Distance as a barrier to using a fitness-program benefit for managed Medicare enrollees.

Journal Article (Journal Article)

This study evaluated the effect of distance on the likelihood of initiating and maintaining regular use of a fitness-program benefit in a population of managed Medicare seniors. We studied 8,162 participants and nonparticipants in a managed-care fitness-program benefit: a structured group exercise program or an unstructured health-club membership. Participants in both programs lived significantly closer to facilities than nonparticipants did (structured, p < .001; unstructured, p = .017). Participants living closer to unstructured-program sites attended more frequently than those farther away (p = .008). Distance was not correlated with frequency of use in the structured program (p = .49). Collectively, these analyses demonstrate that distance is related to uptake and, in some cases, continued use of a fitness-program benefit. Health systems providing fitness-program benefits as a way to increase physical activity levels of their plan members should consider location of program facilities in relation to members' home addresses to maximize use of the benefit.

Full Text

Duke Authors

Cited Authors

  • Berke, EM; Ackermann, RT; Lin, EH; Diehr, PH; Maciejewski, ML; Williams, B; Patrick, MB; LoGerfo, JP

Published Date

  • July 2006

Published In

Volume / Issue

  • 14 / 3

Start / End Page

  • 313 - 324

PubMed ID

  • 17090808

International Standard Serial Number (ISSN)

  • 1063-8652

Digital Object Identifier (DOI)

  • 10.1123/japa.14.3.313


  • eng

Conference Location

  • United States