‘Get Healthy, Stay Healthy’: protocol for evaluation of a lifestyle intervention delivered by text-message following the Get Healthy Information and Coaching Service®Report as inadecuate

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BMC Public Health

, 14:112

Health behavior, health promotion and society


BackgroundBehavioural lifestyle interventions can be effective at promoting initial weight loss and supporting physical activity and dietary behaviour change, however maintaining improvements in these outcomes is often more difficult to achieve. Extending intervention contact to reinforce learnt behavioural skills has been shown to improve maintenance of behaviour change and weight loss. This trial aims to evaluate the feasibility, acceptability and efficacy of a text message-delivered extended contact intervention to enhance or maintain change in physical activity, dietary behaviour and weight loss among participants who have completed a six month Government-funded, population-based telephone coaching lifestyle program: the Get Healthy Information and Coaching Service GHS.

Methods-DesignGHS completers will be randomised to the 6-month extended contact intervention Get Healthy, Stay Healthy, GHSH or a no contact control group standard practice following GHS completion. GHSH participants determine the timing and frequency of the text messages 3–13 per fortnight and content is tailored to their behavioural and weight goals and support preferences. Two telephone tailoring calls are made baseline, 12-weeks to facilitate message tailoring. Primary outcomes, anthropometric body weight and waist circumference via self-report and behavioural moderate-vigorous physical activity via self-report and accelerometer, fruit and vegetable intake via self-report, will be assessed at baseline at GHS completion, 6-months end of extended contact intervention and 12-months 6-months post intervention contact. Secondary aims include evaluation of: the feasibility of program delivery; the acceptability for participants; theoretically-guided, potential mediators and moderators of behaviour change; dose-responsiveness; and, costs of program delivery.

DiscussionFindings from this trial will inform the delivery of the GHS in relation to the maintenance of behaviour change and weight loss, and will contribute to the broader science of text message lifestyle interventions delivered in population health settings.

Trial registrationACTRN12613000949785

KeywordsExtended contact Maintenance Sustained behaviour change SMS Telephone Physical activity Exercise Diet Weight loss Intervention AbbreviationsGHSGet Healthy Information and Coaching Service

GHSHGet Healthy, Stay Healthy

CATIComputer-assisted telephone interview

FFBQFat and Fibre Behaviour Questionnaire.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-14-112 contains supplementary material, which is available to authorized users.

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Author: Brianna Fjeldsoe - Philayrath Phongsavan - Adrian Bauman - Ana Goode - Genevieve Maher - Elizabeth Eakin

Source: https://link.springer.com/

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