Effect of Case Management With Goal-Setting on Diet Scores and Weight Loss in Cardiac Rehabilitation Patients

Aspry, Karen; Dunsiger, Shira; Breault, Christopher; Stabile, Loren; DeAngelis, Julianne; Wu, Wen‐Chih

doi:10.1097/hcr.0000000000000348

Cited by 13 publications

(16 citation statements)

References 44 publications

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“…During the active phase of MOVE UP, there was an improvement of about four points in dietary habits—the equivalent of improving by 1 category for about 4 separate items. This level of improvement is similar in magnitude to that of other studies, (Aspry et al, 2018; Hammons et al, 2019) but less than seen in a 6-month dietary intervention among patients with dyslipidemia (Kulick et al, 2013). Despite not prescribing a specific dietary pattern, participants appear to have absorbed and acted on the healthy eating information provided.…”

Section: Discussionsupporting

confidence: 86%

“…The Rate Your Plate (RYP) tool is a short dietary questionnaire used for cholesterol screening and education in populations with or at risk of cardiovascular disease. It has been shown to be correlated with fat consumption (Gans et al, 1993) and been used to assess dietary improvements after case management in cardiac rehabilitation patients (Aspry et al, 2018) and in a community-based intervention for the prevention of chronic disease (Hammons et al, 2019). It is promising for use in translational lifestyle programs because it may be self-administered, is quick to complete, and may reflect the heart-healthy dietary behavior changes recommended for high-risk older adults with comorbidities seeking to lose weight.…”

Section: Introductionmentioning

confidence: 99%

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Diet Improvements in Community-Dwelling Older Adults in the Mobility and Vitality Lifestyle Program

et al. 2022

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This analysis examined whether a community-based intervention produced measurable improvements in dietary habits. MOVE UP combined translational, evidence-based weight management and healthy aging interventions using a non-randomized design. This 13-month intervention included 32 group sessions, explicit calorie and physical activity goals, self-monitoring, and nutrition education. Participants were ( N = 297) older adults (mean = 68.0 years) with overweight and obesity. Diet was measured using Rate Your Plate (RYP)-Heart. Changes in scores from baseline to 5, 9, and 13 months were assessed using mixed models. MOVE UP successfully shifted eating patterns from baseline (mean = 50.9) to 5 months (mean = 55.1) ( p < .0001) adjusted for age, sex, and race. Improvements persisted through 9 (mean = 54.7) and 13 months (mean = 55.0) ( p < .0001). Although participants were not prescribed a specific diet, RYP-Heart indicated positive dietary shifts. Community-implemented behavioral weight loss interventions may assess the modifiability of dietary habits with a simple, easy-to-administer tool.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Diet Improvements in Community-Dwelling Older Adults in the Mobility and Vitality Lifestyle Program

et al. 2022

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“…This finding is also consistent with the Aspry study; those with a higher weight, BMI and WC were also more likely to set a weight loss goal. 6 These participants chose larger short and long-term weight loss goals than the G group. The G+ BWL also attended more total CR sessions than participants in the other two groups.…”

Section: Discussionmentioning

confidence: 99%

“…A recent CR study by Aspry, et al revealed that committing to a goal of making healthier dietary choices and/or achieving weight loss is associated with improved self-reported diet quality and weight loss. 6 There has been little study, however, of the association between the magnitude of a specific, pre-program determined weight loss goal and change in weight during CR, especially in relationship to attendance at BWL interventions, fitness measurements, T2DM diagnosis, and use of diabetes medications. The purpose of this study was to evaluate specific weight loss goals and BWL session attendance on subsequent weight change in CR participants.…”

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confidence: 99%

Effects of Behavioral Weight Loss and Weight Loss Goal Setting in Cardiac Rehabilitation

Barrett

Savage

Ades

2020

Journal of Cardiopulmonary Rehabilitation and Prevention

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Purpose-Obesity is prevalent among participants in cardiac rehabilitation (CR). Establishing a weight loss goal is an important strategy for promoting weight loss. We evaluate the association between a pre-program weight loss goal and change in weight during CR.Methods-Body weight was measured at CR entry and at exit from CR. Overweight/obese participants were categorized as having: (1) established a weight loss goal and attended behavioral weight loss sessions (G+ BWL); set a weight loss goal but did not attend BWL (G); and neither set a weight loss goal nor attended BWL (NoG).Results-The cohort consisted of 317 overweight/obese participants; 52 of whom set a weight loss goal and attended BWL, 227 patients set a goal but did not attend BWL, and 38 did neither. The G+ BWL; group lost more weight than the G group (−6.8+4.3 vs −1.1+3.5) (P < .0001). Both groups that established a weight loss goal lost more weight than NoG group.Conclusions-For overweight/obese individuals in CR, participating in BWL classes and setting a weight loss goal leads to more weight loss than G alone. Setting a weight loss goal alone leads to greater weight loss than not setting a weight loss goal.

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“…The effects of goal setting on behavioural change, such as increasing physical activity, change in diet, controlling blood pressure, blood sugar or cholesterol, and smoking cessation are confirmed in studies of different diseases, such as kidney disease , diabetes (O'Donnell et al, 2018;Polgreen et al, 2018), heart disease (Aspry et al, 2018). For example, those at risk of chronic kidney disease , participants with health goals (e.g., quitting smoking, decreasing alcohol intake) were more likely to change unhealthy behaviours.…”

Section: Quality Of Lifementioning

confidence: 86%

Understanding healthcare customers’ goals and behaviours

Aghdaei¹,

Alsadat²

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The purpose of this thesis is to understand the role that goals and goal setting play in healthcare consumers' decision-making. This thesis is set in the health service area, specifically in Cystic Fibrosis (CF), which is a life-threatening illness. CF is the most common genetically inherited lifeshortening chronic disease with no current cure. However, medication adherence reduces the disease exacerbation, which is associated with improved well-being. This thesis aims to extend the hierarchy of goals by providing the links between drivers, goal types and outcomes. It also empirically investigates the effect of goal priorities on behaviour preferences. The focus of the thesis is understanding healthcare customers' goals, the drivers of goal setting, their preferences for goals and their engagement in different health-related behaviours.There are seven main research questions addressed in three studies: (1) what are the effects of goal setting on well-being? (Study 1); (2) what are the definitions of different types of goals? (Study 1); (3) what are CF patients' goals, drivers and outcomes? (Study 2); (4) what is the conceptual framework linking drivers, goal types and outcomes? (Study 2); (5) what are the CF patients' goal priorities and behaviour preferences (Study 3); (6) are there any variations in individuals' goal priorities and behaviour preferences? (Study 3); and (7) how do goal priorities impact on behaviour preferences? (Study 3)This thesis uses a mixed method approach to incorporate a variety of data in the research. The range of data is qualitative data (systematic literature review and 21 semi-structured in-depth interviews with CF patients) and quantitative data (320 Discrete Choice Experiment: 40 CF patients × 8 choice sets and 520 best-worst tasks: 40 CF patients × 13 tasks). Mixed method approach is used in order to gain a better understanding of goals, drivers, outcomes and empirically model the relationship between goal priorities and behaviour preferences.x Financial supportThis research was supported by the University of Queensland International scholarship (UQI) for Fees and a Living Stipend.

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Effect of Case Management With Goal-Setting on Diet Scores and Weight Loss in Cardiac Rehabilitation Patients

Abstract: A case management model that incorporates dietary goal-setting is associated with improved measures of diet quality and weight loss during CR.

Cited by 13 publications

References 44 publications

Diet Improvements in Community-Dwelling Older Adults in the Mobility and Vitality Lifestyle Program

Diet Improvements in Community-Dwelling Older Adults in the Mobility and Vitality Lifestyle Program

Effects of Behavioral Weight Loss and Weight Loss Goal Setting in Cardiac Rehabilitation

Understanding healthcare customers’ goals and behaviours

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