The development of an intervention to promote Older Peoples’ Rehabilitative Exercise Engagement (OPREE)

Anthony, Kevin E. (2018) The development of an intervention to promote Older Peoples’ Rehabilitative Exercise Engagement (OPREE). PhD thesis, University of Nottingham.

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On average only half of patients attend prescribed strength and balance exercise (SBE) programmes. This thesis details the development of an intervention to support exercise programme engagement, and a feasibility study.


A literature search, interviews and synthesis process enabled the development of an intervention for promoting Older People’s Rehabilitative Exercise Engagement (OPREE). A pre and post cohort feasibility study examined the viability of OPREE within an NHS community setting. Patients referred to the SBE classes were invited to participate. A case control group formed the comparison. SBE sessions attended formed the primary outcome. Secondary outcome measures were behaviour change, activities of daily living, functional mobility and quality of life. Interviews measured OPREE’s fidelity and acceptability.


OPREE was delivered over four, monthly one hour sessions using a combined strategy. Out of 27 potential patients, ten accepted OPREE. Additionally, 27 patients who only received SBE formed the case control. OPREE intervention participants attended 75% of SBE classes. Control group participants attended 45%. BREQ3 data highlighted large improvements in amotivation and extrinsic regulation (externally driven exercise behaviour, for example to gain praise), medium change in introjection, small changes in identified and intrinsic regulation, and no change in integrated regulation. Activities of daily living and quality of life improved. Eight (80%) of the intervention participants completed all OPREEsessions. All intervention participants considered OPREE to be acceptable and useful.


It is feasible to deliver OPREE in an NHS setting. The reasons why some patients declined the offer of OPREE needs further exploration. There is evidence that interventions such as OPREE can increase engagement with prescribed exercise; this needs further evaluation.

Item Type: Thesis (University of Nottingham only) (PhD)
Supervisors: van Der wardt, Veronika
Pollock, Kristian
Masud, Tahir
Logan, Pip
Keywords: Older people; Older adults; Exercise; Physical activity; Engagement; Adherence; Strength and balance exercises; Self determination theory; Needs supportive communication strategy; Motivational interviewing; Signposting
Subjects: QS-QZ Preclinical sciences (NLM Classification) > QT Physiology
Faculties/Schools: UK Campuses > Faculty of Medicine and Health Sciences > School of Medicine
Item ID: 52850
Depositing User: Anthony, Kevin
Date Deposited: 02 Apr 2019 08:48
Last Modified: 07 May 2020 14:15

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