Telephone-Delivered Interventions for Physical Activity and Dietary Behavior Change
Abstract
Context Telephone-delivered interventions targeting physical activity and dietary change have potential for broad population reach and thus have a role to play in addressing increasing rates of lifestyle-related chronic diseases. The purpose of this systematic review is to update the evidence for their potential to inform translation, including effectiveness in promoting maintenance, reporting on implementation, and costs. Evidence acquisition A structured search of PubMed, MEDLINE, and PsycINFO (January 2006 to April 2010) was conducted. Included studies reported on physical activity and/or dietary change in adults, delivered at least 50% of intervention contacts by telephone, and included a control group (except in dissemination studies). Detailed information on study design, intervention features, and behavioral outcomes was extracted, tabulated, and summarized. Evidence synthesis Twenty-five studies (27 comparisons) were included: 16 for physical activity, two for diet, and seven for combined interventions. Twenty of 27 comparisons found evidence for initiation of behavior change (14 of 17 comparisons for physical activity; two of two for diet; four of eight for combined interventions). Ten of 25 studies evaluated post-intervention maintenance of change, with three reporting that maintenance was achieved for at least 50% of outcomes. Dissemination studies were rare (n=3), as were dose-response (n=2) and cost-effectiveness analyses (n=2). Conclusions Given the strength of evidence for telephone-delivered physical activity and dietary change interventions, greater emphasis on dissemination studies is warranted.
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Traditional structured lifestyle interventions are effective at increasing physical activity participation in the short term.
“Interventions utilizing these methods have shown to be effective at increasing physical activity participation in the short term [12,14]”
From Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis (2019) · cites this paper as [14]
Previously, both group behavioral interventions and telephone counseling have been demonstrated to be effective in increasing physical activity participation.
“Previously, both group behavioral interventions and telephone counseling have been demonstrated to be effective in increasing physical activity participation [14,95,96].”
From Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis (2019) · cites this paper as [14]
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“Most effective of these interventions is individual counseling received in personal meetings [6, 13] or over telephone [12, 18].”
BackgroundLangford, D., Ashe, M. C., Fleig, L., Panagiotopoulos, K., Cho, N., Ledoyen, M., Frost, M., Sharpe, N., Lehn, J., & Brown, K. (2015) · Patient Preference and Adherence · doi:10.2147/ppa.s86922 · Cited by 37 · see citing works
“12 Although telephone calls to support transitions are feasible, identify clinical problems early, and encourage health-promoting behaviors, 13 it is not known whether alone they are successful in reducing readmissions to acute care settings.”
Psychosocial telephone interventions for patients with cancer and survivors: a systematic review
Okuyama, S., Jones, W. C., Ricklefs, C. A., & Tran, Z. V. (2014) · Psycho-Oncology · doi:10.1002/pon.3704 · Cited by 41 · see citing works
Turkstra, E., Hawkes, A., Oldenburg, B., & Scuffham, P. (2013) · BMC Cardiovascular Disorders · doi:10.1186/1471-2261-13-33 · Cited by 38 · see citing works
“potential benefits of telephone interventions for cardiac patients there is a paucity of evidence on the costeffectiveness of telephone-based interventions [12].”
InfluentialAily, J. B., Noronha, M. A. D., Selistre, L. F. A., Ferrari, R. J., White, D. K., & Mattiello, S. M. (2023) · Journal of physiotherapy · doi:10.1016/j.jphys.2023.08.014 · Cited by 38 · see citing works
Tomasone, J. R., Arbour‐Nicitopoulos, K. P., Latimer‐Cheung, A. E., & Ginis, K. A. M. (2016) · Disability and Rehabilitation · doi:10.1080/09638288.2016.1261415 · Cited by 30 · see citing works
“, LTPA and dietary behaviors combined) [30,47], and it is easier for clients to focus on changing one behavior at a time [48].”
BackgroundResultInfluentialHinman, R. S., Lawford, B. J., Campbell, P. K., Briggs, A. M., Gale, J., Bills, C., French, S. D., Kasza, J., Forbes, A. B., Harris, A., et al. (2017) · Physical Therapy · doi:10.1093/ptj/pzx021 · Cited by 33 · see citing works
Exercise advice by humans versus computers: Maintenance effects at 18 months.
King, A. C., Hekler, E. B., Castro, C. M., Buman, M. P., Marcus, B. H., Friedman, R. H., & Napolitano, M. A. (2013) · Health Psychology · doi:10.1037/a0030646 · Cited by 32 · see citing works
Davidson, E., Liu, J.-J., Bhopal, R., White, M., Johnson, M. R. D., Netto, G., Kakde, S., Yousuf, U., & Sheikh, A. (2014) · European Journal of Public Health · doi:10.1093/eurpub/ckt093 · Cited by 32 · see citing works
New directions for diabetes prevention and management in behavioral medicine
Stetson, B. A., Minges, K. E., & Richardson, C. R. (2016) · Journal of Behavioral Medicine · doi:10.1007/s10865-016-9802-2 · Cited by 36 · see citing works
“In adults, behavioral weight loss interventions including those with in-person support and others delivered remotely (e.g., telephone, website, emails) have been moderately effective in achieving clinically significant weight loss (Appel et al., 2011; Espeland et al., 2014; Goode et al., 2012).”
BackgroundEvaluation Framework for Translational Research
O'Hara, B. J., Bauman, A. E., Eakin, E., King, L. A., Haas, M. R., Allman-Farinelli, M. A., Owen, N. G., Cardona, M., Farrell, L., Milat, A., et al. (2012) · Health Promotion Practice · doi:10.1177/1524839912456024 · Cited by 35 · see citing works
“…and overweight and obesity in the general adult population remain largely untested and require further exploration, and the processes of translating research evidence to population-wide practice and policy need to be better understood (Goode et al., 2012; Jepson, Harris, Platt, & Tannahill, 2010).”
BackgroundSelf-citationGoode, A. D., Winkler, E. A. H., Reeves, M. M., & Eakin, E. G. (2015) · American Journal of Health Promotion · doi:10.4278/ajhp.140206-quan-62 · Cited by 31 · see citing works
Self-citationBarrett, S., Begg, S. J., O’Halloran, P., & Kingsley, M. (2020) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-020-01063-x · Cited by 40 · see citing works
Warner, M. M., Tong, A., Campbell, K., & Kelly, J. (2019) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2019.01.023 · Cited by 31 · see citing works
Fischer, X., Kreppke, J.-N., Zahner, L., Gerber, M., Faude, O., & Donath, L. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16142626 · Cited by 32 · see citing works
“Short-term increases in self-reported PA level following telephone-based PA promotion are well documented [19,20], but evidence of long-term effects are lacking [44,45].”
BackgroundE-Health Interventions for Adult and Aging Population With Intellectual Disability: A Review
Vázquez‐Martínez, A., Río, C. J., Flores, N., Bagnato, M. J., Rodríguez, M. D. C. P., & Cruz, M. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.02323 · Cited by 36 · see citing works
Allen, K. D., Bosworth, H. B., Brock, D. S., Chapman, J. G., Chatterjee, R., Coffman, C. J., Datta, S., Dolor, R. J., Jeffreys, A. S., Juntilla, K. A., et al. (2012) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-13-60 · Cited by 34 · see citing works
“Goode 2012 [45] Telephone-delivered interventions for physical activity and dietary behavior change: an updated systematic review”
BackgroundHung, Y.-C., Bauer, J. D., Horsely, P., Coll, J. R., Bashford, J., & Isenring, E. A. (2014) · Bone Marrow Transplantation · doi:10.1038/bmt.2014.52 · Cited by 38 · see citing works
Reeves, M. M., WINKLER, E. A. H., & Eakin, E. (2014) · Nutrition & Dietetics · doi:10.1111/1747-0080.12160 · Cited by 42 · see citing works
Self-citationLilienthal, K. R., Pignol, A. E., Holm, J. E., & Vogeltanz-Holm, N. (2014) · Journal of Aging and Physical Activity · doi:10.1123/japa.2013-0056 · Cited by 29 · see citing works
'Translational formative evaluation': critical in up-scaling public health programmes
O'Hara, B. J., Phongsavan, P., King, L., Develin, E., Milat, A., Eggins, D., King, E., Smith, J., & Bauman, A. E. (2013) · Health Promotion International · doi:10.1093/heapro/dat025 · Cited by 28 · see citing works
“The first stage synthesis of evidence consisted of a review of the efficacy evidence of telephone-based lifestyle counselling (Eakin et al., 2007; Goode et al., 2012), and undertaking a narrative literature review of individual intervention efficacy, and identifying the key characteristics and…”
BackgroundMethodHawkes, A. L., Patrao, T. A., Green, A., & Aitken, J. F. (2012) · BMC Cancer · doi:10.1186/1471-2407-12-560 · Cited by 27 · see citing works
“Importantly, mediated (non-face-to-face) intervention delivery can be cost-effective and provide repeated contacts necessary to promote behavior change [67].”
BackgroundWilbur, J., Miller, A., Fogg, L., McDevitt, J., Castro, C., Schoeny, M., Buchholz, S., Braun, L., Ingram, D., Volgman, A., et al. (2016) · American Journal of Health Promotion · doi:10.1177/0890117116646342 · Cited by 26 · see citing works
“Telephonedelivered interventions are effective in initiating PA increases in African-American women(11) and can be advantageous over inperson group models because they do not require transportation and can be done at a convenient time.(12) However, phonebased interventions have had higher attrition, perhaps because of…”
BackgroundMethodAssessment of communication skills using telehealth: considerations for educators
Wright, H. H., O'Shea, M., Sekula, J., & MITCHELL, L. J. (2022) · Frontiers in Medicine · doi:10.3389/fmed.2022.841309 · Cited by 26 · see citing works
“Telehealth has shown promise to help overcome patientcentered and health care barriers to health management (8), and within dietetic service delivery to be effective in the provision of nutrition interventions including malnutrition (9), and management of non-communicable disease (10–12).”
BackgroundPrior, J. L., Vesentini, G., Gregorio, J. A. M. D., Ferreira, P., Hunter, D. J., & Ferreira, M. L. (2022) · Pain medicine (Malden, Mass.) · doi:10.1093/pm/pnac099 · Cited by 25 · see citing works
“for telephone-delivered physical activity and dietary behavior change found that 12 or more phone calls over a 6- to 12-month period have been shown to improve behavior [18, 49].”
BackgroundResultQuinn, E., O'Hara, B. J., Ahmed, N., Winch, S., McGill, B., Banovic, D., Maxwell, M., & Rissel, C. E. (2017) · International Journal for Equity in Health · doi:10.1186/s12939-017-0641-8 · Cited by 29 · see citing works
“Telephone-based interventions have demonstrated effectiveness in increasing physical activity, improving nutrition and reducing weight in the short to medium term (three-six months) across different populations, in a range of settings, and using different intervention modalities [11, 12].”
BackgroundImplementing and Evaluating an Older Adult Physical Activity Model at Scale: Framework for Action
McKay, H. A., Sims‐Gould, J., Nettlefold, L., Hoy, C. L., & Bauman, A. E. (2017) · Translational Journal of the American College of Sports Medicine · doi:10.1249/tjx.0000000000000026 · Cited by 22 · see citing works
Arbour‐Nicitopoulos, K. P., Tomasone, J. R., Latimer‐Cheung, A. E., & Ginis, K. A. M. (2014) · PM&R · doi:10.1016/j.pmrj.2014.05.018 · Cited by 52 · see citing works
“Several literature reviews have assessed the utility of telephone-based counseling for promoting LTPA among symptomatic and asymptomatic populations within a variety of settings [6,8-10].”
BackgroundAdams, S., Goler, N., Sanna, R. S., Boccio, M., Bellamy, D. J., Brown, S. D., Neugebauer, R., Ferrara, A., Wiley, D., & Schmittdiel, J. (2013) · Preventing Chronic Disease · doi:10.5888/pcd10.130116 · Cited by 25 · see citing works
“Featuring goal-setting and enhanced coordination with health care providers, health coaching improves behaviors related to nutrition, weight management, and medication adherence (7,9,10).”
Gibson, C. A., Gupta, A., Greene, J. L., Lee, J., Mount, R. R., & Sullivan, D. K. (2020) · Pilot and Feasibility Studies · doi:10.1186/s40814-020-00672-4 · Cited by 24 · see citing works
Telerehabilitation for Knee Osteoarthritis in Brazil: A Feasibility Study
Aily, J., Barton, C., Mattiello, S., Silva, D. D. O., & de Noronha, M. D. (2020) · International Journal of Telerehabilitation · doi:10.5195/ijt.2020.6323 · Cited by 24 · see citing works
Vita, P., Cardona, M., Bauman, A. E., Singh, M. F., Moore, M., Pennock, R., Snow, J., Williams, M., Jackson, L., Milat, A., et al. (2015) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2015.11.010 · Cited by 36 · see citing works
Wen, L. M., Xu, H., Taki, S., Buchanan, L., Rissel, C. E., Phongsavan, P., Hayes, A., Bedford, K., Moreton, R., & Baur, L. A. (2021) · Pediatric Obesity · doi:10.1111/ijpo.12875 · Cited by 28 · see citing works
Capacity of Primary Care to Deliver Telehealth in the United States
Jetty, A., Jabbarpour, Y., Westfall, M. Y., Kamerow, D. B., Petterson, S. M., & Westfall, J. M. (2021) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2021.s1.200202 · Cited by 33 · see citing works
Berdal, G., Bø, I., Dager, T. N., Dingsør, A., Eppeland, S. G., Hagfors, J., Hamnes, B., Mowinckel, P., Nielsen, M., Sand‐Svartrud, A., et al. (2018) · Arthritis Care & Research · doi:10.1002/acr.23520 · Cited by 28 · see citing works
“The efficacy of telephone-delivered behavior-change interventions has been reported in other patient populations (48), suggesting greater effectiveness for interventions of longer duration and higher call frequency.”
BackgroundLong-term exercise adherence after public health training in at-risk adults
Saida, T. G. R. H., Sørensen, T. J., & Langberg, H. (2017) · Annals of Physical and Rehabilitation Medicine · doi:10.1016/j.rehab.2017.02.006 · Cited by 31 · see citing works
Rocque, G. B., Halilova, K. I., Varley, A. L., Williams, C., Taylor, R. A., Masom, D., Wright, W. J., Partridge, E. E., & Kvale, E. A. (2017) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2016.12.345 · Cited by 24 · see citing works
“(6,17) elephone-based interventions have been effective among cancer survivors.(18,19) Telephone-based programs may be able to be delivered by lay (non-clinical) health workers, an approach that has potential to free clinicians for other clinical activity and enhances potential for dissemination.”
BackgroundKite, J., Indig, D., Mihrshahi, S., Milat, A., & Bauman, A. E. (2015) · Preventive Medicine · doi:10.1016/j.ypmed.2015.08.012 · Cited by 23 · see citing works
Hoekstra, F., Hoekstra, T., van der Schans, C. P., Hettinga, F., van der Woude, L. V. D., & Dekker, R. (2019) · Disability and Rehabilitation · doi:10.1080/09638288.2019.1675188 · Cited by 22 · see citing works
“Our results are (partly) in contrast with a previous review suggesting that more intensive telephone-based counseling is associated with better behavioral outcomes [51].”
ResultOsuka, Y., Jung, S., Kim, T., Okubo, Y., Kim, E., & Tanaka, K. (2017) · BMC Geriatrics · doi:10.1186/s12877-017-0554-9 · Cited by 27 · see citing works
“Although there are some exercise programs contrived to promote exercise adherence, such as telephone [5] and mailing [6] services, spousal-pair-based exercise programs are expected to be an innovative and gratis approach to improving exercise participation among older adults [7].”
BackgroundLawler, S., Maher, G., Brennan, M. E., Goode, A. D., Reeves, M. M., & Eakin, E. (2017) · Supportive Care in Cancer · doi:10.1007/s00520-017-3599-6 · Cited by 27 · see citing works
Self-citationTailored Calendar Journals to Ascertain Falls Among Older Adults
Stark, S., Silianoff, T. J., Kim, H., Conte, J., & Morris, J. (2015) · OTJR: Occupation, Participation and Health · doi:10.1177/1539449214561764 · Cited by 22
- Authors
- Goode, A. D., Reeves, M. M., & Eakin, E. G.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Goode, Ana D.
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 42
- Issue
- 1
- Pages
- 81-88
- ISSN
- 0749-3797 (ISSN-L)
- OpenAlex
- W89735056
- Cited by
- 253
- References
- 0
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 5 · 2023: 4 · 2022: 16 · 2021: 26 · 2020: 24 · 2019: 17 · 2018: 18 · 2017: 22 · 2016: 22 · 2015: 22 · 2014: 24 · 2013: 26 · 2012: 13
- FWCI
- 3.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- telephone-delivered intervention, physical activity, dietary behavior change, behavior maintenance, dissemination, cost-effectiveness, lifestyle-related chronic diseases, health behavior promotion
- MeSH terms
- Adult, Chronic Disease, Costs and Cost Analysis, Feeding Behavior, Health Promotion, Humans, Life Style, Motor Activity, Research Design, Telephone, Health Behavior
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