Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Medical Foundation Building K25, The University of Sydney, NSW, 2006, Australia.
Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Medical Foundation Building K25, The University of Sydney, NSW, 2006, Australia.
Prev Med. 2012 Oct;55(4):292-298. doi: 10.1016/j.ypmed.2012.07.022. Epub 2012 Aug 4.
With increasing rates of non-communicable disease, there is a need for implementing population-wide, evidence-based interventions for improving behavioural risk factors. Telephone-based interventions provide one option. This study reports on the evaluation of the Australia's Get Healthy Information and Coaching Service®, to improve lifestyle behaviours, amongst a population-wide sample who completed the 6-month coaching programme.
Using a pre-post design, New South Wales participants who completed telephone-based coaching between February 2009 and December 2011 were included. Outcomes comprised self-reported weight, waist circumference, height, physical activity and dietary behaviours. Matched pair analyses and multivariate modelling were performed to assess behavioural changes.
Participants (n=1440) reported statistically significant improvements in weight (-3.9 kg (5.1)); waist circumference (-5.0 cm (6.0)); and Body Mass Index (-1.4 BMI units (1.8)); number of walking and moderate-vigorous physical activity sessions of ≥30 min per week; number of vigorous physical activity sessions of ≥20 min per week and servings of vegetables; fruit; take-away meals and sweetened drinks (all p<0.001). Improvements in weight, waist, moderate physical activity, fruit and vegetable and take-away meals consumption remained significant after adjusting for socio-demographic characteristics.
These results support the effectiveness of replicating an evidence-based intervention in improving population risk factors for chronic disease.
随着非传染性疾病发病率的上升,需要实施基于人群的循证干预措施来改善行为风险因素。基于电话的干预措施提供了一种选择。本研究报告了澳大利亚的“获取健康信息和辅导服务”(Australia's Get Healthy Information and Coaching Service)的评估结果,该服务旨在改善生活方式行为,参与对象是完成 6 个月辅导计划的广泛人群样本。
采用前后设计,纳入 2009 年 2 月至 2011 年 12 月期间完成电话辅导的新南威尔士州参与者。结果包括自我报告的体重、腰围、身高、身体活动和饮食行为。采用匹配对分析和多元建模来评估行为变化。
参与者(n=1440)报告体重(-3.9 公斤(5.1))、腰围(-5.0 厘米(6.0))和体重指数(-1.4 BMI 单位(1.8))有统计学显著改善;每周至少进行 30 分钟快走和中等强度到剧烈强度的身体活动次数;每周至少进行 20 分钟剧烈身体活动次数和蔬菜、水果、外卖餐和含糖饮料的份数(均 p<0.001)。在调整社会人口特征后,体重、腰围、中等强度身体活动、水果和蔬菜以及外卖餐消费的改善仍然显著。
这些结果支持复制循证干预措施以改善人群慢性病风险因素的有效性。