Improving diet, physical activity and other lifestyle behaviours using computer-tailored advice in general practice: a randomised controlled trial

International Journal of Behavioral Nutrition and Physical Activity

Research

Corneel Vandelanotte¹  David King²  Sanjoti Parekh³  Frances M Boyle⁴ 

[1] Institute for Health and Social Science Research, Central Queensland University, Rockhampton, Queensland, Australia;School of Medicine, The University of Queensland, 4006, Herston, Queensland, Australia;School of Population Health & Healthy Communities Research Centre, The University of Queensland Herston, 4006, Queensland, Australia;The University of Queensland, School of Population Health, 4006, Qld, Australia;

关键词: Health promotion;    General practitioners;    Intervention studies;    Primary prevention;    Diet;    Physical activity;    Health behaviours.;   

DOI  :  10.1186/1479-5868-9-108

 received in 2011-12-09, accepted in 2012-08-30,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThe adoption and maintenance of healthy behaviours is essential in the primary prevention of chronic non-communicable diseases. This study evaluated the effectiveness of a minimal intervention on multiple lifestyle factors such as diet, physical activity, smoking and alcohol, delivered through general practice, using computer-tailored feedback.MethodsAdult patients visiting 21 general practitioners in Brisbane, Australia, were surveyed about ten health behaviours that are risk factors for chronic, non-communicable diseases. Those who completed the self-administered baseline questionnaire entered a randomised controlled trial, with the intervention group receiving computer-tailored printed advice, targeting those health behaviours for which respondents were not meeting current recommendations. The primary outcome was change in summary lifestyle score (Prudence Score) and individual health behaviours at three months. A repeated measures analysis compared change in these outcomes in intervention and control groups after adjusting for age and education.Results2306 patients were randomised into the trial. 1711 (76%) returned the follow-up questionnaire at 3 months. The Prudence Score (10 items) in the intervention group at baseline was 5.88, improving to 6.25 at 3 months (improvement = 0.37), compared with 5.84 to 5.96 (improvement = 0.12) in the control group (F = 13.3, p = 0.01). The intervention group showed improvement in meeting recommendations for all individual health behaviours compared with the control group. However, these differences were significant only for fish intake (OR 1.37, 95% CI 1.11-1.68), salt intake (OR 1.19, 95% CI 1.05-1.38), and type of spread used (OR 1.28, 95% CI 1.06-1.51).ConclusionA minimal intervention using computer-tailored feedback to address multiple lifestyle behaviours can facilitate change and improve unhealthy behaviours. Although individual behaviour changes were modest, when implemented on a large scale through general practice, this intervention appears to be an effective and practical tool for population-wide primary prevention.Trial RegistrationThe Australian New Zealand Clinical Trials Registry: ACTRN12611001213932

【 授权许可】

CC BY   
© Parekh et al.; licensee BioMed Central Ltd. 2012