TY - JOUR
KW - Adolescent
KW - Adult
KW - Counseling/methods
KW - Female
KW - Follow-Up Studies
KW - Health Surveys
KW - Humans
KW - Male
KW - Middle Aged
KW - Motivation
KW - Motor Activity/physiology
KW - Patient Care/methods/psychology
KW - Patient Selection
KW - Physicians, Family/psychology
KW - Preventive Health Services/standards
KW - Primary Health Care/methods
KW - Qualitative Research
KW - Quality of Health Care/standards
KW - Risk Assessment/methods
KW - Suburban Health Services/trends
KW - Telephone/trends
KW - Treatment Outcome
AU - B. B. Green
AU - T. McAfee
AU - M. Hindmarsh
AU - L. Madsen
AU - M. Caplow
AU - D. Buist
A1 - 
AB - BACKGROUND: Physician counseling of patients to increase physical activity has had limited success in changing behavior. Providing organizational support to primary care providers and their patients may increase effectiveness. OBJECTIVE: This study evaluates the effectiveness of a telephone-based intervention to increase physical activity among patients who exercised <15 minutes daily and wanted to increase their physical activity over a 6-month period. DESIGN: This was a randomized controlled trial, conducted from 1997 to 1998, of 316 patients aged 18 to 65 who were recruited from a mailed health risk assessment. Baseline and 6-month post-intervention telephone assessments were conducted by telephone. SETTING: One family physician's patients in a suburban community. INTERVENTION: Three sessions of telephone-delivered motivational counseling. MAIN OUTCOME MEASURES: Physical activity score (11-item Physician-Based Assessment and Counseling for Exercise [PACE]) 6 months after the intervention. RESULTS: After adjusting for baseline exercise, there was a significantly higher level of self-reported exercise among individuals randomized to the intervention at the 6-month follow-up. The mean level of activity at follow-up for the intervention group was a PACE score of 5.37, compared to 4.98 in the control group (p<0.05). In the secondary analysis, which was limited to individuals who received the intervention, the effect was stronger (PACE score of 5.58 compared to 4.94, p<0.013). CONCLUSIONS: Patients can be recruited using a health-screening questionnaire to receive a telephone-delivered behavioral intervention to successfully increase their physical activity levels.
BT - American Journal of Preventive Medicine
C5 - Education & Workforce; HIT & Telehealth
CP - 3
CY - Netherlands
IS - 3
JF - American Journal of Preventive Medicine
N2 - BACKGROUND: Physician counseling of patients to increase physical activity has had limited success in changing behavior. Providing organizational support to primary care providers and their patients may increase effectiveness. OBJECTIVE: This study evaluates the effectiveness of a telephone-based intervention to increase physical activity among patients who exercised <15 minutes daily and wanted to increase their physical activity over a 6-month period. DESIGN: This was a randomized controlled trial, conducted from 1997 to 1998, of 316 patients aged 18 to 65 who were recruited from a mailed health risk assessment. Baseline and 6-month post-intervention telephone assessments were conducted by telephone. SETTING: One family physician's patients in a suburban community. INTERVENTION: Three sessions of telephone-delivered motivational counseling. MAIN OUTCOME MEASURES: Physical activity score (11-item Physician-Based Assessment and Counseling for Exercise [PACE]) 6 months after the intervention. RESULTS: After adjusting for baseline exercise, there was a significantly higher level of self-reported exercise among individuals randomized to the intervention at the 6-month follow-up. The mean level of activity at follow-up for the intervention group was a PACE score of 5.37, compared to 4.98 in the control group (p<0.05). In the secondary analysis, which was limited to individuals who received the intervention, the effect was stronger (PACE score of 5.58 compared to 4.94, p<0.013). CONCLUSIONS: Patients can be recruited using a health-screening questionnaire to receive a telephone-delivered behavioral intervention to successfully increase their physical activity levels.
PP - Netherlands
PY - 2002
SN - 0749-3797; 0749-3797
SP - 177
EP - 183
EP - 
T1 - Effectiveness of telephone support in increasing physical activity levels in primary care patients
T2 - American Journal of Preventive Medicine
TI - Effectiveness of telephone support in increasing physical activity levels in primary care patients
U1 - Education & Workforce; HIT & Telehealth
U2 - 11897462
VL - 22
VO - 0749-3797; 0749-3797
Y1 - 2002
ER -