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https://hdl.handle.net/2440/82923
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Type: | Journal article |
Title: | A telephone-supported cardiovascular lifestyle programme (CLIP) for lipid reduction and weight loss in general practice patients: a randomised controlled pilot trial |
Author: | Stuart, K. Wyld, B. Bastiaans, K. Stocks, N. Brinkworth, G. Mohr, P. Noakes, M. |
Citation: | Public Health Nutrition, 2014; 17(3):640-647 |
Publisher: | C A B I Publishing |
Issue Date: | 2014 |
ISSN: | 1368-9800 1475-2727 |
Statement of Responsibility: | Keren Louise Stuart, Belinda Wyld, Kathryn Bastiaans, Nigel Stocks, Grant Brinkworth, Phil Mohr and Manny Noakes |
Abstract: | Objective: To evaluate a primary prevention care model using telephone support delivered through an existing health call centre to general practitioner-referred patients at risk of developing CVD, using objective measures of CVD risk reduction and weight loss. Design: Participants were randomised into two groups: (i) those receiving a telephone-supported comprehensive lifestyle intervention programme (CLIP: written structured diet and exercise advice, plus seven telephone sessions with the Heart Foundation Health Information Service); and (ii) those receiving usual care from their general practitioner (control: written general lifestyle advice). Fasting plasma lipids, blood pressure, weight, waist circumference and height were assessed on general practice premises by a practice nurse at Weeks 0 and 12. Setting: Two general practices in Adelaide, South Australia. Subjects: Forty-nine men and women aged 48·0 (sd 5·88) years identified by their general practitioner as being at future risk of CVD (BMI = 33·13 (sd 5·39) kg/m2; LDL cholesterol (LDL-C) = 2·66 (sd 0·92) mmol/l). Results: CLIP participants demonstrated significantly greater reductions in LDL-C (estimated mean (EM) = 1·98 (se 0·17) mmol/l) and total cholesterol (EM = 3·61 (se 0·21) mmol/l) at Week 12 when compared with the control group (EM = 3·23 (se 0·18) mmol/l and EM = 4·77 (se 0·22) mmol/l, respectively). There were no significant treatment effects for systolic blood pressure (F(1,45) = 0·28, P = 0·60), diastolic blood pressure (F(1,43) = 0·52, P = 0·47), weight (F(1,42) = 3·63, P = 0·063) or waist circumference (F(1,43) = 0·32, P = 0·577). Conclusions: In general practice patients, delivering CLIP through an existing telephone health service is effective in achieving reductions in LDL-C and total cholesterol. While CLIP may have potential for wider implementation to support primary prevention of CVD, longer-term cost-effectiveness data are warranted. |
Keywords: | Telephone support weight loss lipid reduction general practice |
Rights: | © The Authors 2013 |
DOI: | 10.1017/S1368980013000220 |
Published version: | http://dx.doi.org/10.1017/s1368980013000220 |
Appears in Collections: | Aurora harvest General Practice publications |
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