Telephone Counseling for Physical Activity and Diet in Primary Care Patients
Telephone Counseling for Physical Activity and Diet in Primary Care Patients
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DOI：
10.1016/j.amepre.2008.09.042
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发表时间：
2009-02-01
影响因子：
5.5
通讯作者：
Barnett, Adrian
中科院分区：
文献类型：
--
作者：
Eakin, Elizabeth;Reeves, Marina;Barnett, Adrian
背景资料：提供有效的干预措施，以帮助患者改善他们的身体活动和饮食行为是一个挑战，在忙碌的初级保健setting.Design：集群随机对照试验的做法随机电话咨询干预或日常护理。数据收集时间为2005年2月至2007年11月，分析时间为2007年12月至2008年4月。（平均年龄=58.2 [SD=11.8]; 61%为女性;平均BMI=31.1 [SD=6.8]）从10个初级保健实践中招募。12个月的电话咨询intervention.Main结果的措施：体力活动和饮食摄入量进行了评估的自我报告在基线，4，和12 months.Results：在12个月，两组患者增加中度到剧烈的体力活动，平均每周78分钟（SE=10）。观察到显著的干预效果（电话咨询减去日常护理）：来自总脂肪的热量（减少1.17%; p
Background: The delivery of effective interventions to assist patients to improve their physical activity and dietary behaviors is a challenge in the busy primary care setting.Design: Cluster RCT with practices randomized to telephone Counseling intervention or usual care. Data collection took place from February 2005 to November 2007, with analysis from December 2007 to April 2008.Setting/participants: Four-hundred thirty-four adult patients with type 2 diabetes or hypertension (mean age=58.2 [SD=11.8]; 61% female; mean BMI=31.1 [SD=6.8]) from a disadvantaged community were recruited from ten primary care practices.Intervention: Twelve-month telephone counseling intervention.Main outcome measures: Physical activity and dietary intake were assessed by self-report at baseline, 4, and 12 months.Results: At 12 months, patients in both groups increased moderate-to-vigorous physical activity by a mean of 78 minutes per week (SE=10). Significant intervention effects (telephone counseling minus usual care) were observed for: calories from total fat (decrease of 1.17%; p