinburgh handedness inventories were used to calculate l...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.52.1.41
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Metabolic syndrome (MS) has an increased risk for developing cardiovascular disease (CVD); however, whether the concept of MS, applying the new joint interim statement definition, has a greater impact on incident CVD than its individual components is debated. METHODS:The authors related MS and its component...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2010.117697
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Socioeconomic factors may influence changes in hip fracture (HF) incidence over time. We analysed HF temporal trends during the Bone and Joint Decade in Portugal (BJD-Portugal), 2000-2010, by regional socioeconomic status (SES), sex and age. METHODS:We selected registers of patients aged 50+ years with HF (...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2015-206508
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:The effect of modifying lifestyle at middle age on mortality has been sparsely examined. METHODS:Men and women aged 50-54 years randomised to the control group (no intervention) in the population-based Norwegian Colorectal Cancer Prevention trial were asked to fill in lifestyle questionnaires in 2001 and 20...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,随机对照试验
doi:10.1136/jech-2015-206760
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:To investigate whether perceived failure in school performance increases the potential for children to be physically injured. SUBJECTS:Children aged 10-15 years residing in the Stockholm County and hospitalised or called back for a medical check up because of a physical injury during the school years 2000-2...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.009852
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:To determine the risk factors associated with fracture of the distal forearm, and to evaluate the influence of falls on these risks. DESIGN:This was a case-control study. SETTING:Manchester, UK. PARTICIPANTS:The cases were 62 white women aged 45-82 years who had sustained a fracture of the distal forearm a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.50.3.288
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVE:To assess the effect of growth during infancy and childhood on blood pressure in adolescence. DESIGN:Birth cohort study. SETTING:Pelotas, southern Brazil. PARTICIPANTS:749 adolescents with complete information on birth weight and gestational age, as well as on anthropometric data at all three follow up vis...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.57.3.226
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVES:(1) To assess the association between birth weight and coronary heart disease (CHD) risk in a cohort of post-menopausal women, (2) to determine the combined effects of birth weight and adult body mass index on CHD, (3) to assess the role of insulin resistance as a mediating factor in the associations. DESIG...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.58.2.120
更新日期:2004-02-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate the association of sexual problems with social, physical, and psychological problems. DESIGN:An anonymous postal questionnaire survey. SETTING:Four general practices in England. PARTICIPANTS:789 men and 979 women responding to a questionnaire sent to a stratified random sample of the a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.53.3.144
更新日期:1999-03-01 00:00:00
abstract:STUDY OBJECTIVES:To describe the prevalence of hepatitis B virus (HBV) infection in patients with sexually transmitted diseases (STD) and human immunodeficiency virus (HIV) infection, and to determine the role of sexual transmission of HBV infection in Singapore. DESIGN:A cross sectional study of all consecutive men p...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.49.3.309
更新日期:1995-06-01 00:00:00
abstract:OBJECTIVE:To assess comprehensively the validity of the data in the Finnish Medical Birth Registry (MBR) by the combined use of several controls and internal analysis of the data. DESIGN:The MBR data were individually linked to a medical record sample (n = 775) and to all perinatal death certificates in 1987. The data...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.3.242
更新日期:1993-06-01 00:00:00
abstract:OBJECTIVE:To assess the cost effectiveness of a community based exercise programme as a population wide public health intervention for older adults. DESIGN:Pragmatic, cluster randomised community intervention trial. SETTING:12 general practices in Sheffield; four randomly selected as intervention populations, and eig...
journal_title:Journal of epidemiology and community health
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1136/jech.2003.014225
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:Reliable data on clinical biomarkers are necessary in order to assess the health risks of populations and especially in assessing long-term trends related to disease incidence. METHODS:Ten European laboratories participated in a two-phase quality control exercise of total cholesterol (TC) and high-density l...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-210763
更新日期:2018-07-01 00:00:00
abstract:STUDY OBJECTIVE:This study examined the prevalence of body dissatisfaction as a function of individual level and neighbourhood level indicators of affluence. PARTICIPANTS AND SETTING:A subset of data from a larger random digit dialling telephone survey was used to obtain individual level data on body dissatisfaction, ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.56.3.193
更新日期:2002-03-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to investigate whether the survival of women with cancer of the uterine cervix is associated with their marital status and social class. DESIGN:The study was a survey of survival up to 5 years from diagnosis of women with cancer of the cervix registered in the South Thames Cancer Registry, ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.44.4.293
更新日期:1990-12-01 00:00:00
abstract:BACKGROUND:Policies to increase Australian Indigenous children's participation in preschool aim to reduce developmental inequities between Indigenous and non-Indigenous children. This study aims to understand the benefits of preschool participation by quantifying the association between preschool participation in the y...
journal_title:Journal of epidemiology and community health
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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journal_title:Journal of epidemiology and community health
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更新日期:1998-07-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:2018-08-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2006.046615
更新日期:2007-01-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:2007-06-01 00:00:00
abstract::The epidemiology of migraine and non-migrainous headaches (NMH) was investigated in a community survey in a neighbourhood of western Jerusalem in 1969-71. Diagnoses were based on histories taken by physicians. Prevalence rates among persons aged 15 and over were 10.1% for migraine (including classical migraine, 2.1%) ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:1980-09-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to assess the differences in suicide data obtained from different database sources. DESIGN:Death certificate based data on suicidal deaths were compared with the information obtained from the non-natural death investigation files at the Public Prosecutor's Office. SETTING:The study was con...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.1.73
更新日期:1993-02-01 00:00:00
abstract:OBJECTIVE:Differences in health, lifestyles, and use of health care between groups of varying ethnic origin can have important implications for preventive and curative health care. This paper studies whether socioeconomic factors explain ethnic differences in these outcomes. DESIGN:Data on health status, lifestyles, a...
journal_title:Journal of epidemiology and community health
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更新日期:1998-05-01 00:00:00
abstract:BACKGROUND:Life expectancy at birth in Spain improved between 1972 and 1982, by 2.5 years for males and 3.2 years for females. This slowed considerably in the following decade, with increases of only 0.5 and 1.7 years respectively. OBJECTIVE:To determine the causes of death that have been responsible for the failure b...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.51.5.510
更新日期:1997-10-01 00:00:00
abstract::The outlook for patients with lung cancer is poor, so an accurate estimation of prognosis will underpin treatment decisions and allow patients to make personal plans for the future. However, evidence suggests that there is a variation between doctors in their predictions of outcomes and also they tend to be over-optim...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.044917
更新日期:2007-04-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to estimate the likely burden of cervical cancer in New Zealand over the next two decades, according to whether cervical screening services are made more effective. DESIGN:The study was based on national mortality and incidence data for the periods 1954-87 and 1954-86, respectively. An age-...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.4.373
更新日期:1992-08-01 00:00:00