Telephone-Delivered Interventions for Physical Activity and Dietary Behavior Change An Updated Systematic Review
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.
- SourceAvailable from: Susan Weber Buchholz
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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. "
ABSTRACT: BACKGROUND: Physical inactivity is a leading health risk factor for mortality worldwide. Researchers are examining innovative techniques including the use of mobile technology to promote physical activity. One such technology, text messaging, is emerging internationally as a method to communicate with and motivate individuals to engage in healthy behaviors, including physical activity. AIM: Review the existing scientific literature on adult physical activity text messaging interventions. METHODS: This systematic review examined research papers that addressed physical activity text messaging intervention studies in adults. Using multiple databases, the search strategy included published English language studies through October 1, 2011. An author-developed data collection tool was used independently by two reviewers to extract and examine the selected study variables. RESULTS: The initial search resulted in the identification of 200 publications. Eleven publications representing 10 studies were included in the final review. Studies were conducted in seven countries with over half the studies being randomized controlled trials. Participants of the studies were predominantly young to middle aged women. Physical activity data were mainly obtained by self-report although three studies used pedometers or accelerometers. Interventions ranged from only sending out text messages to combining text messages with educational materials, staff support, and/or Internet technology. Minimal information was given regarding development or number of text messages used. The median effect size for the studies was 0.50. CONCLUSIONS: To date, using text messaging as a method to promote physical activity has only been studied by a small group of researchers. Current physical activity text messaging literature is characterized by small sample sizes, heterogeneous but positive effect sizes, and a lack of specificity as to the development of the text messages used in these studies. Further research in this area is imperative to facilitate the expansion of mobile technology to promote physical activity.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. "
ABSTRACT: The process of generating evidence-based public health interventions is understood to include steps that define the issue, generate and test solutions in controlled settings, replicate and then disseminate more widely. However, to date models have not considered the types and scale of formative evaluation tasks that are needed to up-scale interventions, from efficacy to population-wide dissemination in the real world. In this paper, we propose that an additional stage of 'translational formative evaluation' is necessary for the translation of effectiveness evidence into wide-scale public health practice. We illustrate the utility of translational formative evaluation, through a case study of the Get Healthy Information and Coaching Service(®) (GHS), a population-based telephone service designed to assist adults change lifestyle-related behaviours. The additional translational formative evaluation steps comprised synthesis of efficacy studies, qualitative research with the wider target audience, environmental analysis and stakeholder consultation. They produced precise recommendations to refine GHS design and implementation. Translational formative evaluation is a necessary intermediate step, following efficacy studies and a precursor to population-wide implementation of public health programmes.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. "
ABSTRACT: The Get Healthy Information and Coaching Service® (GHS), a free government-funded telephone-delivered information and coaching service was launched in February 2009 by the Australian New South Wales state government. It represents the translation of research evidence applied in the real world (T4 or Phase 4 translation), aimed at addressing the modifiable risk factors associated with the overweight and obesity. In controlled settings, it has been established that telephone-based lifestyle counseling programs are efficacious in reducing anthropometric and behavioral risk factors. This article presents the GHS case study as a population-wide intervention and describes the quasi-experimental evaluation framework used to evaluate both the process (statewide implementation) and impact (effectiveness) of the GHS in a real-world environment. It details the data collection, measures, and statistical analysis required in assessing the process of implementation-reach and recruitment, marketing and promotion, service satisfaction, intervention fidelity, and GHS setting up and operations costs-and in assessing the impact of GHS-increasing physical activity, improving dietary practices, and reducing body weight and waist circumference. The comprehensive evaluation framework designed for the GHS provides a method for building effectiveness evidence of a rare translation of efficacy trial evidence into population-wide practice.Health Promotion Practice 09/2012; DOI:10.1177/1524839912456024 · 0.55 Impact Factor