206347 A Personalized Telephone-Based Physical Activity and Nutrition Intervention for Overweight/Obese Adults with Mobility Disabilities: A Preliminary Study Examining Weight Management

Monday, November 9, 2009: 8:30 AM

Gillian P. Goodfriend, RD, LDN , Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL
Research findings from adherence and motivational theories suggest that participation in health promoting behaviors (i.e., physical activity, nutrition) is far more likely when there is a prescriptive program tailored to the specific needs of each person. The purpose of this study was to develop a 12-month telephone-based physical activity and nutrition coaching intervention using motivational interviewing techniques and a computer-based software program for overweight adults with mobility disabilities (spinal cord injury, spina bifida, stroke, cerebral palsy, rheumatoid arthritis). 75 subjects were randomized to one of three groups: (a) control group; (b) physical activity only group; (c) physical activity plus nutrition group. The study design included three phases: Adoption: weekly phone coaching (months 1 4); Phase Out: bi-weekly (months 5-6) to monthly calls (months 7-8); Follow Up: no coaching (months 9-12). All participants were assessed every 3 months to determine changes in their health status. The preliminary findings indicate that between baseline and 12 months, 75% of those in the physical activity only group lost weight, with an average weight loss of 2.8%. 100% of those participants in the physical activity plus nutrition group lost weight, with an average weight loss of 2.6%. In contrast, 80% of those in the control group have shown an average weight gain of 5.5%. In conclusion, these preliminary findings indicate that health promotion and self-management information delivered via telephone by trained wellness coaches holds promise for long-term sustainability of weight control.

Learning Objectives:
1. Describe a tailored, telephone-based coaching intervention for people with mobility disabilities. 2. Explain how motivational interviewing techniques can assist in behavior change. 3. Identify common barriers that people with disabilities encounter in making lifestyle changes.

Keywords: Obesity, Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Project Coordinator for this research study and was responsible for carrying out the intervention.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.