Telephone-Delivered Interventions for Physical Activity and Dietary Behavior Change

Goode, Ana D.; Reeves, Marina M.; Eakin, Elizabeth G.

doi:10.1016/j.amepre.2011.08.025

Cited by 237 publications

(247 citation statements)

References 60 publications

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“…Telephone-delivered interventions are increasingly being investigated as they have the potential for broad population reach, and for delivering the repeated contacts necessary to promote maintenance of behavior change and related clinical improvements (12)(13)(14)(15).…”

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confidence: 99%

Living Well With Diabetes: 24-Month Outcomes From a Randomized Trial of Telephone-Delivered Weight Loss and Physical Activity Intervention to Improve Glycemic Control

et al. 2014

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OBJECTIVETo evaluate the effectiveness of a telephone-delivered behavioral weight loss and physical activity intervention targeting Australian primary care patients with type 2 diabetes. RESEARCH DESIGN AND METHODSPragmatic randomized controlled trial of telephone counseling (n = 151) versus usual care (n = 151). Reported here are 18-month (end-of-intervention) and 24-month (maintenance) primary outcomes of weight, moderate-to-vigorous-intensity physical activity (MVPA; via accelerometer), and HbA 1c level. Secondary outcomes include dietary energy intake and diet quality, waist circumference, lipid levels, and blood pressure. Data were analyzed via adjusted linear mixed models with multiple imputation of missing data. RESULTSRelative to usual-care participants, telephone counseling participants achieved modest, but significant, improvements in weight loss (relative rate [RR] 02]), or other cardio-metabolic markers. None of the outcomes showed a significant change/deterioration over the maintenance period. However, only the intervention effect for MVPA remained statistically significant at 24 months. CONCLUSIONSThe modest improvements in weight loss and behavior change, but the lack of changes in cardio-metabolic markers, may limit the utility, scalability, and sustainability of such an approach.

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confidence: 99%

Living Well With Diabetes: 24-Month Outcomes From a Randomized Trial of Telephone-Delivered Weight Loss and Physical Activity Intervention to Improve Glycemic Control

et al. 2014

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“…Though a few recent studies have developed fidelity assessment tools based on a self-reported measure of behavioral health provider fidelity [45] or expert ratings for delivering a complex intervention for chronic pain [46] and a practice change intervention [47] (both of the latter instruments assessed face validity and reliability only), the dearth of validated and published instruments extends beyond weight loss interventions and is well-recognized [48,49,9,[50][51][52][53]. Clearly, there is a need for validated measures to help determine the effectiveness of weight loss interventions when delivered as they were intended.…”

Section: Original Research Discussionmentioning

confidence: 99%

Development and validation of the ASPIRE-VA coaching fidelity checklist (ACFC): a tool to help ensure delivery of high-quality weight management interventions

Damschroder

Goodrich

Kim

et al. 2015

Behav. Med. Pract. Policy Res.

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Practical and valid instruments are needed to assess fidelity of coaching for weight loss. The purpose of this study was to develop and validate the ASPIRE Coaching Fidelity Checklist (ACFC). Classical test theory guided ACFC development. Principal component analyses were used to determine item groupings. Psychometric properties, internal consistency, and inter-rater reliability were evaluated for each subscale. Criterion validity was tested by predicting weight loss as a function of coaching fidelity. The final 19-item ACFC consists of two domains (session process and session structure) and five subscales (sets goals and monitor progress, assess and personalize self-regulatory content, manages the session, creates a supportive and empathetic climate, and stays on track). Four of five subscales showed high internal consistency (Cronbach alphas>0.70) for group-based coaching; only two of five subscales had high internal reliability for phone-based coaching. All five sub-scales were positively and significantly associated with weight loss for group-but not for phone-based coaching. The ACFC is a reliable and valid instrument that can be used to assess fidelity and guide skill-building for weight management interventionists.

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“…Higher dropout rates in the beginning of the program indicate that the ability to implement the full 12-month intervention to all participants was challenging. This is an important issue given evidence from two recent systematic reviews of telephone-delivered physical activity and/or dietary behavior change interventions that indicate that delivery of longer term interventions (i.e., of at least 6-months duration) is associated with improved outcomes [9,14]. It suggests that other modalities for providing ongoing intervention contacts should be evaluated [72].…”

Section: Original Researchmentioning

confidence: 99%

“…A strong randomized trial evidence base supports efficacy of telephone-delivered interventions targeting physical activity and/or dietary change and weight loss in a range of settings and target populations [9,10,[14][15][16][17][18][19]. In order to achieve their potential public health impact, such interventions need to be implemented and evaluated in diverse community practice settings [20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

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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Telephone-Delivered Interventions for Physical Activity and Dietary Behavior Change

Cited by 237 publications

References 60 publications

Living Well With Diabetes: 24-Month Outcomes From a Randomized Trial of Telephone-Delivered Weight Loss and Physical Activity Intervention to Improve Glycemic Control

Living Well With Diabetes: 24-Month Outcomes From a Randomized Trial of Telephone-Delivered Weight Loss and Physical Activity Intervention to Improve Glycemic Control

Development and validation of the ASPIRE-VA coaching fidelity checklist (ACFC): a tool to help ensure delivery of high-quality weight management interventions

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

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