Eakin, E., Reeves, M., Winkler, E., Healy, G., Dunstan, D., Owen, N., Marshal, A. & Wilkie, K. (2013). Six-month outcomes from living well with diabetes : A randomized trial of a telephone-delivered weight loss and physical activity intervention to improve glycemic control. Annals of Behavioral Medicine,46(2), 193-203. Retrieved from https://doi.org/10.1007/s12160-013-9498-2
Background: Intensive lifestyle intervention trials in type 2 diabetes contribute evidence on what can be achieved under optimal conditions, but are less informative for translation in applied settings. Purpose: Living Well with Diabetes is a telephone-delivered weight loss intervention designed for real-world delivery. Methods: This study is a randomized controlled trial of telephone counseling (n = 151) versus usual care (n = 151); 6-month primary outcomes of weight, physical activity, HbA1c; secondary diet outcomes; analysis was by adjusted generalized linear models. Results: Relative to usual care, telephone counseling participants had small but significantly better weight loss [−1.12 % of initial body weight; 95 % confidence interval (CI) −1.92, −0.33 %]; physical activity [relative rate (RR) = 1.30; 95 % CI, 1.08, 1.57]; energy intake reduction (−0.63 MJ/day; 95 % CI, −1.01, −0.25); and diet quality (3.72 points; 95 % CI, 1.77, 5.68), with no intervention effect for HbA1c (RR = 0.99; 95 % CI, 0.96, 1.01). Conclusions: Results are discussed in light of challenges to intervention delivery.
Mary MacKillop Institute for Health Research
Access may be restricted.