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Acceptability of delivery modes for lifestyle advice in a large scale randomised controlled obesity prevention trial

Overview of attention for article published in BMC Public Health, July 2015
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  • Above-average Attention Score compared to outputs of the same age (57th percentile)
  • Average Attention Score compared to outputs of the same age and source

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Title
Acceptability of delivery modes for lifestyle advice in a large scale randomised controlled obesity prevention trial
Published in
BMC Public Health, July 2015
DOI 10.1186/s12889-015-1995-8
Pubmed ID
Authors

S L Kozica, C B Lombard, D Ilic, S Ng, C L Harrison, H J Teede

Abstract

Preventing obesity is an international health priority and women living in rural communities are at an increased risk of weight gain. Lifestyle programs are needed as part of a comprehensive approach to prevent obesity. Evaluation provides a unique opportunity to investigate and inform improvements in lifestyle program implementation strategies. The Healthy Lifestyle Program for rural women (HeLP-her Rural) is a large scale, cluster randomized control trial, targeting the prevention of weight gain. This program utilises multiple delivery modes for simple lifestyle advice (group sessions, phone coaching, text messages, and an interactive program manual). Here, we describe the acceptability of these various delivery modes. A mixed-method process evaluation was undertaken measuring program fidelity, recruitment strategies, dose delivered, program acceptability and contextual factors influencing program implementation. Data collection methodologies included qualitative semi-structured interviews for a sub-group of intervention participants [n = 28] via thematic analysis and quantitative methods (program checklists and questionnaires [n = 190]) analysed via chi square and t-tests. We recruited 649 women from 41 rural townships into the HeLP-her Rural program with high levels of program fidelity, dose delivered and acceptability. Participants were from low socioeconomic townships and no differences were detected between socioeconomic characteristics and the number of participants recruited across the towns (p = 0.15). A face-to-face group session was the most commonly reported preferred delivery mode for receiving lifestyle advice, followed by text messages and phone coaching. Multiple sub-themes emerged to support the value of group sessions which included: promoting of a sense of belonging, mutual support and a forum to share ideas. The value of various delivery modes was influenced by participant's various needs and learning styles. This comprehensive evaluation reveals strong implementation fidelity and high levels of dose delivery. We demonstrate reach to women from relatively low income rural townships and highlight the acceptability of low intensity healthy lifestyle programs with mixed face-to-face and remote delivery modes in this population. Group education sessions were the most highly valued component of the intervention, with at least one face-to-face session critical to successful program implementation. However, lifestyle advice via multiple delivery modes is recommended to optimise program acceptability and ultimately effectiveness. Australia & New Zealand Clinical Trial Registry. Trial number ACTRN12612000115831 , date of registration24/01/2012.

X Demographics

X Demographics

The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 143 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Mexico 1 <1%
United States 1 <1%
Unknown 141 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 25 17%
Researcher 15 10%
Student > Ph. D. Student 13 9%
Student > Bachelor 13 9%
Student > Doctoral Student 10 7%
Other 27 19%
Unknown 40 28%
Readers by discipline Count As %
Medicine and Dentistry 31 22%
Nursing and Health Professions 22 15%
Psychology 11 8%
Computer Science 7 5%
Social Sciences 7 5%
Other 19 13%
Unknown 46 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 July 2015.
All research outputs
#7,463,244
of 22,817,213 outputs
Outputs from BMC Public Health
#7,886
of 14,865 outputs
Outputs of similar age
#88,997
of 263,414 outputs
Outputs of similar age from BMC Public Health
#150
of 277 outputs
Altmetric has tracked 22,817,213 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 14,865 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.9. This one is in the 42nd percentile – i.e., 42% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 263,414 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 57% of its contemporaries.
We're also able to compare this research output to 277 others from the same source and published within six weeks on either side of this one. This one is in the 42nd percentile – i.e., 42% of its contemporaries scored the same or lower than it.