Individuals who are able to adhere to exercise almost always maintain the symptomatic benefits of exercise.
Given the likelihood that patients registering with a controlled trial may be more inclined to adhere to exercise requirements, these elements suggest economic evaluations of exercise-based CR programs using RCT's risk providing non-generalizable results.
One thing seems clear from the FM exercise literature, people with FM have difficulty adhering to exercise.
The referral process of the scheme is, in itself, a key motivator and driver for individuals to take up and adhere to exercise interventions.
Motivation to adhere to exercise programmes appears poor in female populations compared to male samples, and in older age groups compared to younger individuals, despite the fact that the benefits of exercise are well known [ 3].
This is similar to previous studies that have shown those who have a history of regular exercise and better general health are more likely to adhere to exercise [ 12, 39, 42].
For instance, in a group of 31 breast cancer survivors, Schwartz reported an increase in functional capacity (12-minute walk) in an exercise adoption group, and a decreased functional capacity in those not adhering to exercise.
This has been developed by the research team to collect information from participants concerning any previous CAM treatment received, any perceived difficulties in adhering to exercise for their low back pain, and their treatment expectations.
We estimate proportions adhering to exercise in each three-month period and use generalized estimating equation logistic regression models to compare adherence between groups and assess predictors of adherence over the course of the study.
This could be attributed to the way in which we specifically asked women to tell us a story of a positive and negative experience about adhering to exercise rather than just identify their perceived barriers or enablers.
