Telephone-Delivered Interventions for Physical Activity and Dietary Behavior Change An Updated Systematic Review

Cancer Prevention Research Centre, School of Population Health, The University of Queensland, Brisbane, Queensland, Australia.
American journal of preventive medicine (Impact Factor: 4.28). 01/2012; 42(1):81-8. DOI: 10.1016/j.amepre.2011.08.025
Source: PubMed

ABSTRACT Telephone-delivered interventions targeting physical activity and dietary change have potential for broad population reach and thus have a role to play in addressing increasing rates of lifestyle-related chronic diseases. The purpose of this systematic review is to update the evidence for their potential to inform translation, including effectiveness in promoting maintenance, reporting on implementation, and costs.
A structured search of PubMed, MEDLINE, and PsycINFO (January 2006 to April 2010) was conducted. Included studies reported on physical activity and/or dietary change in adults, delivered at least 50% of intervention contacts by telephone, and included a control group (except in dissemination studies). Detailed information on study design, intervention features, and behavioral outcomes was extracted, tabulated, and summarized.
Twenty-five studies (27 comparisons) were included: 16 for physical activity, two for diet, and seven for combined interventions. Twenty of 27 comparisons found evidence for initiation of behavior change (14 of 17 comparisons for physical activity; two of two for diet; four of eight for combined interventions). Ten of 25 studies evaluated post-intervention maintenance of change, with three reporting that maintenance was achieved for at least 50% of outcomes. Dissemination studies were rare (n=3), as were dose-response (n=2) and cost-effectiveness analyses (n=2).
Given the strength of evidence for telephone-delivered physical activity and dietary change interventions, greater emphasis on dissemination studies is warranted.

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    • "Another emerging text message area is in primary prevention of disease by helping individuals increase their levels of physical activity. While there have been published articles related to telephone-delivered and web-based interventions to improve physical activity outcomes, the reviews failed to include interventions that used text messaging (Fry & Neff, 2009; Goode et al., 2012; Norman et al., 2007). Four reviews have examined mobile phone text messaging to deliver healthcare interventions to improve health behaviors. "
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    Worldviews on Evidence-Based Nursing 06/2013; 10(3). DOI:10.1111/wvn.12002 · 2.32 Impact Factor
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    • "The first stage synthesis of evidence consisted of a review of the efficacy evidence of telephone-based lifestyle counselling (Eakin et al., 2007; Goode et al., 2012), and undertaking a narrative literature review of individual intervention efficacy, and identifying the key characteristics and components of success. The environmental and situation analysis stage examined political and organizational factors influencing readiness and support for 'scaling' up of a telephone-based lifestyle risk factor prevention programme. "
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    Health Promotion International 04/2013; 29(1). DOI:10.1093/heapro/dat025 · 1.94 Impact Factor
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    • "However, published reports demonstrating the translation of this research into population-wide programs are limited. Whereas translational research from trials (Lindström et al., 2006) in other chronic disease domains such as diabetes is being championed in the primary health care setting for those with diabetes (Colagiuri, Vita, et al., 2010), lifestyle-based interventions and their effectiveness for addressing chronic disease risk factors and overweight and obesity in the general adult population remain largely untested and require further exploration , and the processes of translating research evidence to population-wide practice and policy need to be better understood (Goode et al., 2012; Jepson, Harris, Platt, & Tannahill, 2010). The importance of translational research is gaining prominence, with varying definitions of what translational research entails. "
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