Effectiveness of a Pedometer-Based Telephone Coaching Program on Weight and Physical Activity for People Referred to a Cardiac Rehabilitation Program

Sangster, Janice; Furber, Susan; Allman‐Farinelli, Margaret; Phongsavan, Philayrath; Redfern, Julie; Haas, Marion; Church, Jody; Mark, Andy; Bauman, Adrian

doi:10.1097/hcr.0000000000000082

Cited by 27 publications

(65 citation statements)

References 14 publications

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“…These services have shown significant weight loss outcomes (ranging from −1.3 to −5.4 kg over 6 to 12 months) and behaviour change outcomes approximating those reported in the precursor randomised trials [20,[22][23][24]. Such interventions may also be appropriate for the large number of hospital patients identified as requiring outpatient weight management services.…”

Section: Introductionmentioning

confidence: 94%

“…Australia [22] and for patients previously hospitalised with coronary heart disease [23]. These services have shown significant weight loss outcomes (ranging from −1.3 to −5.4 kg over 6 to 12 months) and behaviour change outcomes approximating those reported in the precursor randomised trials [20,[22][23][24].…”

Section: Introductionmentioning

confidence: 99%

“…ORIGINAL RESEARCH understand the reach, effectiveness and costeffectiveness of these modalities in real-world settings. High attrition is both a limitation of this study for both programs (43 % telephone program; 34 % groupbased program) and weight loss programs in general with dropout rates of up to 60 % in other applied setting programs over a six-month follow-up period [8,20,22,24]. For patients in the telephone program, the most commonly reported reason for dropping out was being too busy to participate.…”

Section: Original Researchmentioning

confidence: 99%

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Feasibility, effectiveness and cost-effectiveness of a telephone-based weight loss program delivered via a hospital outpatient setting

Whelan

Goode

Eakin

et al. 2015

Behav. Med. Pract. Policy Res.

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Engaging patients in a group-based weight loss program is a challenge for the acute-care hospital outpatient setting. To evaluate the feasibility, effectiveness and costeffectiveness of a telephone-based weight loss service and an existing face-to-face, group-based service a nonrandomised, two-arm feasibility trial was used. Patients who declined a two-month existing outpatient groupbased program were offered a six-month research-based telephone program. Outcomes were assessed at baseline, two months (both groups) and six months (telephone program only) using paired t tests and linear regression models. Cost per healthy life year gained was calculated for both programs. The telephone program achieved significant weight loss (−4.1±5.0 %; p=0.001) for completers (n=35; 57 % of enrolees) at six months. Compared to the group-based program (n=33 completers; 66 %), the telephone program was associated with greater weight loss (mean difference [95%CI] −2.0 % [−3.4, −0.6]; p=0.007) at two months. The cost per healthy life year gained was $33,000 and $85,000, for the telephone and group program, respectively. Telephonedelivered weight management services may be effective and cost-effective within an acute-care hospital setting, likely more so than usual (group-based) care.

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Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Original Researchmentioning

confidence: 99%

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Feasibility, effectiveness and cost-effectiveness of a telephone-based weight loss program delivered via a hospital outpatient setting

Whelan

Goode

Eakin

et al. 2015

Behav. Med. Pract. Policy Res.

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“…Per the inclusion criteria for this RE‐AIM review, all interventions took place in rural areas. Seven of the 50 unique interventions (14%) included both rural and urban participants . Publications for all interventions referenced a “rural” setting; however, there was not a consistent definition or approach used across interventions.…”

Section: Resultsmentioning

confidence: 99%

Understanding the impact of rural weight loss interventions: A systematic review and meta‐analysis

Porter

Laumb²,

Michaud

et al. 2019

Obesity Reviews

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Summary Rural adults have a higher risk of developing obesity than urban adults. Several evidence‐based interventions have targeted rural regions, but their impact, defined as reach (number and representativeness of participants) by effectiveness, has not been examined. The purpose of this review was to determine the impact of rural weight loss interventions and the availability of data across dimensions of the reach, effectiveness, adoption, implementation, and maintenance (RE‐AIM) framework. A systematic review was conducted to identify rural weight loss interventions that targeted adults. RE‐AIM‐related data were abstracted from each article. We performed a meta‐analysis to examine effectiveness. Sixty‐four articles reported on rural weight loss interventions, describing 50 unique interventions. The median number of participants was 107. Median participation rate differed between values reported by the authors (62%) and values computed using a standard method (32%). Two studies reported on sample representativeness; none reported comparisons made between target and actual delivery settings. Median weight loss per participant was 3.64 kg. Meta‐analyses revealed the interventions achieved a significant weight reduction, and longer‐duration interventions resulted in greater weight loss. Rural weight loss interventions appear to be effective in supporting clinically meaningful weight loss but reach and cost outcomes are still difficult to determine.

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“…In a web‐based program for CAD patients, that included CR participants, participants had a significantly ( p < 0.003) greater weight loss (average of 3.7 vs. 0.47 pounds; Southard, Southard, & Nuckolls, ). Overweight cardiac patients in CR randomised to a pedometer‐based telephone coaching programme had greater weight loss than the physical activity‐only group (Sangster et al, ). Although these studies demonstrated effectiveness, weight losses achieved by participants were not sustained and/or did not reach weight loss of clinical significance.…”

Section: Introductionmentioning

confidence: 99%

Weight management telehealth intervention for overweight and obese rural cardiac rehabilitation participants: A randomised trial

Barnason

Zimmerman

Schulz

et al. 2019

Journal of Clinical Nursing

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Aims and Objectives To determine whether a weight management intervention (WMI) plus cardiac rehabilitation (CR) compared to CR alone improves outcomes for overweight and obese cardiac revascularisation patients. Background Despite participating in cardiac rehabilitation (CR), few cardiac patients lose enough weight to achieve clinically significant cardiovascular disease risk reduction. Design A randomised controlled design was used with measurements at baseline, 4 and 6 months, guided by the CONSORT checklist, see Supporting Information File S1. Adults who had undergone either coronary artery bypass surgery (CABS) or percutaneous coronary intervention (PCI) and participated in a rural CR programmes were recruited. Subjects were randomised to a 12‐week telehealth WMI or control group. The primary outcome was weight loss. Secondary outcomes included physical activity, patient activation, perceived self‐efficacy and use of weight management behaviours. Results A total of 43 subjects participated, with a mean age of 63 (±9.3) years. The WMI group had significantly more weight loss averaged across the 4 and 6 months of 13.8 (±2.8) pounds compared to the control group [mean = 7.8 (±2.2) pounds]. There were no significant differences in physical activity (activity counts or daily minutes in moderate or more intense activity). The WMI group had significantly higher levels of patient activation. They also had significantly higher total scores on the Diet and Exercise Self‐Management survey, and subscales that included self‐efficacy for specific eating habits and managing diet behaviour. Conclusions Findings demonstrated the usefulness and feasibility of using telehealth delivery of the WMI for cardiac rehabilitation participants in rural communities to improve weight management outcomes. Relevance to Practice Study findings underscore the opportunity to further improve weight loss of overweight and obese cardiac participants using a weight management intervention to augment CR participation.

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Effectiveness of a Pedometer-Based Telephone Coaching Program on Weight and Physical Activity for People Referred to a Cardiac Rehabilitation Program

Cited by 27 publications

References 14 publications

Feasibility, effectiveness and cost-effectiveness of a telephone-based weight loss program delivered via a hospital outpatient setting

Feasibility, effectiveness and cost-effectiveness of a telephone-based weight loss program delivered via a hospital outpatient setting

Understanding the impact of rural weight loss interventions: A systematic review and meta‐analysis

Weight management telehealth intervention for overweight and obese rural cardiac rehabilitation participants: A randomised trial

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