Multiple health behavior changes and co-variation in a telephone counseling trial

Lawler, Sheleigh P., Winkler, Elizabeth, Reeves, Marina M., Owen, Neville, Graves, Nicholas and Eakin, Elizabeth G. (2010) Multiple health behavior changes and co-variation in a telephone counseling trial. Annals of Behavioral Medicine, 39 3: 250-257. doi:10.1007/s12160-010-9188-2


Author Lawler, Sheleigh P.
Winkler, Elizabeth
Reeves, Marina M.
Owen, Neville
Graves, Nicholas
Eakin, Elizabeth G.
Title Multiple health behavior changes and co-variation in a telephone counseling trial
Journal name Annals of Behavioral Medicine   Check publisher's open access policy
ISSN 0883-6612
1532-4796
Publication date 2010-06
Year available 2010
Sub-type Article (original research)
DOI 10.1007/s12160-010-9188-2
Volume 39
Issue 3
Start page 250
End page 257
Total pages 8
Place of publication Knoxville, TN, United States
Publisher Springer
Collection year 2011
Language eng
Formatted abstract
Background:
Delivering effective multiple health behavior interventions to large numbers of adults with chronic conditions via primary care settings is a public health priority.

Purpose:
Within a 12-month, telephone-delivered diet and physical activity intervention with multiple behavioral outcomes, we examined the extent and co-variation of multiple health behavior change.

Methods:

A cluster-randomized trial with 434 patients with type 2 diabetes or hypertension were recruited from 10 general practices, which were randomized to receive telephone counseling or usual care.

Results:
Those receiving telephone counseling were significantly more likely than those in usual care to make greater reductions in multiple behaviors after adjusting for baseline risk behaviors (OR 2.42; 95%CI 1.43, 4.11). Controlling for baseline risk and group allocation, making changes to either physical activity, fat, vegetable, or fiber intake was associated with making significantly more improvements in other behaviors.

Conclusions:

For patients with chronic conditions, telephone counseling can significantly improve multiple health behaviors, with behavioral changes tending to co-vary.
© 2010 The Society of Behavioral Medicine.
Keyword Chronic conditions
Telephone counseling
Multiple health behaviors
Diet
Physical activity
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Public Health Publications
 
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Created: Sun, 10 Oct 2010, 00:07:58 EST