Trial reportThe international journal of behavioral nutrition and physical activity2012
Improving diet, physical activity and other lifestyle behaviours using computer-tailored advice in general practice: a randomised controlled trial.
Trial report in The international journal of behavioral nutrition and physical activity, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- How to dampen the surge of non-communicable diseases in Southeast Asia: insights from a systematic review and meta-analysis.Health policy and planning · 2022Pooled it
- Print-based self-help interventions for smoking cessation.The Cochrane database of systematic reviews · 2019Pooled it
- Systematic review of dietary salt reduction policies: Evidence for an effectiveness hierarchy?PloS one · 2017Pooled it
- Trial
- Trial
- Changing Behavioral Lifestyle Risk Factors Related to Cognitive Decline in Later Life Using a Self-Motivated eHealth Intervention in Dutch Adults.Journal of medical Internet research · 2016Trial
- Effects of perceived weight discrimination on willingness to adopt unhealthy behaviours: influence of genomic information.Psychology & health · 2016Trial
- Effectiveness of a web- and mobile phone-based intervention to promote physical activity and healthy eating in middle-aged males: randomized controlled trial of the ManUp study.Journal of medical Internet research · 2014Trial
- Comparison of two school-based programmes for health behaviour change: the Belo Horizonte Heart Study randomized trial.Public health nutrition · 2014Trial
- Randomized controlled trial of a computer-tailored multiple health behaviour intervention in general practice: 12-month follow-up results.The international journal of behavioral nutrition and physical activity · 2014Trial
- Promotion of a healthy lifestyle among 5-year-old overweight children: health behavior outcomes of the 'Be active, eat right' study.BMC public health · 2014Trial
- Twenty years of behavioral nutrition- A reflection on the road less travelled.The international journal of behavioral nutrition and physical activity · 2025Article
- Design Issues in Personalized Nutrition Advice Systems.Journal of medical Internet research · 2023Article
- Exploring the Potential of Personalized Dietary Advice for Health Improvement in Motivated Individuals With Premetabolic Syndrome: Pretest-Posttest Study.JMIR formative research · 2021Article
- Primary Health Care Providers' Perspectives on Developing an eHealth Tool for Physical Activity Counselling: A Qualitative Study.Journal of multidisciplinary healthcare · 2021Article
- Usability and utility of eHealth for physical activity counselling in primary health care: a scoping review.BMC family practice · 2020Article
- Nutrition Labeling Usage Influences Blood Markers in Body-Size Self-Conscious Individuals: The Korean National Health and Nutrition Examination Survey (KNHANES) 2013-2018.International journal of environmental research and public health · 2020Article
- Consumer acceptance of personalised nutrition: The role of ambivalent feelings and eating context.PloS one · 2020Article
- Article
- The Effect of the eHealth Intervention 'MyPlan 1.0' on Physical Activity in Adults Who Visit General Practice: A Quasi-Experimental Trial.International journal of environmental research and public health · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe adoption and maintenance of healthy behaviours is essential in the primary prevention of chronic non-communicable diseases. This study evaluated the effectiveness of a minimal intervention on multiple lifestyle factors such as diet, physical activity, smoking and alcohol, delivered through general practice, using computer-tailored feedback.
methodsAdult patients visiting 21 general practitioners in Brisbane, Australia, were surveyed about ten health behaviours that are risk factors for chronic, non-communicable diseases. Those who completed the self-administered baseline questionnaire entered a randomised controlled trial, with the intervention group receiving computer-tailored printed advice, targeting those health behaviours for which respondents were not meeting current recommendations. The primary outcome was change in summary lifestyle score (Prudence Score) and individual health behaviours at three months. A repeated measures analysis compared change in these outcomes in intervention and control groups after adjusting for age and education.
results2306 patients were randomised into the trial. 1711 (76%) returned the follow-up questionnaire at 3 months. The Prudence Score (10 items) in the intervention group at baseline was 5.88, improving to 6.25 at 3 months (improvement = 0.37), compared with 5.84 to 5.96 (improvement = 0.12) in the control group (F = 13.3, p = 0.01). The intervention group showed improvement in meeting recommendations for all individual health behaviours compared with the control group. However, these differences were significant only for fish intake (OR 1.37, 95% CI 1.11-1.68), salt intake (OR 1.19, 95% CI 1.05-1.38), and type of spread used (OR 1.28, 95% CI 1.06-1.51).
conclusionA minimal intervention using computer-tailored feedback to address multiple lifestyle behaviours can facilitate change and improve unhealthy behaviours. Although individual behaviour changes were modest, when implemented on a large scale through general practice, this intervention appears to be an effective and practical tool for population-wide primary prevention.
trial registrationThe Australian New Zealand Clinical Trials Registry: ACTRN12611001213932.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.