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A physical activity coaching intervention can improve and maintain physical activity and health-related outcomes in adult ambulatory hospital patients in a regional hospital: the Healthy4U-2 randomised controlled trial
Michael Kingsley
La Trobe University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1953-4067
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This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at International Journal of Behavioral Nutrition and Physical Activity.
Background The Healthy 4U-2 study sought to evaluate the effect of a twelve-week, physical activity (PA) coaching intervention for changes and maintenance in PA, anthropometrics and health-related outcomes in adults presenting to an ambulatory hospital clinic.
Methods One hundred and twenty insufficiently active adults were recruited from an ambulatory hospital clinic and randomised to an intervention group that received an education session and five 20-minute telephone sessions of PA coaching, or to a control group that received the education session only. ActiGraph GT3X accelerometers were used to measure moderate-to-vigorous physical activity (MVPA) at baseline, post-intervention (3-months) and follow-up (9-months). Secondary outcome measures (anthropometrics, PA self-efficacy, health-related and quality of life) were also assessed at the three time points.
Results At baseline, the mean age and body mass index of participants were 53 ± 8 years and 31 ± 4 kg/m 2 , respectively. Relative to control, the intervention group increased objectively measured MVPA at post-intervention (p<0.001) and 9 months follow-up (p<0.001). At the 9-month follow-up the intervention group completed 22 min/day of MVPA (95% CI: 20 to 25 min/day), which is sufficient to meet the recommended PA guidelines. The intervention group exhibited beneficial changes in body mass (p<0.001), waist circumference (p<0.001), body mass index (p<0.001), PA self-efficacy (p<0.001), and health-related quality of life (p<0.001) at the 9-month follow-up.
Conclusions This study demonstrates that a low contact PA coaching intervention results in beneficial changes in PA, anthropometrics and health-related outcomes in insufficiently active adults presenting to an ambulatory care clinic. The significant beneficial changes were measured at post-intervention and the 9-month follow-up, demonstrating a maintenance effect of the intervention.
Trial registration: Prospectively registered on the Australian and New Zealand Clinical Trials Registry (ANZCTR). Trial registration number: ACTRN12619000036112. http://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=376318
Keywords
Physical activity, Exercise motivation, Accelerometry, Public health
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CURRENT STATUS: Published
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On 30 Nov, 2020
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On 19 Nov, 2020
Editorial decision: Accept
On 19 Nov, 2020
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On 19 Nov, 2020
Editor invited
On 19 Nov, 2020
No comments provided
Editorial decision: Minor revision
On 10 Nov, 2020
Review #2 received
Received 04 Nov, 2020
Review #1 received
Received 04 Nov, 2020
Reviewer #2 agreed
On 28 Oct, 2020
Editor assigned
On 20 Oct, 2020
Reviewers invited
Invitations sent on 20 Oct, 2020
Reviewer #1 agreed
On 20 Oct, 2020
Submission checks complete
On 19 Oct, 2020
Editor invited
On 19 Oct, 2020
No comments provided
Review #2 received
Received 06 Oct, 2020
Editorial decision: Major revision
On 06 Oct, 2020
Reviewer #2 agreed
On 13 Sep, 2020
Review #1 received
Received 04 Sep, 2020
Reviewers invited
Invitations sent on 15 Aug, 2020
Reviewer #1 agreed
On 15 Aug, 2020
Editor assigned
On 13 Aug, 2020
Editor invited
On 12 Aug, 2020
Submission checks complete
On 10 Aug, 2020
First submitted
On 09 Aug, 2020
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Subject Areas
Physical Medicine & Rehab
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This preprint is under consideration at International Journal of Behavioral Nutrition and Physical Activity. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research
A physical activity coaching intervention can improve and maintain physical activity and health-related outcomes in adult ambulatory hospital patients in a regional hospital: the Healthy4U-2 randomised controlled trial
Michael Kingsley
La Trobe University
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1953-4067
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 3
Posted 02 Dec, 2020
Published
On 30 Nov, 2020
No community comments so far
Editor assigned
On 19 Nov, 2020
Editorial decision: Accept
On 19 Nov, 2020
Submission checks complete
On 19 Nov, 2020
Editor invited
On 19 Nov, 2020
No comments provided
Editorial decision: Minor revision
On 10 Nov, 2020
Review #2 received
Received 04 Nov, 2020
Review #1 received
Received 04 Nov, 2020
Reviewer #2 agreed
On 28 Oct, 2020
Editor assigned
On 20 Oct, 2020
Reviewers invited
Invitations sent on 20 Oct, 2020
Reviewer #1 agreed
On 20 Oct, 2020
Submission checks complete
On 19 Oct, 2020
Editor invited
On 19 Oct, 2020
No comments provided
Review #2 received
Received 06 Oct, 2020
Editorial decision: Major revision
On 06 Oct, 2020
Reviewer #2 agreed
On 13 Sep, 2020
Review #1 received
Received 04 Sep, 2020
Reviewers invited
Invitations sent on 15 Aug, 2020
Reviewer #1 agreed
On 15 Aug, 2020
Editor assigned
On 13 Aug, 2020
Editor invited
On 12 Aug, 2020
Submission checks complete
On 10 Aug, 2020
First submitted
On 09 Aug, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Physical Medicine & Rehab
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at International Journal of Behavioral Nutrition and Physical Activity.
Background The Healthy 4U-2 study sought to evaluate the effect of a twelve-week, physical activity (PA) coaching intervention for changes and maintenance in PA, anthropometrics and health-related outcomes in adults presenting to an ambulatory hospital clinic.
Methods One hundred and twenty insufficiently active adults were recruited from an ambulatory hospital clinic and randomised to an intervention group that received an education session and five 20-minute telephone sessions of PA coaching, or to a control group that received the education session only. ActiGraph GT3X accelerometers were used to measure moderate-to-vigorous physical activity (MVPA) at baseline, post-intervention (3-months) and follow-up (9-months). Secondary outcome measures (anthropometrics, PA self-efficacy, health-related and quality of life) were also assessed at the three time points.
Results At baseline, the mean age and body mass index of participants were 53 ± 8 years and 31 ± 4 kg/m 2 , respectively. Relative to control, the intervention group increased objectively measured MVPA at post-intervention (p<0.001) and 9 months follow-up (p<0.001). At the 9-month follow-up the intervention group completed 22 min/day of MVPA (95% CI: 20 to 25 min/day), which is sufficient to meet the recommended PA guidelines. The intervention group exhibited beneficial changes in body mass (p<0.001), waist circumference (p<0.001), body mass index (p<0.001), PA self-efficacy (p<0.001), and health-related quality of life (p<0.001) at the 9-month follow-up.
Conclusions This study demonstrates that a low contact PA coaching intervention results in beneficial changes in PA, anthropometrics and health-related outcomes in insufficiently active adults presenting to an ambulatory care clinic. The significant beneficial changes were measured at post-intervention and the 9-month follow-up, demonstrating a maintenance effect of the intervention.
Trial registration: Prospectively registered on the Australian and New Zealand Clinical Trials Registry (ANZCTR). Trial registration number: ACTRN12619000036112. http://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=376318
Figure 1
Figure 2