Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Medical Foundation Building K25 NSW 2006, Australia.
Health Educ Res. 2011 Dec;26(6):1097-106. doi: 10.1093/her/cyr091. Epub 2011 Oct 10.
To address increasing rates of overweight and obesity, a population-based telephone intervention was introduced in New South Wales, Australia. The Get Healthy Information and Coaching Service® (GHS) offered participants a 6-month coaching program or detailed self-help information. Determining the population reach of GHS is of public health importance to ensure that the program reaches disadvantaged groups. This paper describes the socio-demographic and risk profile of participants (n = 4828) in the first 18 months of operations, determines how representative they are of the population, assesses changes in participants' socio-demographic profile and compares 'information-only' and 'coaching' participants. The results show that GHS users are representative of the adult population in relation to education, employment status, Aboriginal status, fruit and vegetable consumption and alcohol use. However, more female, middle-aged, English-speaking, rural and socially disadvantaged adults participated in GHS. Coaching Participants were more likely to be overweight and to be ex-smokers than the general population. There was substantial variability in GHS recruitment, when mass-reach television advertising was used, participants enrolled from a major city and from more disadvantaged communities. The GHS has broader population reach than many local interventions, but further efforts are needed to increase reach by Aboriginal communities, other minorities and men.
为了解决超重和肥胖率不断上升的问题,澳大利亚新南威尔士州引入了一项基于人群的电话干预措施。Get Healthy Information and Coaching Service®(GHS)为参与者提供了为期 6 个月的辅导计划或详细的自助信息。确定 GHS 的人口覆盖范围对于公共卫生非常重要,以确保该计划能够覆盖弱势群体。本文描述了该计划运营头 18 个月内参与者(n=4828)的社会人口统计学和风险概况,确定他们在人口中的代表性,评估参与者社会人口统计学特征的变化,并比较“仅信息”和“辅导”参与者。结果表明,就教育程度、就业状况、原住民身份、水果和蔬菜摄入量以及饮酒量而言,GHS 用户与成年人人口具有代表性。然而,更多的女性、中年、英语使用者、农村和社会劣势成年人参与了 GHS。与一般人群相比,辅导参与者更有可能超重和曾经吸烟。当使用大规模电视广告进行推广时,GHS 的招募存在很大的差异,参与者来自一个主要城市和更贫困的社区。与许多地方干预措施相比,GHS 的覆盖范围更广,但仍需要努力增加原住民社区、其他少数民族和男性的参与度。