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A RCT to evaluate a totally automated, culturally-adapted telephone counselor for increasing physical activity among physically inactive individuals in China

BACKGROUND: The prevalence of diabetes in China has rapidly increased in recent years. Family history and physical inactivity are known risk factors for developing diabetes. As automated telephone-based communication is recognized as a cost-effective health promoting device, the present study aims a...

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Autores principales: Mui, Lancelot W. H., Friedman, Robert H., Lau, Joseph T. F., Peng, Ji, Abdullah, Abu S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020214/
https://www.ncbi.nlm.nih.gov/pubmed/29940904
http://dx.doi.org/10.1186/s12889-018-5386-9
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author Mui, Lancelot W. H.
Friedman, Robert H.
Lau, Joseph T. F.
Peng, Ji
Abdullah, Abu S.
author_facet Mui, Lancelot W. H.
Friedman, Robert H.
Lau, Joseph T. F.
Peng, Ji
Abdullah, Abu S.
author_sort Mui, Lancelot W. H.
collection PubMed
description BACKGROUND: The prevalence of diabetes in China has rapidly increased in recent years. Family history and physical inactivity are known risk factors for developing diabetes. As automated telephone-based communication is recognized as a cost-effective health promoting device, the present study aims at evaluating the efficacy of an automated telephone counselor (TLC-PA-China) for promoting physical activity to the WHO-recommended level among physically inactive family members of diabetes patients. METHODS: This study employed a parallel, two-group, non-blinded, randomized controlled trial design with equal allocation to the intervention group (TLC-PA-China), and a control group. Voluntary participants with at least one first-degree relative diagnosed with diabetes mellitus were recruited through eight Community Health Centers in Shenzhen, China. The intervention group was requested to use the system once per week during a six-month period. The control group received an information pamphlet about the benefits of regular physical activity. RESULTS: Two hundred ten eligible participants were randomized to TLC-PA-China (n = 109) or Control (n = 101) groups. Using intention-to-treat analysis, the TLC-PA-China group was significantly more likely to meet the WHO physical activity recommendation than the control (GEE: OR = 6.37, p < 0.001). The number of physically inactive people to intervene upon for one to become active was 2.84 at 3 months and 3.31 at 6 months. CONCLUSIONS: TLC-PA-China increased physical activity levels among physically inactive adults in China who were at high risk of developing diabetes. This study lays the groundwork for application of behavioral informatics intervention in China. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR-PRC-13003361. Registered 15 May 2013 (Retrospectively registered).
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spelling pubmed-60202142018-07-06 A RCT to evaluate a totally automated, culturally-adapted telephone counselor for increasing physical activity among physically inactive individuals in China Mui, Lancelot W. H. Friedman, Robert H. Lau, Joseph T. F. Peng, Ji Abdullah, Abu S. BMC Public Health Research Article BACKGROUND: The prevalence of diabetes in China has rapidly increased in recent years. Family history and physical inactivity are known risk factors for developing diabetes. As automated telephone-based communication is recognized as a cost-effective health promoting device, the present study aims at evaluating the efficacy of an automated telephone counselor (TLC-PA-China) for promoting physical activity to the WHO-recommended level among physically inactive family members of diabetes patients. METHODS: This study employed a parallel, two-group, non-blinded, randomized controlled trial design with equal allocation to the intervention group (TLC-PA-China), and a control group. Voluntary participants with at least one first-degree relative diagnosed with diabetes mellitus were recruited through eight Community Health Centers in Shenzhen, China. The intervention group was requested to use the system once per week during a six-month period. The control group received an information pamphlet about the benefits of regular physical activity. RESULTS: Two hundred ten eligible participants were randomized to TLC-PA-China (n = 109) or Control (n = 101) groups. Using intention-to-treat analysis, the TLC-PA-China group was significantly more likely to meet the WHO physical activity recommendation than the control (GEE: OR = 6.37, p < 0.001). The number of physically inactive people to intervene upon for one to become active was 2.84 at 3 months and 3.31 at 6 months. CONCLUSIONS: TLC-PA-China increased physical activity levels among physically inactive adults in China who were at high risk of developing diabetes. This study lays the groundwork for application of behavioral informatics intervention in China. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR-PRC-13003361. Registered 15 May 2013 (Retrospectively registered). BioMed Central 2018-06-26 /pmc/articles/PMC6020214/ /pubmed/29940904 http://dx.doi.org/10.1186/s12889-018-5386-9 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Mui, Lancelot W. H.
Friedman, Robert H.
Lau, Joseph T. F.
Peng, Ji
Abdullah, Abu S.
A RCT to evaluate a totally automated, culturally-adapted telephone counselor for increasing physical activity among physically inactive individuals in China
title A RCT to evaluate a totally automated, culturally-adapted telephone counselor for increasing physical activity among physically inactive individuals in China
title_full A RCT to evaluate a totally automated, culturally-adapted telephone counselor for increasing physical activity among physically inactive individuals in China
title_fullStr A RCT to evaluate a totally automated, culturally-adapted telephone counselor for increasing physical activity among physically inactive individuals in China
title_full_unstemmed A RCT to evaluate a totally automated, culturally-adapted telephone counselor for increasing physical activity among physically inactive individuals in China
title_short A RCT to evaluate a totally automated, culturally-adapted telephone counselor for increasing physical activity among physically inactive individuals in China
title_sort rct to evaluate a totally automated, culturally-adapted telephone counselor for increasing physical activity among physically inactive individuals in china
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020214/
https://www.ncbi.nlm.nih.gov/pubmed/29940904
http://dx.doi.org/10.1186/s12889-018-5386-9
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