Telephone counseling for physical activity and diet in primary care patients

Eakin, Elizabeth, Reeves, Marina, Lawler, Sheleigh, Graves, Nick, Oldenburg, Brian, Del Mar, Chris, Wilke, Ken, Winkler, Elizabeth and Barnett, Adrian (2009) Telephone counseling for physical activity and diet in primary care patients. American Journal of Preventive Medicine, 36 2: 142-149. doi:10.1016/j.amepre.2008.09.042

Author Eakin, Elizabeth
Reeves, Marina
Lawler, Sheleigh
Graves, Nick
Oldenburg, Brian
Del Mar, Chris
Wilke, Ken
Winkler, Elizabeth
Barnett, Adrian
Title Telephone counseling for physical activity and diet in primary care patients
Journal name American Journal of Preventive Medicine   Check publisher's open access policy
ISSN 0749-3797
Publication date 2009-02
Year available 2009
Sub-type Article (original research)
DOI 10.1016/j.amepre.2008.09.042
Volume 36
Issue 2
Start page 142
End page 149
Total pages 8
Editor K. Patrick
Place of publication Burlington, MA, U.S.A.
Publisher Elsevier
Collection year 2010
Language eng
Subject 111716 Preventive Medicine
920401 Behaviour and Health
1117 Public Health and Health Services
Formatted abstract
Background: The delivery of effective interventions to assist patients to improve their physical activity and dietary behaviors is a challenge in the busy primary care setting.

Cluster RCT with practices randomized to telephone counseling intervention or usual care. Data collection took place from February 2005 to November 2007, with analysis from December 2007 to April 2008.

: Four-hundred thirty-four adult patients with type 2 diabetes or hypertension (mean age=58.2 [SD=11.8]; 61% female; mean BMI=31.1 [SD=6.8]) from a disadvantaged community were recruited from ten primary care practices.

Twelve-month telephone counseling intervention.

Main outcome measures
: Physical activity and dietary intake were assessed by self-report at baseline, 4, and 12 months.

At 12 months, patients in both groups increased moderate-to-vigorous physical activity by a mean of 78 minutes per week (SE=10). Significant intervention effects (telephone counseling minus usual care) were observed for: calories from total fat (decrease of 1.17%; p<0.007), energy from saturated fat (decrease of 0.97%; p<0.007), vegetable intake (increase of 0.71 servings; p<0.039), fruit intake (increase of 0.30 servings; p<0.001), and grams of fiber (increase of 2.23 g; p<0.001).

: The study targeted a challenging primary care patient sample and, using a telephone-delivered intervention, demonstrated modest improvements in diet and in physical activity. Results suggest that telephone counseling is a feasible means of delivering lifestyle intervention to primary care patients with chronic conditions—patients whose need for ongoing support for lifestyle change is often beyond the capacity of primary healthcare practitioners. 
© 2009 American Journal of Preventive Medicine.
Keyword Randomised controlled trial
Telephone counseling
Physical activity
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Author prepress title: "Telephone counselling for physical activity and diet in type 2 diabetes and hypertension".

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 63 times in Thomson Reuters Web of Science Article | Citations
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Created: Thu, 03 Sep 2009, 08:57:40 EST by Mr Andrew Martlew on behalf of School of Public Health