Abstract:
OBJECTIVES:We assessed the effectiveness of an intervention targeting home food and activity environments to reduce energy intake and increase physical activity among overweight and obese patients from 3 community health centers in rural Georgia. METHODS:We conducted a randomized controlled trial (n = 349) from 2011 to 2013, with follow-up at 6 and 12 months. Health coaches delivered the 16-week intervention by using tailored home environment profiles showing areas in need of improvement and positive aspects of the home environment, behavioral contracts for healthy actions, and mailed support materials. RESULTS:Participants were mostly African American women (84.8%), with a mean age of 50.2 years and a mean body mass index (weight in kilograms divided by the square of height in meters) of 38.3. Daily energy intake decreased more for the intervention than control group at 6 (-274 vs -69 kcal) and 12 months (-195 vs -76 kcal). We observed no change for either objective or self-reported physical activity. At 12 months, 82.6% of intervention participants had not gained weight compared with 71.4% of control participants. CONCLUSIONS:The intervention was effective in changing home environments and reducing energy intake.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Kegler MC,Haardörfer R,Alcantara IC,Gazmararian JA,Veluswamy JK,Hodge TL,Addison AR,Hotz JAdoi
10.2105/AJPH.2015.302942subject
Has Abstractpub_date
2016-01-01 00:00:00pages
143-52issue
1eissn
0090-0036issn
1541-0048journal_volume
106pub_type
杂志文章,随机对照试验abstract:OBJECTIVES:After conducting a media campaign focusing on the importance of oral and pharyngeal cancer (OPC) examinations, we assessed mechanisms of behavior change among individuals receiving an OPC examination for the first time. METHODS:We used data from 2 waves of telephone surveys of individuals residing in 36 rur...
journal_title:American journal of public health
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journal_title:American journal of public health
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