Promoting lifestyle behaviour change and well-being in hospital patients: a pilot study of an evidence-based psychological intervention
Promoting lifestyle behaviour change and well-being in hospital patients: a pilot study of an evidence-based psychological intervention
Background: Lifestyle risk behaviours show an inverse social gradient, clustering in vulnerable groups. We designed and piloted an intervention to address barriers to lifestyle behaviour change among hospital patients.
Methods: We designed our intervention using effective components of behaviour change interventions informed by psychological theory. Delivered by a health psychologist based at the Royal Free London NHS Foundation Trust, the 4-week intervention included detailed baseline assessment, personalized goal setting, psychological skills development, motivation support and referral to community services. Primary outcomes were feasibility and patient acceptability. We also evaluated changes to health and well-being.
Results: From 1 July 2013 to 31 September 2014, 686 patients were referred, 338 (49.3%) attended a first appointment and 172 (25.1%) completed follow-up. Furthermore, 72.1% of attenders were female with the median age 55 years and poor self-reported baseline health. After 4 weeks, self-efficacy, health and well-being scores significantly improved: 63% of lifestyle goals and 89% of health management goals were fully achieved; 58% of referrals to community lifestyle behaviour change services and 79% of referrals to other services (e.g. Citizen's Advice Bureau) were accepted; 99% were satisfied/very satisfied with the service.
Conclusions: Our hospital-based intervention was feasible, acceptable and showed preliminary health and well-being gains.
evidence-based medicine, health behaviour, health promotion, lifestyle
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Gate, Lucy
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Warren-Gash, Charlotte
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Clarke, Alex
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Bartley, Angela
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Fowler, Elizabeth
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Semple, Gerry
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Strelitz, Jason
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Dutey-Magni, Peter
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Tookman, Adrian
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Rodger, Alison
af928914-8be9-4009-99ed-20109b3b3d97
Gate, Lucy
c3968811-5f3a-45ac-a44c-4897bbbb9200
Warren-Gash, Charlotte
0217eb35-7098-4b34-980d-4fce5e160cb3
Clarke, Alex
077d77ea-e4d1-4456-9eb9-cf5ee23f6c85
Bartley, Angela
52aeb6ff-c620-4f7e-9b3d-6121a3d296da
Fowler, Elizabeth
22d152d8-c1c9-47ba-a260-3b672e7149c2
Semple, Gerry
07e079c8-9586-43e9-9daf-f21c29a3b3dd
Strelitz, Jason
141e7caa-052e-4580-885a-de63121b0193
Dutey-Magni, Peter
f2713e93-3179-4f7d-82cd-dcd415f1d06c
Tookman, Adrian
a9b86365-1194-450d-8dfe-d9c14274496f
Rodger, Alison
af928914-8be9-4009-99ed-20109b3b3d97
Gate, Lucy, Warren-Gash, Charlotte, Clarke, Alex, Bartley, Angela, Fowler, Elizabeth, Semple, Gerry, Strelitz, Jason, Dutey-Magni, Peter, Tookman, Adrian and Rodger, Alison
(2015)
Promoting lifestyle behaviour change and well-being in hospital patients: a pilot study of an evidence-based psychological intervention.
Journal of Public Health, .
(doi:10.1093/pubmed/fdv141).
(PMID:26476440)
Abstract
Background: Lifestyle risk behaviours show an inverse social gradient, clustering in vulnerable groups. We designed and piloted an intervention to address barriers to lifestyle behaviour change among hospital patients.
Methods: We designed our intervention using effective components of behaviour change interventions informed by psychological theory. Delivered by a health psychologist based at the Royal Free London NHS Foundation Trust, the 4-week intervention included detailed baseline assessment, personalized goal setting, psychological skills development, motivation support and referral to community services. Primary outcomes were feasibility and patient acceptability. We also evaluated changes to health and well-being.
Results: From 1 July 2013 to 31 September 2014, 686 patients were referred, 338 (49.3%) attended a first appointment and 172 (25.1%) completed follow-up. Furthermore, 72.1% of attenders were female with the median age 55 years and poor self-reported baseline health. After 4 weeks, self-efficacy, health and well-being scores significantly improved: 63% of lifestyle goals and 89% of health management goals were fully achieved; 58% of referrals to community lifestyle behaviour change services and 79% of referrals to other services (e.g. Citizen's Advice Bureau) were accepted; 99% were satisfied/very satisfied with the service.
Conclusions: Our hospital-based intervention was feasible, acceptable and showed preliminary health and well-being gains.
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More information
e-pub ahead of print date: 16 October 2015
Keywords:
evidence-based medicine, health behaviour, health promotion, lifestyle
Organisations:
Clinical Neurosciences, Clinical & Experimental Sciences
Identifiers
Local EPrints ID: 397252
URI: http://eprints.soton.ac.uk/id/eprint/397252
ISSN: 1741-3842
PURE UUID: 938cd736-aa09-45e2-991f-7b87113b52f7
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Date deposited: 30 Jun 2016 11:17
Last modified: 15 Mar 2024 01:10
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Contributors
Author:
Lucy Gate
Author:
Charlotte Warren-Gash
Author:
Alex Clarke
Author:
Angela Bartley
Author:
Elizabeth Fowler
Author:
Gerry Semple
Author:
Jason Strelitz
Author:
Peter Dutey-Magni
Author:
Adrian Tookman
Author:
Alison Rodger
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