02191nas a2200229 4500000000100000008004100001100001200042700001600054700001400070700001800084700002400102700001400126700001400140700001200154700001400166245018600180250001500366300001000381490000700391520151200398020005101910 2015 d1 aHaas M.1 aSangster J.1 aFurber S.1 aPhongsavan P.1 aAllman-Farinelli M.1 aBauman A.1 aChurch J.1 aMark A.1 aRedfern J00aEffectiveness of a Pedometer-based Telephone Coaching Program on Weight and Physical Activity for People Referred to a Cardiac Rehabilitation Program: a randomised controlled trial. a2014/10/15 a124-90 v353 a
PURPOSE:: To determine the effectiveness of a pedometer-based telephone lifestyle coaching intervention on weight and physical activity. METHODS:: A randomized controlled trial was conducted with 313 patients referred to cardiac rehabilitation in rural and urban Australia. Participants were allocated to a healthy weight (HW) (4 telephone coaching sessions on weight and physical activity) or a physical activity (PA) intervention (2 telephone coaching sessions on physical activity). Weight and physical activity were assessed by self-report at baseline, short-term (6-8 weeks), and medium-term (6-8 months). RESULTS:: More than 90% of participants completed the trial. Over the medium-term, participants in the HW group decreased their weight compared with participants in the PA group (P = .005). Participants in the HW group with a body mass index of >/=25 kg/m had a mean weight loss of 1.6 kg compared with participants in the PA-only group who lost a mean of 0.4 kg (P = .015). Short-term, both groups increased their physical activity time, and the PA group maintained this increase at the medium-term. CONCLUSIONS:: Participants in the HW group achieved modest improvements in weight, and those in the PA group demonstrated increased physical activity. Low-contact, telephone-based interventions are a feasible means of delivering lifestyle interventions for underserved rural communities, for those not attending cardiac rehabilitation, or as an adjunct to cardiac rehabilitation.
a1932-751X (Electronic)