“Don’t wait for them to come to you, you go to them”. A qualitative study of recruitment approaches in community based walking programmes in the UK Anne Matthews (Corresponding author) Dr Anne Matthews, British Heart Foundation Health Promotion Research Group (BHFHPRG), Department of Public Health, University of Oxford, Old Road Campus, Oxford, England, OX3 7LT. Tel: +44 1865 289247, Fax: +44 1865 611789, Email: [email protected]
Graham Brennan Psychological Sciences and Health, University of Strathclyde Paul Kelly, British Heart Foundation Health Promotion Research Group, Department of Public Health, University of Oxford, Oxford, United Kingdom Chloe McAdam SPARColl, Psychological Sciences and Health, University of Strathclyde Nanette Mutrie Psychological Sciences and Health, University of Strathclyde Charles Foster, British Heart Foundation Health Promotion Research Group, Department of Public Health, University of Oxford, Oxford, United Kingdom
Background: This study aimed to examine the experiences of walking promotion professionals on the range and effectiveness of recruitment strategies used within community based walking programmes within the United Kingdom. Methods: Two researchers recruited and conducted semi-structured interviews with managers and project co-ordinators of community based walking programmes, across the UK, using a purposive sampling frame. Three case studies were also conducted with programmes aiming to recruit priority groups and also demonstrated innovative recruitment methods. Data analysis adopted an approach using analytic induction. Results: Twenty eight interviews were conducted, with community projects targeting participants by age, physical activity status, socio-demographic characteristics (i.e. ethnic group) or by health status. Two types of programmes were identified: those with explicit health aims and those without. Programme aims which require targeting of specific groups adopt more specific recruitment methods. The selection of recruitment method was dependent on the respondent’s awareness of ‘what works’ and the resource capacity at their disposal. Word of mouth was reported to be the most effective means of recruitment but using this approach took time and effort to build relationships with target groups, usually through a third party. Effectiveness of recruitment was assessed by number of participants rather than numbers of the right participants. New social
communication media was used to recruit participants to a walking group as a social rather than health related activity. Conclusions: Effective walking programme recruitment seems to require trained, strategic, labour intensive, word-of-mouth communication, often in partnerships, in order to understand needs and develop trust and motivation within disengaged sedentary communities. Walking promotion professional require better training and resources to deliver appropriate recruitment strategies to reach priority groups.
Anne Matthews Anne has worked with the BHFHPRG since 2001. She supports physical activity research within the Group. She is developing research into the provenance of the student diet to support the nutrition research programme. Graham Brennan Graham is a Ph.D candidate working within the School of Psychological Sciences and Health, University of Strathclyde. Paul Kelly Paul has worked with the BHFHPRG since 2008. He is working on an analysis of different approaches to promoting physical activity and sport in children and adolescents around Europe. Chloe McAdam Chloe is the research coordinator for the Scottish Physical Activity Research Collaboration (SPARColl), University of Strathclyde. Nanette Mutrie Nanette leads the Physical Activity for Health Research Group, University of Strathclyde. The group is a centre of excellence for research relating to physical activity for health with particular regard to the use of technology. Charlie Foster Charlie is a University...
References: Ainsworth, B., Haskell, W., Whitt, M., Irwin, M., Swartz, A., Strath, S., O’Brien, W., Bassett, D., Schmitz, K., Emplaincourt, P., Jacobs, D. Leon, A., (2002) Compendium of physical activities: an update of activity codes and MET intensities. Medicine and Science in Sports and Exercise, 32(9), S498-S516 Bauman, A., Bull, F., Chey, T., Craig, C.L., Ainsworth, B.E., Sallis, J.F., Bowles, H.R., Hagstromer, M., Sjostrom, M., Pratt, M., (2009) The IPS Group. The International Prevalence Study on Physical Activity: results from 20 countries. Int J Behav Nutr Phys Act., 6(1), 21 Brennan, G. (2010) in press Dawson, J., Boller, I., Foster, C., Hillsdon, M. (2006) Evaluation of changes to physical activity amongst people who attend the walking the way to health initiative (WHI). The Countryside Agency: Cheltenham. Dawson, J., Hillsdon, M., Boller, I., Foster, C. (2007) Perceived barriers to walking in the neighbourhood environment and change in physical activity levels over 12 months. Br J Sports Med 41(9), 562-8 Department of Health. (2004a) At least five a week: a report from the Chief Medical Officer. London, Department of Health Department of Health (2004b) Physical activity, health improvement and Prevention. At least five a week: evidence on the impact of physical activity and its relationship to health. London: Department of Health Department of Health (2010) Health Survey for England 2008. London: The Stationery Office DeWalt, K., M., DeWalk, B.R. (2002) Participant observation: a guide for fieldworkers. Walnut Creek, CA, US French, J., Blair-Stevens, C. (2006) Social marketing national benchmark criteria. London: UK National Social Marketing Centre for Excellence Glasgow, R.E., Vogt, T.M., Boles, S.M. (1999) Evaluating the public health impact of health promotion interventions: The RE-AIM framework. Am J Public Health 89, 1322-1327 Halligan, P.W., Aylward, M. (Eds.) (2006) The Power of Belief: Psychosocial influence on illness, disability and medicine. Oxford: Oxford University Press, UK Hamer, M., Chida, Y. (2008) Walking and primary prevention: a meta-analysis of prospective cohort studies. Br J Sports Med 42(4), 238-43. http://www.marketing-made-simple.com/articles/word-of-mouth-advertising.htm (Accessed 28.02.11) http://www.wfh.naturalengland.org.uk/about-us/health-walks (accessed 17/11/10) Ipsos MORI. (2006) Promoting Walking in High Deprivation Communities. London: Ramblers Association LeCompte, M., Preissle, J. (1993) Ethnography and Qualitative Design in Educational Research (2 nd Edition). London: Academic Press Ltd Mason, J. (2002) Qualitative Researching (2nd edition). London, Sage Morris, J., Hardman, A. (1997) Walking to Health. Sports Medicine, 23, 306-332. Natural England (2010) Guidance Note 2 Planning a scheme. Cheltenham, Walking for Health Nutbeam, D., Bauman, A. (2006) Evaluation in a Nutshell. McGraw-Hill, Australia 13
Ogilvie, D., Foster, C., Rothnie, H., Cavill, N., Hamilton, V., Fitzsimons, C.F., Mutrie, N., (2007) Scottish Physical Activity Research Collaboration. Interventions to promote walking: systematic review. BMJ 334(7605), 1204 Patton, M.Q. (1990) Qualitative evaluation and research methods (2nd ed.). Newbury Park, CA Physical Activity Guidelines Advisory Committee (2008) Physical Activity Guidelines Advisory Committee Report, 2008. Washington, DC: US Department of Health and Human Services Prochaska, J.O., Norcross, J.C., DiClemente, C.C. (1994) Changing for good: the revolutionary program that explains the six stages of change and teaches you how to free yourself from bad habits. New York, W. Morrow Ramblers Association (2009) Ramblers Membership Recruitment and Publicity Handbook. London, Ramblers Association Ramblers Association (2010) Walking Facts and Figures 2: Participation in walking. London, Ramblers Association Schulz, K.F., Altman, D.G., Moher, D, for the CONSORT Group. (2010) CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMJ, 340:c332 Silverman, D (1993) Interpreting qualitative data. London: Sage Treweek, S., Pitkethly, M., Cook, J., Kjeldstrøm, M., Taskila, T., Johansen, M., Sullivan, F., Wilson, S., Jackson, C., Jones, R., Mitchell, E. (2010) Strategies to improve recruitment to randomised controlled trials. Cochrane Database of Systematic Reviews, Issue 4 Yin, R. (2003) Applications of Case Study Research. 2nd Edition. Thousand Oaks, CA, Sage
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