Trial reportJournal of general internal medicine2018
A Coaching by Telephone Intervention on Engaging Patients to Address Modifiable Cardiovascular Risk Factors: a Randomized Controlled Trial.
Trial report in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01828567 (Will Veterans Engage in Prevention After HRA-guided Shared Decision Making?), which is not on this map. Cited by 21 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.
Will Veterans Engage in Prevention After HRA-guided Shared Decision Making?
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Cardiovascular disease risk communication and prevention: a meta-analysis.European heart journal · 2024Pooled it
- Pooled it
- The effect of a single visit to a health coach on perceived health in 50-year old residents in a high-income country - a randomised controlled trial.Scandinavian journal of primary health care · 2022Trial
- A web-based intervention to increase weight loss treatment initiation: results of a cluster randomized feasibility and acceptability trial.Translational behavioral medicine · 2021Trial
- Effect of Adding Telephone-Based Brief Coaching to an mHealth App (Stay Strong) for Promoting Physical Activity Among Veterans: Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- Short-Term VA Health Care Expenditures Following a Health Risk Assessment and Coaching Trial.Journal of general internal medicine · 2020Trial
- Effect of TELEmedicine for Inflammatory Bowel Disease on Patient Activation and Self-Efficacy.Digestive diseases and sciences · 2020Trial
- Health coaching to encourage obese adults to enroll in commercially-available weight management programs: The path to health study.Contemporary clinical trials · 2019Trial
- Health Coaching Has Differential Effects on Veterans with Limited Health Literacy and Numeracy: a Secondary Analysis of ACTIVATE.Journal of general internal medicine · 2019Trial
- Identifying recruitment strategies to improve the reach of evidence-based health promotion, disease prevention, and disease self-management interventions: a scoping review.Frontiers in public health · 2025Article
- Efficacy of a Multimodal Digital Behavior Change Intervention on Lifestyle Behavior, Cardiometabolic Biomarkers, and Medical Expenditure: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2024Article
- Telehealth Technologies in Diabetes Self-management and Education.Journal of diabetes science and technology · 2024Review
- Effectiveness of Telemedicine for Reducing Cardiovascular Risk: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2023Review
- Engaging primary care patients with existing online tools for weight loss: A pilot trial.Obesity science & practice · 2022Article
- Using clinical prediction models to personalise lifestyle interventions for cardiovascular disease prevention: A systematic literature review.Preventive medicine reports · 2022Review
- Post-9/11 veterans' heart disease knowledge, self-perceived risk, and prevention beliefs and behaviors.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021Article
- The Combined Effects of Patient Activation and Relational Aspects on the Quality of Life in Atrial Fibrillation Patients.Frontiers in psychology · 2021Article
- The Hospital-Community-Family-Based Telemedicine (HCFT-AF) Program for Integrative Management of Patients With Atrial Fibrillation: Pilot Feasibility Study.JMIR mHealth and uHealth · 2020Article
- The Role of Intermediaries in Connecting Community-Dwelling Adults to Local Physical Activity and Exercise: A Scoping Review.International journal of integrated careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundA large proportion of deaths and chronic illnesses can be attributed to three modifiable risk factors: tobacco use, overweight/obesity, and physical inactivity.
objectiveTo test whether telephone-based health coaching after completion of a comprehensive health risk assessment (HRA) increases patient activation and enrollment in a prevention program compared to HRA completion alone.
designTwo-arm randomized trial at three sites.
settingPrimary care clinics at Veterans Affairs facilities.
participantsFour hundred seventeen veterans with at least one modifiable risk factor (BMI ≥ 30, < 150 min of at least moderate physically activity per week, or current smoker).
interventionParticipants completed an online HRA. Intervention participants received two telephone-delivered health coaching calls at 1 and 4 weeks to collaboratively set goals to enroll in, and attend structured prevention programs designed to reduce modifiable risk factors. MEASUREMENTS: Primary outcome was enrollment in a structured prevention program by 6 months. Secondary outcomes were Patient Activation Measure (PAM) and Framingham Risk Score (FRS).
resultsMost participants were male (85%), white (50%), with a mean age of 56. Participants were eligible, because their BMI was ≥ 30 (80%), they were physically inactive (50%), and/or they were current smokers (39%). When compared to HLA only at 6 months, health coaching intervention participants reported higher rates of enrollment in a prevention program, 51 vs 29% (OR = 2.5; 95% CI: 1.7, 3.9; p < 0.0001), higher rates of program participation, 40 vs 23% (OR = 2.3; 95% CI: 1.5, 3.6; p = 0.0004), and greater improvement in PAM scores, mean difference 2.5 (95% CI: 0.2, 4.7; p = 0.03), but no change in FRS scores, mean difference 0.7 (95% CI - 0.7, 2.2; p = 0.33).
conclusionsBrief telephone health coaching after completing an online HRA increased patient activation and increased enrollment in structured prevention programs to improve health behaviors. CLINICALTRIALS. GOV IDENTIFIER: NCT01828567.
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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.