Sharon Parker|Margo Barr|Nigel Stocks|Elizabeth Denney?Wilson|Nicholas Zwar|Jonathan Karnon|Alamgir Kabir|Don Nutbeam|Jacqueline Roseleur|Siaw-Teng Liaw|Carmel McNamara|Oliver Frank|An Tran|Richard H. Osborne|Annie Lau|Mark Harris
Preventing chronic disease in overweight and obese patients with low health literacy using eHealth and teamwork in primary healthcare (HeLP-GP): a cluster randomised controlled trial
Primary Health Care|UNSW Sydney|Primary Health Care|UNSW Sydney|University of Adelaide|University of Sydney|Australian Federation of Graduate Women New South Wales|Health & Life (Taiwan)|Bond University|Flinders University|Flinders Medical Centre|Primary Health Care|UNSW Sydney|University of Sydney|Faculty of Public Health|Flinders University|Flinders Medical Centre|UNSW Sydney|Flinders University|Okinawa Prefectural College of Nursing|University of Adelaide|Primary Health Care|UNSW Sydney|University of Global Health Equity|Swinburne University of Technology|Australian Institute of Health and Welfare|Macquarie University|Primary Health Care|UNSW Sydney
evaluate multifaceted intervention diet physical activity health literacy overweight obese patients attending primary carea pragmatic twoarm cluster randomised controlled trialurban general practices lower socioeconomic areas sydney adelaidewe aimed recruit 800 patients arm baseline assessment completed 215 patients 120 intervention 95 controla practice nurseled preventive health check mobile application telephone coachingprimary outcomes measured baseline 6 12 months included patient health ehealth literacy weight waist circumference blood pressure secondary outcomes included changes diet physical activity preventive advice referral blood lipids quality life costs univariate multivariate analyses differenceindifferences estimates outcome conductedat 6 months intervention group compared control group demonstrated greater increase health literacy questionnaire domain 8 score ability find good health information mean 022 95 ci 001 044 similar differences domain 9 score understanding health information well enough know among patients median baseline differences reduced nonstatistically significant 12 months small improvement diet scores 6 months 078 010 147 p0026 12 months differences ehealth literacy physical activity scores body mass index weight waist circumference blood pressuretargeted recruitment engagement challenging population intervention associated improvements health literacy diet substantial differences outcomes observed intensive interventions using codesign strategies engage practices earlier may produce different result codesign may also valuable targeting lower socioeconomic populationsaustralian new zealand clinical trials registry actrn 12617001508369 httpwwwanzctrorgauactrn12617001508369aspxthe protocol trial published open access httpsbmjopenbmjcomcontent86e023239