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.
AD - Health Promotion Service, Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia (Drs Sangster and Furber); Health Promotion Service Murrumbidgee Local Health District, Wagga Wagga, New South Wales, Australia (Dr Sangster); School of Dentistry and Health Sciences, Charles Sturt University, Wagga Wagga, New South Wales, Australia (Dr Sangster); School of Public Health and Community Medicine, University of New South Wales, Sydney, New South Wales, Australia (Dr Furber); School of Molecular Biosciences (Dr Allman-Farinelli), School of Public Health (Drs Phongsavan and Bauman), and Sydney Medical School (Dr Redfern), University of Sydney, Sydney, New South Wales, Australia; Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, New South Wales, Australia (Dr Haas and Ms Church); and Heart Foundation, NSW Division, Sydney, New South Wales, Australia (Mr Mark). AN - 25313450 BT - Journal of Cardiopulmonary Rehabilitation and Prevention DP - NLM ET - 2014/10/15 IS - 2 LA - Eng LB - CDV N1 - Sangster, JanicePURPOSE:: 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.
PY - 2015 SN - 1932-751X (Electronic)