Blythe J O'Hara1, Philayrath Phongsavan2, Kamalesh Venugopal2, Elizabeth G Eakin3, Dianne Eggins4, Hugh Caterson2, Lesley King2, Margaret Allman-Farinelli5, Marion Haas6, Adrian E Bauman2. 1. Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Medical Foundation Building K25, The University of Sydney, NSW, 2006, Australia. Electronic address: blythe.ohara@sydney.edu.au. 2. Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Medical Foundation Building K25, The University of Sydney, NSW, 2006, Australia. 3. Cancer Prevention Research Centre, University of Queensland, Australia. 4. Cancer Institute, NSW, Australia. 5. Nutrition and Dietetics, Public Health, Sydney School of Public Health, University of Sydney, Australia. 6. Centre for Health Economics Research and Evaluation, University of Technology, Australia.
Abstract
OBJECTIVE: With increasing rates of non-communicable disease, there is a need for implementing population-wide, evidence-based interventions for improving behavioural risk factors. Telephone-based interventions provide one option. This study reports on the evaluation of the Australia's Get Healthy Information and Coaching Service®, to improve lifestyle behaviours, amongst a population-wide sample who completed the 6-month coaching programme. METHODS: Using a pre-post design, New South Wales participants who completed telephone-based coaching between February 2009 and December 2011 were included. Outcomes comprised self-reported weight, waist circumference, height, physical activity and dietary behaviours. Matched pair analyses and multivariate modelling were performed to assess behavioural changes. RESULTS: Participants (n=1440) reported statistically significant improvements in weight (-3.9 kg (5.1)); waist circumference (-5.0 cm (6.0)); and Body Mass Index (-1.4 BMI units (1.8)); number of walking and moderate-vigorous physical activity sessions of ≥30 min per week; number of vigorous physical activity sessions of ≥20 min per week and servings of vegetables; fruit; take-away meals and sweetened drinks (all p<0.001). Improvements in weight, waist, moderate physical activity, fruit and vegetable and take-away meals consumption remained significant after adjusting for socio-demographic characteristics. CONCLUSIONS: These results support the effectiveness of replicating an evidence-based intervention in improving population risk factors for chronic disease.
OBJECTIVE: With increasing rates of non-communicable disease, there is a need for implementing population-wide, evidence-based interventions for improving behavioural risk factors. Telephone-based interventions provide one option. This study reports on the evaluation of the Australia's Get Healthy Information and Coaching Service®, to improve lifestyle behaviours, amongst a population-wide sample who completed the 6-month coaching programme. METHODS: Using a pre-post design, New South Wales participants who completed telephone-based coaching between February 2009 and December 2011 were included. Outcomes comprised self-reported weight, waist circumference, height, physical activity and dietary behaviours. Matched pair analyses and multivariate modelling were performed to assess behavioural changes. RESULTS:Participants (n=1440) reported statistically significant improvements in weight (-3.9 kg (5.1)); waist circumference (-5.0 cm (6.0)); and Body Mass Index (-1.4 BMI units (1.8)); number of walking and moderate-vigorous physical activity sessions of ≥30 min per week; number of vigorous physical activity sessions of ≥20 min per week and servings of vegetables; fruit; take-away meals and sweetened drinks (all p<0.001). Improvements in weight, waist, moderate physical activity, fruit and vegetable and take-away meals consumption remained significant after adjusting for socio-demographic characteristics. CONCLUSIONS: These results support the effectiveness of replicating an evidence-based intervention in improving population risk factors for chronic disease.
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