Six-month outcomes from Living Well with Diabetes: a randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control

Eakin, E. G., Reeves, M. M., Winkler, E., Healy, G. N., Dunstan, D. W., Owen, N., Marshal, A. M. and Wilkie, K. C. (2013) Six-month outcomes from Living Well with Diabetes: a randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control. Annals of Behavioral Medicine, 46 2: 193-203. doi:10.1007/s12160-013-9498-2

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Author Eakin, E. G.
Reeves, M. M.
Winkler, E.
Healy, G. N.
Dunstan, D. W.
Owen, N.
Marshal, A. M.
Wilkie, K. C.
Title Six-month outcomes from Living Well with Diabetes: a randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control
Journal name Annals of Behavioral Medicine   Check publisher's open access policy
ISSN 0883-6612
1532-4796
Publication date 2013-10
Sub-type Article (original research)
DOI 10.1007/s12160-013-9498-2
Open Access Status File (Author Post-print)
Volume 46
Issue 2
Start page 193
End page 203
Total pages 11
Place of publication New York, NY, United States
Publisher Springer
Collection year 2014
Language eng
Formatted abstract
Background: Intensive lifestyle intervention trials in type 2 diabetes contribute evidence on what can be achieved under optimal conditions, but are less informative for translation in applied settings.

Purpose: Living Well with Diabetes is a telephone-delivered weight loss intervention designed for real-world delivery.

Methods: This study is a randomized controlled trial of telephone counseling (n = 151) versus usual care (n = 151); 6-month primary outcomes of weight, physical activity, HbA1c; secondary diet outcomes; analysis was by adjusted generalized linear models.

Results: Relative to usual care, telephone counseling participants had small but significantly better weight loss [-1.12 % of initial body weight; 95 % confidence interval (CI) -1.92, -0.33 %]; physical activity [relative rate (RR) = 1.30; 95 % CI, 1.08, 1.57]; energy intake reduction (-0.63 MJ/day; 95 % CI, -1.01, -0.25); and diet quality (3.72 points; 95 % CI, 1.77, 5.68), with no intervention effect for HbA1c (RR = 0.99; 95 % CI, 0.96, 1.01).

Conclusions: Results are discussed in light of challenges to intervention delivery.
Keyword Diet
Physical activity
Randomized controlled trial
Type 2 diabetes
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes The final publication is available at Springer via http://dx.doi.org/10.1007/s12160-013-9498-2

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
 
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Created: Thu, 13 Jun 2013, 14:25:28 EST by Marina Reeves on behalf of School of Public Health