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Multiple Health Behavior Changes and Co-variation in a Telephone Counseling Trial

Lawler, Sheleigh P. , Winkler, Elizabeth , Reeves, Marina M. , Owen, Neville , Graves, Nicholas , & Eakin, Elizabeth G. (2010) Multiple Health Behavior Changes and Co-variation in a Telephone Counseling Trial. Annals of Behavioral Medicine, 39(3), pp. 250-257.

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Abstract

Background Delivering effective multiple health behavior interventions to large numbers of adults with chronic conditions via primary care settings is a public health priority. Purpose Within a 12-month, telephone-delivered diet and physical activity intervention with multiple behavioral outcomes, we examined the extent and co-variation of multiple health behavior change. Methods A cluster-randomized trial with 434 patients with type 2 diabetes or hypertension were recruited from 10 general practices, which were randomized to receive telephone counseling or usual care. Results Those receiving telephone counseling were significantly more likely than those in usual care to make greater reductions in multiple behaviors after adjusting for baseline risk behaviors (OR 2.42; 95%CI 1.43, 4.11). Controlling for baseline risk and group allocation, making changes to either physical activity, fat, vegetable, or fiber intake was associated with making significantly more improvements in other behaviors. Conclusions For patients with chronic conditions, telephone counseling can significantly improve multiple health behaviors, with behavioral changes tending to co-vary.

Impact and interest:

9 citations in Scopus
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6 citations in Web of Science®

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302 since deposited on 17 Nov 2010
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ID Code: 38559
Item Type: Journal Article
Keywords: Chronic conditions, Telephone counselling, Multiple health behaviors, Diet, Physical activity
DOI: 10.1007/s12160-010-9188-2
ISSN: 0883-6612
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Statement: The Society of Behavioral Medicine 2010
Deposited On: 17 Nov 2010 13:19
Last Modified: 01 Mar 2012 00:15

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