Weight-Related Goal Setting in a Telephone-Based Preventive Health-Coaching Program: Demonstration of Effectiveness

O’Hara, Blythe J; Gale, Joanne; McGill, Bronwyn; Bauman, Adrian; Hebden, Lana; Allman‐Farinelli, Margaret; Maxwell, Michelle; Phongsavan, Philayrath

doi:10.1177/0890117116660776

Cited by 11 publications

(21 citation statements)

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“…10 Potentially, greater weight loss increased participants' confidence to achieve their goals, increasing the likelihood of feeling positive about the program, immersing themselves in the process, and ultimately completing the program, in line with evidence that those who set more ambitious GHS goals achieved more weight loss. 24 Equally, when participants start achieving their goals, their motivation to continue with the program may shift from needing extrinsic motivation (relying on their coach) to being more intrinsically motivated. 12,25 The individually tailored nature of the coaching program, which encourages positive coachparticipant rapport and constructive goal setting, was perceived as positive.…”

Section: Discussionmentioning

confidence: 99%

Participant perspectives of a 6-month telephone-based lifestyle coaching program

McGill¹,

O’Hara²,

Phongsavan³

2018

Public Health Res Pr

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Key points •This research adds to limited qualitative research relating to participant expectations and experiences of a telephonebased lifestyle intervention in a real-world context• Coach support was the most valued aspect of the participants' experience and, despite high attrition rates, participants were primarily positive about their coaching experience• Redesigning the service to increase flexibility in follow-up and using alternative communication methods such as text messaging to arrange follow-up calls could improve participant completion rates AbstractObjectives and importance of study: Low program completion rates can undermine the public health impact of even the most effective program. Participant experiences with lifestyle programs are not well reported, but are important for program improvement and retention. The purpose of this study was to understand participant perceptions of the Get Healthy Information and Coaching Service (GHS), a 6-month telephone-based health coaching program to promote lifestyle change. We were particularly interested in participants' initial expectations, their actual experience, and, for those who did not complete the program, what influenced their withdrawal. Study type:The study included qualitative semistructured interviews and a quantitative sociodemographic survey.Methods: A random sample of GHS participants (n = 59) was recruited to take part in semistructured interviews about their perceptions and experiences of the coaching program. Researchers conducted independent thematic analysis of the interview transcripts. Sociodemographic details were obtained from a quantitative survey of all GHS participants. experience. Service structure or individual circumstances, rather than the program itself, were the main reasons for withdrawal. ResultsDiscussion: A positive coaching experience was underpinned by good participant-coach rapport, which facilitated participant adherence and motivation to achieve their goals and complete the program. It is possible that participants who start to achieve their goals are motivated to continue with the program, and that their motivation moves from relying on their coach to being more intrinsically motivated. Reasons for high attrition provide insights into the coaching structure and process, and suggest that ensuring an individualised coaching approach and flexibility with follow-up calls (including alternative communication methods) are changes that could be used to improve practice and retain more participants for the duration of the program.Conclusions: Notwithstanding high attrition rates, participants were mostly positive about their coaching experience. Barriers to participants completing the program could be used to shape service redesign.

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Section: Discussionmentioning

confidence: 99%

Participant perspectives of a 6-month telephone-based lifestyle coaching program

McGill¹,

O’Hara²,

Phongsavan³

2018

Public Health Res Pr

Self Cite

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“…9 Health coaching may have accounted for the observed behavior change (self-monitoring) through goal setting as previously reported. 5,10 The improvement found in the Mindful Eating Questionnaire makes us further speculate that increasing self-awareness through chestjournal.org monitoring food, in addition to checking daily steps and measuring weight, could explain the success of our intervention. Compared with other interventions targeting weight loss in people with obesity and chronic lung disease, our intervention is the first to our knowledge to possibly improve breathlessness, eating awareness, and all domains of quality of life beyond the minimal clinically important differences for the CRQ.…”

Section: Discussionmentioning

confidence: 89%

Treating Severe Obesity to Reduce Dyspnea in Patients With Chronic Lung Disease

Dupuy-McCauley

Novotny

Benzo

2020

Chest

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“…The service aims to support people to modify unhealthy behaviours; increase physical activity levels; make healthy dietary changes; reduce alcohol consumption; and achieve and maintain a healthy body weight 48 49. There is evidence that the GHS is effective in reducing BMI, and waist circumference, and improves eating behaviours and physical activity in the general population 49 50…”

Section: Methods and Analysismentioning

confidence: 99%

“…Calls are usually made bimonthly for the first 3 months (n=6) to help facilitate behaviour change, with remaining calls tapering off for the following 3 months. Average call duration is 13 min 49 50. Patients can graduate early from the GHS if they complete five coaching calls and meet their health goals.…”

Section: Methods and Analysismentioning

confidence: 99%

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Healthy Lifestyle Program (HeLP) for low back pain: protocol for a randomised controlled trial

et al. 2019

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IntroductionLow back pain is one of the most common and burdensome chronic conditions worldwide. Lifestyle factors, such as excess weight, physical inactivity, poor diet and smoking, are linked to low back pain chronicity and disability. There are few high-quality randomised controlled trials that investigate the effects of targeting lifestyle risk factors in people with chronic low back pain.Methods and analysisThe aim of this study is to determine the effectiveness of a Healthy Lifestyle Program (HeLP) for low back pain targeting weight, physical activity, diet and smoking to reduce disability in patients with chronic low back pain compared with usual care. This is a randomised controlled trial, with participants stratified by body mass index, allocated 1:1 to the HeLP intervention or usual physiotherapy care. HeLP involves three main components: (1) clinical consultations with a physiotherapist and dietitian; (2) educational resources; and (3) telephone-based health coaching support for lifestyle risk factors. The primary outcome is disability (Roland Morris Disability Questionnaire) at 26 weeks. Secondary outcomes include pain intensity, weight, quality of life and smoking status. Data will be collected at baseline, and at weeks 6, 12, 26 and 52. Patients with chronic low back pain who have at least one health risk factor (are overweight or obese, are smokers and have inadequate physical activity or fruit and vegetable consumption) will be recruited from primary or secondary care, or the community. Primary outcome data will be analysed by intention to treat using linear mixed-effects regression models. We will conduct three supplementary analyses: causal mediation analysis, complier average causal effects analysis and economic analysis.Ethics and disseminationThis study was approved by the Hunter New England Research Ethics Committee (Approval No 17/02/15/4.05), and the University of Newcastle Human Research Ethics Committee (Ref No H-2017-0222). Outcomes of this trial and supplementary analyses will be disseminated through publications in peer-reviewed journals and conference presentations.Trial registration numberACTRN12617001288314.

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Weight-Related Goal Setting in a Telephone-Based Preventive Health-Coaching Program: Demonstration of Effectiveness

Abstract: Goal setting for weight management and increasing physical activity in the overweight and obese population, undertaken in a telephone-based coaching program, can be effective.

Cited by 11 publications

References 36 publications

Participant perspectives of a 6-month telephone-based lifestyle coaching program

Participant perspectives of a 6-month telephone-based lifestyle coaching program

Treating Severe Obesity to Reduce Dyspnea in Patients With Chronic Lung Disease

Healthy Lifestyle Program (HeLP) for low back pain: protocol for a randomised controlled trial

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