Abstract
OBJECTIVE: Intervening on barrier beliefs (BBs) may inhibit the role of barriers as mediating factors in lifestyle behavior. The aim of this study was to analyze the effects of a barrier-belief counseling intervention (BBCI) on physical activity (PA) and healthy food intake.
METHODS: An RCT was conducted in a primary care setting among adults (aged 18-70), with two interventions: a BBCI (n = 123) and a standardized lifestyle group intervention (SLI) (n = 122). A non-treated hanging control group (n = 36) received no intervention. Outcomes on PA (accelerometer and SQUASH) and fruit and vegetable intake (self-report) were measured with follow-ups at 6, 12 and 18 months, and analyzed using multiple regression.
RESULTS: The BBCI was more effective on PA compared with the SLI (p < .01): in the short term all PA outcomes improved (p < .05), in the long term moderate-to-vigorous PA outcomes improved (p < .05), all with small effect sizes. No differences between interventions were found on fruit and vegetable intake. None of the outcomes in the control group changed over time.
CONCLUSIONS: BBCI in primary care improves PA compared with SLI.
PRACTICE IMPLICATIONS: The customized BB approach seems promising for implementation in healthcare practice to stimulate PA.
| Original language | English |
|---|---|
| Pages (from-to) | 2134-2144 |
| Number of pages | 11 |
| Journal | Patient Education and Counseling |
| Volume | 101 |
| Issue number | 12 |
| Early online date | 20-Jul-2018 |
| DOIs | |
| Publication status | Published - Dec-2018 |
Keywords
- General practice
- Behavior
- Lifestyle
- Counseling
- Barriers
- TIME PHYSICAL-ACTIVITY
- SOCIAL COGNITIVE THEORY
- LIVING MODEL GALM
- OF-THE-LITERATURE
- ADULTS AGED 55-65
- BEHAVIOR-CHANGE
- SELF-EFFICACY
- VEGETABLE CONSUMPTION
- SHORT QUESTIONNAIRE
- ACTIVITY PROMOTION