promote physical activity. NICE 2006 Increased Practitioners, policy makers and One systematic review of The F. The evidence physical commissioners should only effectiveness was conducted: intervention is is inconsistent continued. activity endorse exercise referral The evidence from two funded for and it is not Exercise schemes to promote physical randomised controlled trials (1-) widespread possible to activity that are part of a suggests that exercise referral national draw a referral properly designed and schemes, involving a referral, implementation conclusion but Schemes controlled research study to either from or within primary care, in Wales it tends determine effectiveness. can have positive effects on towards no Measures should include physical activity levels in the short effect for intermediate outcomes such as term (6 to 12 weeks). However, longer-term knowledge, attitudes and skills, evidence from four trials (one outcomes as well as measures of physical [1++], three [1-]) indicates that activity levels. Individuals such referral schemes are should only be referred to ineffective in increasing physical schemes that are part of such a activity levels in the longer term study. (over 12 weeks) or over a very long timeframe (over 1 year). Thus the evidence is inconsistent and insufficient to recommend the use of exercise referral schemes to promote physical activity, other than as part of research studies where their effectiveness can be evaluated. NICE 2006 Increased Practitioners, policy makers and Two systematic reviews of This Lack of physical commissioners should only effectiveness were conducted. intervention is evidence continued activity endorse pedometers and Insufficient evidence to implemented walking and cycling schemes to recommend the use of pedometers locally in some Pedometers promote physical activity that and walking and cycling schemes areas but does and
promote physical activity. NICE 2006 continued. Exercise referral Schemes Increased physical activity Practitioners, policy makers and commissioners should only endorse exercise referral schemes to promote physical activity that are part of a properly designed and controlled research study to determine effectiveness. Measures should include intermediate outcomes such as knowledge, attitudes and skills, as well as measures of physical activity levels. Individuals should only be referred to schemes that are part of such a study. One systematic review of effectiveness was conducted: The evidence from two randomised controlled trials (1-) suggests that exercise referral schemes, involving a referral, either from or within primary care, can have positive effects on physical activity levels in the short term (6 to 12 weeks). However, evidence from four trials (one [1++], three [1-]) indicates that such referral schemes are ineffective in increasing physical activity levels in the longer term (over 12 weeks) or over a very long timeframe (over 1 year). Thus the evidence is inconsistent and insufficient to recommend the use of exercise referral schemes to promote physical activity, other than as part of research studies where their effectiveness can be evaluated. The intervention is funded for widespread national implementation in Wales F. The evidence is inconsistent and it is not possible to draw a conclusion but it tends towards no effect for longer-term outcomes NICE 2006 continued Pedometers and Increased physical activity Practitioners, policy makers and commissioners should only endorse pedometers and walking and cycling schemes to promote physical activity that Two systematic reviews of effectiveness were conducted. Insufficient evidence to recommend the use of pedometers and walking and cycling schemes This intervention is implemented locally in some areas but does Lack of evidence
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