Effectiveness of Australia's Get Healthy Information and Coaching Service®: Translational research with population wide impact

O’Hara, Blythe J; Phongsavan, Philayrath; Venugopal, Kamalesh; Eakin, Elizabeth G.; Eggins, Dianne; Caterson, Hugh; King, Lesley; Allman‐Farinelli, Margaret; Haas, Marion; Bauman, Adrian

doi:10.1016/j.ypmed.2012.07.022

Cited by 77 publications

(111 citation statements)

References 45 publications

(49 reference statements)

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“…It may be that men are opting out of the program at this point and, thus, never being referred, or GPs are simply referring more women, given that women are more likely to present for preventive care [68]. High withdrawal rates observed in the OHP (38 % attrition at 6 months) are reflective of the "real world" context and are in line with other dissemination studies [24,25,57], including the GHS, which reported 74 % attrition at the end of the 6-month intervention [64]. It may be that participants in dissemination studies with interventions delivered in applied settings do not perceive themselves as making the same level of commitment to complete a program as those who formally consent to participate in a controlled research study, especially when the program is offered free of charge.…”

Section: Original Researchsupporting

confidence: 72%

“…However, studies included in the review were predominantly group based/face to face, with only one including some telephone contact [63]. The magnitude of physical activity and dietary improvements observed in the OHP is broadly comparable to other telephonedelivered dissemination studies [24,26,64] as well as the original trial upon which it was based [30].…”

Section: Discussionmentioning

confidence: 83%

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Results from the dissemination of an evidence-based telephone-delivered intervention for healthy lifestyle and weight loss: the Optimal Health Program

Goode

Reeves

Owen

et al. 2013

Behav. Med. Pract. Policy Res.

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Despite proven efficacy, there are few published evaluations of telephone-delivered interventions targeting physical activity, healthy eating, and weight loss in community dissemination contexts. This study aims to evaluate participant and program outcomes from the Optimal Health Program, a telephonedelivered healthy lifestyle and weight loss program provided by a primary health care organization. Dissemination study used a single-group, repeated measures design; outcomes were assessed at 6-month (mid-program; n0166) and 12-month (end of program; n088) using paired analyses. The program reached a representative sample of at-risk, primary care patients, with 56 % withdrawing before program completion. Among completers, a statistically significant improvement between baseline and end of program was observed for weight [mean change (SE) −5.4 (7.0) kg] and waist circumference [−4.8 (9.7)cm], underpinned by significant physical activity and dietary change. Findings suggest that telephone-delivered weight loss and healthy lifestyle programs can provide an effective model for use in primary care settings, but participant retention remains a challenge.

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Section: Original Researchsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 83%

Results from the dissemination of an evidence-based telephone-delivered intervention for healthy lifestyle and weight loss: the Optimal Health Program

Goode

Reeves

Owen

et al. 2013

Behav. Med. Pract. Policy Res.

View full text Add to dashboard Cite

show abstract

“…Potential confounders (baseline values of the other outcomes and demographic variables) were adjusted for in the analyses if their association with the outcome was p<0.2 [49,50]. Results were reported primarily for completers, consistent with other evaluations of weight loss interventions in service delivery contexts [20,24]. A sensitivity analysis using multiple imputation was performed to evaluate the sensitivity of conclusions to assumptions regarding missing data.…”

Section: Discussionmentioning

confidence: 99%

“…These services have shown significant weight loss outcomes (ranging from −1.3 to −5.4 kg over 6 to 12 months) and behaviour change outcomes approximating those reported in the precursor randomised trials [20,[22][23][24]. Such interventions may also be appropriate for the large number of hospital patients identified as requiring outpatient weight management services.…”

Section: Introductionmentioning

confidence: 91%

“…To date, dissemination efforts for weight loss programs have primarily been for face-to-face delivered programs [19]. However, four recent studies have evaluated telephone-delivered lifestyle-based weight loss services implemented in broader dissemination contexts for a state-wide population [20], for overweight and obese primary care patients in a community catchment area [21], for patients referred to cardiac rehabilitation services in rural and urban Policy: Evaluating alternative and broaderreaching service delivery models for reach, effectiveness and cost-effectiveness is important for decision-making in relation to the allocation of scarce health care resources.…”

Section: Introductionmentioning

confidence: 99%

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Feasibility, effectiveness, and cost-effectiveness of a telephone-based weight loss program delivered via a hospital outpatient setting

Whelan

Goode

Eakin

et al. 2014

Obesity Research & Clinical Practice

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Economic evaluation of a healthy lifestyle intervention for chronic low back pain: A randomized controlled trial

Williams

Dongen

Kamper

et al. 2018

European Journal of Pain

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Background Economic evaluations which estimate cost‐effectiveness of potential treatments can guide decisions about real‐world healthcare services. We performed an economic evaluation of a healthy lifestyle intervention targeting weight loss, physical activity and diet for patients with chronic low back pain, who are overweight or obese. Methods Eligible patients with chronic low back pain (n = 160) were randomized to an intervention or usual care control group. The intervention included brief advice, a clinical consultation and referral to a 6‐month telephone‐based healthy lifestyle coaching service. The primary outcome was quality‐adjusted life years (QALYs). Secondary outcomes were pain intensity, disability, weight and body mass index. Costs included intervention costs, healthcare utilization costs and work absenteeism costs. An economic analysis was performed from the societal perspective. Results Mean total costs were lower in the intervention group than the control group (‐$614; 95%CI: −3133 to 255). The intervention group had significantly lower healthcare costs (‐$292; 95%CI: −872 to −33), medication costs (−$30; 95%CI: −65 to −4) and absenteeism costs (‐$1,000; 95%CI: −3573 to −210). For all outcomes, the intervention was on average less expensive and more effective than usual care, and the probability of the intervention being cost‐effective compared to usual care was relatively high (i.e., 0.81) at a willingness‐to‐pay of $0/unit of effect. However, the probability of cost‐effectiveness was not as favourable among sensitivity analyses. Conclusions The healthy lifestyle intervention seems to be cost‐effective from the societal perspective. However, variability in the sensitivity analyses indicates caution is needed when interpreting these findings. Significance This is an economic evaluation of a randomized controlled trial of a healthy lifestyle intervention for chronic low back pain. The findings suggest that a healthy lifestyle intervention may be cost‐effective relative to usual care.

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Effectiveness of Australia's Get Healthy Information and Coaching Service®: Translational research with population wide impact

Cited by 77 publications

References 45 publications

Results from the dissemination of an evidence-based telephone-delivered intervention for healthy lifestyle and weight loss: the Optimal Health Program

Results from the dissemination of an evidence-based telephone-delivered intervention for healthy lifestyle and weight loss: the Optimal Health Program

Feasibility, effectiveness, and cost-effectiveness of a telephone-based weight loss program delivered via a hospital outpatient setting

Economic evaluation of a healthy lifestyle intervention for chronic low back pain: A randomized controlled trial

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