Integrated motivational interviewing and cognitive behaviour therapy can increase physical activity and improve health of adult ambulatory care patients in a regional hospital: the Healthy4U randomised controlled trial

• Published in: BMC public health 2018-10, Vol.18 (1), p.1166-1166, Article 1166
• Main Authors: Barrett, Stephen, Begg, Stephen, O'Halloran, Paul, Kingsley, Michael
• Format: Article
• Language: English
• Subjects: Accelerometers; Adult; Adults; Aged; Ambulatory care; Ambulatory Care - organization & administration; Behavior modification; Body mass; Body mass index; Body size; Chronic illnesses; Clinics; Cognition & reasoning; Cognitive ability; Cognitive behavioral therapy; Cognitive Behavioral Therapy - methods; Delivery of Health Care, Integrated; Diabetes; Diabetes mellitus; Diabetes mellitus (non-insulin dependent); Education; Emergency medical services; Exercise; Exercise - psychology; Female; Females; Follow-Up Studies; Health promotion; Health risks; Hospitals; Hospitals, Public; Humans; Intervention; Lifestyles; Male; Metabolic syndrome; Middle Aged; Motivational Interviewing - methods; Physical activity; Physical fitness; Quality of life; Randomization; Secondary prevention; Sedentary Behavior; Self-efficacy; Studies; Systematic review; Therapy; Treatment Outcome; Trends; Type 2 diabetes
• ISSN: 1471-2458; 1471-2458
• DOI: 10.1186/s12889-018-6064-7

The aim of this study was to determine whether a twelve-week, health coaching intervention could result in changes in physical activity, anthropometrics and health-related outcomes in adults presenting to an ambulatory hospital clinic. Seventy-two participants who reported being insufficiently active were recruited from an ambulatory hospital clinic and randomised to an intervention group that received an education session and eight 30-min telephone sessions of integrated motivational interviewing and cognitive behaviour therapy (MI-CBT), or to a control group that received the education session only. ActiGraph GT3X accelerometers were used to measure moderate-to-vigorous physical activity at baseline, post-intervention (3-months) and follow-up (6-months). Secondary outcome measures (anthropometrics, physical activity self-efficacy, health-related quality of life, type 2 diabetes risk) were also assessed at the three time points. At baseline, the mean age and body mass index of participants (n = 72, 75% females) were 53 ± 8 years and 30.8 ± 4.1 kg/m , respectively. Treatment group influenced the pattern of physical activity over time (p