Efficacy of Telephone Health Coaching Integration with Standard Multidisciplinary Care for Adults with Obesity Attending a Weight Management Service: A Pilot Study
Australia has one of the highest prevalences of obesity in the developed world with recognised gaps in patient access to obesity services. This non-randomised before and after study investigated the health benefits and patient acceptability of integrating the Get Healthy Service, a state-funded tele...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-11-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/11/4078 |
| _version_ | 1797508962768125952 |
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| author | Sarah Driscoll Gideon Meyerowitz-Katz Golo Ahlenstiel Tahlia Reynolds Kate Reid Ramy H. Bishay |
| author_facet | Sarah Driscoll Gideon Meyerowitz-Katz Golo Ahlenstiel Tahlia Reynolds Kate Reid Ramy H. Bishay |
| author_sort | Sarah Driscoll |
| collection | DOAJ |
| description | Australia has one of the highest prevalences of obesity in the developed world with recognised gaps in patient access to obesity services. This non-randomised before and after study investigated the health benefits and patient acceptability of integrating the Get Healthy Service, a state-funded telephone-delivered coaching service in Australia, as an adjunct to multidisciplinary care for adults attending a public obesity service. Forty-one participants received multidisciplinary care alone while 39 participants were subsequently allocated to receive adjunctive treatment with the Get Healthy Service. Weight, body mass index, glycosylated haemoglobin, measurement of hepatic steatosis and liver enzymes were collected at baseline and 6 months. Participant evaluation was obtained post intervention. Statistically significant reductions from baseline were achieved for both control and intervention with respect to weight (−6.7 ± 2.2 kg, <i>p</i> = 0.01; −12.6 ± 3.2, <i>p</i> = 0.002), body mass index (−2.3 ± 0.8, <i>p</i> = 0.01; −4.8 ± 1.2 kg/m<sup>2</sup>, <i>p</i> = 0.002) and glycosylated haemoglobin (−0.2 ± 0.2%, <i>p</i> = 0.2 (NS); −0.7 ± 0.2%, <i>p</i> = 0.02), respectively. There were no significant differences in steatosis or liver enzymes or in outcomes between control and intervention cohorts. A high level of patient acceptability was reported. Integrating telephone-delivered coaching provided non-inferior care and high levels of patient satisfaction. Telephone coaching aligned with the principles of an obesity service should be trialled to improve patient access to obesity interventions. |
| first_indexed | 2024-03-10T05:11:18Z |
| format | Article |
| id | doaj.art-d46945b5b1b247eea7ac674cd1724f4d |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T05:11:18Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-d46945b5b1b247eea7ac674cd1724f4d2023-11-23T00:50:17ZengMDPI AGNutrients2072-66432021-11-011311407810.3390/nu13114078Efficacy of Telephone Health Coaching Integration with Standard Multidisciplinary Care for Adults with Obesity Attending a Weight Management Service: A Pilot StudySarah Driscoll0Gideon Meyerowitz-Katz1Golo Ahlenstiel2Tahlia Reynolds3Kate Reid4Ramy H. Bishay5Metabolic and Weight Loss Program, Department of Endocrinology and Diabetes, Blacktown Hospital, Western Sydney Local Health District, Sydney, NSW 2148, AustraliaWestern Sydney Diabetes, Integrated and Community Health Directorate, Blacktown Hospital Department of Endocrinology and Diabetes, Western Sydney Local Health District, Sydney, NSW 2148, AustraliaMetabolic and Weight Loss Program, Department of Endocrinology and Diabetes, Blacktown Hospital, Western Sydney Local Health District, Sydney, NSW 2148, AustraliaNew South Wales Get Healthy Service, Centre for Population Health, Ministry of Health, Sydney, NSW 2148, AustraliaPregnancy and Adult Prevention Programs, Centre for Population Health, Ministry of Health, Sydney, NSW 2148, AustraliaMetabolic and Weight Loss Program, Department of Endocrinology and Diabetes, Blacktown Hospital, Western Sydney Local Health District, Sydney, NSW 2148, AustraliaAustralia has one of the highest prevalences of obesity in the developed world with recognised gaps in patient access to obesity services. This non-randomised before and after study investigated the health benefits and patient acceptability of integrating the Get Healthy Service, a state-funded telephone-delivered coaching service in Australia, as an adjunct to multidisciplinary care for adults attending a public obesity service. Forty-one participants received multidisciplinary care alone while 39 participants were subsequently allocated to receive adjunctive treatment with the Get Healthy Service. Weight, body mass index, glycosylated haemoglobin, measurement of hepatic steatosis and liver enzymes were collected at baseline and 6 months. Participant evaluation was obtained post intervention. Statistically significant reductions from baseline were achieved for both control and intervention with respect to weight (−6.7 ± 2.2 kg, <i>p</i> = 0.01; −12.6 ± 3.2, <i>p</i> = 0.002), body mass index (−2.3 ± 0.8, <i>p</i> = 0.01; −4.8 ± 1.2 kg/m<sup>2</sup>, <i>p</i> = 0.002) and glycosylated haemoglobin (−0.2 ± 0.2%, <i>p</i> = 0.2 (NS); −0.7 ± 0.2%, <i>p</i> = 0.02), respectively. There were no significant differences in steatosis or liver enzymes or in outcomes between control and intervention cohorts. A high level of patient acceptability was reported. Integrating telephone-delivered coaching provided non-inferior care and high levels of patient satisfaction. Telephone coaching aligned with the principles of an obesity service should be trialled to improve patient access to obesity interventions.https://www.mdpi.com/2072-6643/13/11/4078complex obesitymultidisciplinary teamspecialist obesity servicestelehealthweight loss |
| spellingShingle | Sarah Driscoll Gideon Meyerowitz-Katz Golo Ahlenstiel Tahlia Reynolds Kate Reid Ramy H. Bishay Efficacy of Telephone Health Coaching Integration with Standard Multidisciplinary Care for Adults with Obesity Attending a Weight Management Service: A Pilot Study Nutrients complex obesity multidisciplinary team specialist obesity services telehealth weight loss |
| title | Efficacy of Telephone Health Coaching Integration with Standard Multidisciplinary Care for Adults with Obesity Attending a Weight Management Service: A Pilot Study |
| title_full | Efficacy of Telephone Health Coaching Integration with Standard Multidisciplinary Care for Adults with Obesity Attending a Weight Management Service: A Pilot Study |
| title_fullStr | Efficacy of Telephone Health Coaching Integration with Standard Multidisciplinary Care for Adults with Obesity Attending a Weight Management Service: A Pilot Study |
| title_full_unstemmed | Efficacy of Telephone Health Coaching Integration with Standard Multidisciplinary Care for Adults with Obesity Attending a Weight Management Service: A Pilot Study |
| title_short | Efficacy of Telephone Health Coaching Integration with Standard Multidisciplinary Care for Adults with Obesity Attending a Weight Management Service: A Pilot Study |
| title_sort | efficacy of telephone health coaching integration with standard multidisciplinary care for adults with obesity attending a weight management service a pilot study |
| topic | complex obesity multidisciplinary team specialist obesity services telehealth weight loss |
| url | https://www.mdpi.com/2072-6643/13/11/4078 |
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