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
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
Delivering effective multiple health behavior interventions to large numbers of adults with chronic conditions via primary care settings is a public health priority.

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.


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.

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.


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
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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Citation counts: TR Web of Science Citation Count  Cited 13 times in Thomson Reuters Web of Science Article | Citations
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Created: Sun, 10 Oct 2010, 00:07:58 EST