Low drop-out rates in the HandbikeBattle free-living training study: understanding the reasons for dropping out

Spinal Cord Series and Cases, 2022 · DOI: https://doi.org/10.1038/s41394-022-00490-1 · Published: February 28, 2022

Simple Explanation

This study examines why some participants dropped out of the HandbikeBattle training program, a free-living training period for a handcycling race. It compares those who dropped out with those who completed the training to identify differences. The study found that a relatively low percentage of participants dropped out, mainly due to medical complications or motivational issues. Those who completed the training had more prior sports experience and higher fitness levels. The findings suggest that individuals with less sports experience and lower fitness may need more support during training to prevent them from dropping out. The study highlights the importance of addressing medical and motivational challenges to improve program adherence.

Study Duration

5 Months

Participants

313 participants (209 with spinal cord injury or spina bifida)

Evidence Level

Longitudinal observational study

Key Findings

1
The study found a 14% drop-out rate during the five-month training period.
2
Medical complications (49%) and motivational problems (29%) were the main reasons for dropping out.
3
Competitors participated more in sports before the study and achieved a higher peak power output compared to dropouts.

Research Summary

This longitudinal observational study aimed to clarify the reasons for drop out during the five-month free-living training period for the HandbikeBattle event and to characterize the differences between study participants who did and did not drop out. The study found that 14% of participants dropped out, with medical complications and motivational problems being the primary reasons. Competitors had more prior sports experience and higher peak power output than dropouts. The study concludes that the drop-out rate was low compared to previous exercise interventions, possibly due to the less strict nature of free-living training. Individuals with less sports experience and lower fitness levels may require more attention to prevent drop out.

Practical Implications

Targeted Support

Provide additional support and guidance to participants with less prior sports experience and lower fitness levels to improve program adherence.

Address Medical Concerns

Implement strategies to prevent and manage medical complications during training, such as proactive monitoring and early intervention.

Enhance Motivation

Develop interventions to address motivational problems, such as goal setting, peer support, and regular feedback.

Study Limitations

1
The study did not register the number of people who were asked to participate but declined or were excluded after medical screening.
2
The accessibility of handcycles may be a limitation for organizing similar events in other countries.
3
A more in-depth (qualitative) analysis of dropouts might be warranted.

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