School of Population Health, The University of Queensland, Herston Road, Herston, Queensland 4006, Australia.
BMC Public Health. 2012 Mar 12;12:179. doi: 10.1186/1471-2458-12-179.
Non-communicable diseases (NCDs) are the leading causes of death globally and are associated with a limited set of common, modifiable health behaviours: tobacco use, physical inactivity, harmful use of alcohol and unhealthy diet. General practice offers an ideal avenue for addressing such health behaviours on a population-wide basis. This paper describes the protocol of a multiple health behaviour change intervention designed for implementation in general practice and summarises the baseline characteristics of its participants.
METHOD/DESIGN: The 10 Small Steps (10SS) study, a randomised controlled trial, involved 4,678 adult general practice patients in Queensland, Australia. Self-reported data were collected to establish the proportion of participants meeting recommended guidelines for ten health behaviours: physical activity, body mass index, alcohol, smoking and six dietary behaviours. Participants were randomised to four groups: contact at baseline only ('single intervention' and corresponding control group) and contact at baseline and 3 months ('dual intervention' and corresponding control group). At each contact the participants received a computer-tailored feedback and one page information sheet according to their allocation to intervention or control groups. Change in the intervention group compared to the control group was assessed at 3 and12 months after baseline data collection.Responses were summed to calculate an individual lifestyle score (the Prudence Score), which ranged from 0 to 10. The baseline response was 56.5% (4678 of 8343 invited participants) and the study sample was primarily female (68.7%) with an average age of 47 years. The mean Prudence Score was 5.8 (95%CI 5.75-5.85).
Baseline data from the 10SS study show that nearly all participants engage in some health behaviours but relatively few adhere simultaneously to a core set of dietary and lifestyle behaviours associated with risk of NCDs. Ample scope exists to improve health behaviour to reduce NCDs in the general practice setting and the 10SS study trial will provide data on the extent to which a minimal computer-tailored intervention can meet this objective. The protocol developed for the 10SS study has potential for translation into routine general practice as it has minimal impact on practice routine whilst contributing to primary prevention objectives.
The Australian New Zealand Clinical Trials Registry ACTRN12611001213932.
非传染性疾病（NCDs）是全球死亡的主要原因，与一系列常见的、可改变的健康行为有关：吸烟、缺乏身体活动、有害使用酒精和不健康饮食。全科医学为在人群中广泛解决这些健康行为提供了理想的途径。本文描述了一项针对全科医学实施的多种健康行为改变干预措施的方案，并总结了其参与者的基线特征。
方法/设计：10 小步骤（10SS）研究是一项随机对照试验，涉及澳大利亚昆士兰州的 4678 名成年全科医学患者。收集自我报告数据，以确定参与者在十个健康行为方面符合建议指南的比例：身体活动、体重指数、酒精、吸烟和六种饮食行为。参与者被随机分为四组：仅在基线时进行接触（“单一干预”和相应的对照组）和在基线和 3 个月时进行接触（“双重干预”和相应的对照组）。在每次接触时，参与者根据他们被分配到干预组还是对照组，接受计算机定制的反馈和一页信息表。在基线数据收集后 3 个月和 12 个月时，评估干预组与对照组之间的变化。将响应相加以计算个体生活方式得分（谨慎得分），范围从 0 到 10。基线响应率为 56.5%（8343 名受邀参与者中的 4678 名），研究样本主要为女性（68.7%），平均年龄为 47 岁。平均谨慎得分 5.8（95%CI 5.75-5.85）。
10SS 研究的基线数据表明，几乎所有参与者都参与了一些健康行为，但相对较少的人同时遵守与非传染性疾病风险相关的一组核心饮食和生活方式行为。在全科医疗环境中改善健康行为以减少非传染性疾病有很大的空间，10SS 研究试验将提供关于最小计算机定制干预可以在多大程度上实现这一目标的数据。为 10SS 研究制定的方案有可能转化为常规全科实践，因为它对实践常规的影响最小，同时有助于实现初级预防目标。
澳大利亚新西兰临床试验注册中心 ACTRN12611001213932。
