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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 3/2010

01-06-2010 | Original Article

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

Authors: Sheleigh P. Lawler, PhD, Elizabeth Winkler, PhD, Marina M. Reeves, PhD, Neville Owen, PhD, Nicholas Graves, PhD, Elizabeth G. Eakin, PhD

Published in: Annals of Behavioral Medicine | Issue 3/2010

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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.
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Metadata
Title
Multiple Health Behavior Changes and Co-variation in a Telephone Counseling Trial
Authors
Sheleigh P. Lawler, PhD
Elizabeth Winkler, PhD
Marina M. Reeves, PhD
Neville Owen, PhD
Nicholas Graves, PhD
Elizabeth G. Eakin, PhD
Publication date
01-06-2010
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 3/2010
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-010-9188-2

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