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Telephone counseling for physical activity and diet in primary care patients.
Am J Prev Med. 2009 Feb; 36(2):142-9.AJ

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.

DESIGN

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.

SETTING/PARTICIPANTS

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.

INTERVENTION

Twelve-month telephone counseling intervention.

MAIN OUTCOME MEASURES

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

RESULTS

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).

CONCLUSIONS

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.

Authors+Show Affiliations

Cancer Prevention Research Centre, School of Population Health, The University of Queensland, Queensland, Australia. e.eakin@uq.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19062240

Citation

Eakin, Elizabeth, et al. "Telephone Counseling for Physical Activity and Diet in Primary Care Patients." American Journal of Preventive Medicine, vol. 36, no. 2, 2009, pp. 142-9.
Eakin E, Reeves M, Lawler S, et al. Telephone counseling for physical activity and diet in primary care patients. Am J Prev Med. 2009;36(2):142-9.
Eakin, E., Reeves, M., Lawler, S., Graves, N., Oldenburg, B., Del Mar, C., Wilke, K., Winkler, E., & Barnett, A. (2009). Telephone counseling for physical activity and diet in primary care patients. American Journal of Preventive Medicine, 36(2), 142-9. https://doi.org/10.1016/j.amepre.2008.09.042
Eakin E, et al. Telephone Counseling for Physical Activity and Diet in Primary Care Patients. Am J Prev Med. 2009;36(2):142-9. PubMed PMID: 19062240.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Telephone counseling for physical activity and diet in primary care patients. AU - Eakin,Elizabeth, AU - Reeves,Marina, AU - Lawler,Sheleigh, AU - Graves,Nick, AU - Oldenburg,Brian, AU - Del Mar,Chris, AU - Wilke,Ken, AU - Winkler,Elizabeth, AU - Barnett,Adrian, Y1 - 2008/12/05/ PY - 2008/06/12/received PY - 2008/09/09/revised PY - 2008/09/25/accepted PY - 2008/12/9/pubmed PY - 2009/3/19/medline PY - 2008/12/9/entrez SP - 142 EP - 9 JF - American journal of preventive medicine JO - Am J Prev Med VL - 36 IS - 2 N2 - 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. DESIGN: 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. SETTING/PARTICIPANTS: 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. INTERVENTION: Twelve-month telephone counseling intervention. MAIN OUTCOME MEASURES: Physical activity and dietary intake were assessed by self-report at baseline, 4, and 12 months. RESULTS: 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). CONCLUSIONS: 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. SN - 1873-2607 UR - https://www.unboundmedicine.com/medline/citation/19062240/Telephone_counseling_for_physical_activity_and_diet_in_primary_care_patients_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-3797(08)00897-0 DB - PRIME DP - Unbound Medicine ER -