Improving Health Behaviors Through Telephone Linked Care

Not Applicable

Completed

• Conditions: Diet; Physical Activity; Smoking; Alcohol Abuse

• Registration Number: NCT00314197
• Lead Sponsor: American Academy of Family Physicians

Brief Summary

The investigators propose to conduct a randomized controlled trial at the patient level of the Telephone Linked Care - Behavioral Change (TLC-BC) system, which is designed to promote smoking cessation, reduce risky drinking, and improve physical activity and diet. They expect to:

1. successfully integrate an automated telephone behavior change intervention into primary care practices;

2. demonstrate improvement in health behaviors for individuals randomized (assigned by systematic chance) to use the TLC-BC system compared to individuals who receive written health education informational packets; and

3. evaluate the direct costs associated with the use and operation of the TLC-BC system.

Project aims and hypotheses follow:

Aim 1: Integrate a proven, totally automated computer telephone intervention, Telephone Linked Care - Behavior Change (TLC-BC), into primary care practices. This will be assessed by the patient and clinician/staff surveys at the end of data collection.

Aim 2: Demonstrate an improvement in health behaviors for individuals randomized to use the TLC-BC system compared to individuals who receive written informational packets.

Aim 3: Evaluate the direct costs associated with the use and operation of the TLC-BC system within the primary care setting.

Hypothesis 1: The Telephone Linked Care - Behavioral Change system will be successfully implemented by patients and practices.

Hypothesis 2: At 6 months a clinically significant improvement in behavioral change rates will be demonstrated for diet, physical activity, and smoking in the intervention group compared to patients in the control group.

Hypothesis 3: At baseline, 3, 6, and 9 months risky drinking will be identified, but there will be no difference in improvement between the study groups.

Detailed Description

See above

Study Timeline

• Study Start: 2006-04
• Study First Submitted: 2006-04-11
• Study First Submitted QC: 2006-04-11
• Study First Posted: 2006-04-13
• Study Completion: 2007-06
• Status Verified: 2007-09
• Last Update Submitted: 2007-09-24
• Last Update Posted: 2007-09-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 400

Inclusion Criteria

• 18 years or older
• Capable of giving informed consent
• Reliable access to a phone
• Able to read English

Exclusion Criteria

• Less than 18 years of age
• Not capable of giving informed consent
• No reliable access to a phone
• Unable to read English (including blindness)
• Too ill to participate
• Not willing to allow the Telephone Linked Care - Behavior Change system to provide health information reports based on responses to physician

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Primary Outcome Measures

Name	Time	Method
At 6 months a clinically significant improvement in behavioral change rates will be demonstrated for diet, physical activity and smoking in the intervention group compared to patients in the control group	6 months
At baseline, 3, 6, and 9 months risky drinking will be identified, but there will be no difference in improvement between the study groups.	baseline, 3, 6, and 9 months

Trial Locations

Locations (1)

American Academy of Family Physicians National Research Network; 🇺🇸 Leawood, Kansas, United States