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Type: Journal article
Title: A telephone-supported cardiovascular lifestyle programme (CLIP) for lipid reduction and weight loss in general practice patients: a randomised controlled pilot trial
Author: Stuart, K.
Wyld, B.
Bastiaans, K.
Stocks, N.
Brinkworth, G.
Mohr, P.
Noakes, M.
Citation: Public Health Nutrition, 2014; 17(3):640-647
Publisher: C A B I Publishing
Issue Date: 2014
ISSN: 1368-9800
Statement of
Keren Louise Stuart, Belinda Wyld, Kathryn Bastiaans, Nigel Stocks, Grant Brinkworth, Phil Mohr and Manny Noakes
Abstract: Objective: To evaluate a primary prevention care model using telephone support delivered through an existing health call centre to general practitioner-referred patients at risk of developing CVD, using objective measures of CVD risk reduction and weight loss. Design: Participants were randomised into two groups: (i) those receiving a telephone-supported comprehensive lifestyle intervention programme (CLIP: written structured diet and exercise advice, plus seven telephone sessions with the Heart Foundation Health Information Service); and (ii) those receiving usual care from their general practitioner (control: written general lifestyle advice). Fasting plasma lipids, blood pressure, weight, waist circumference and height were assessed on general practice premises by a practice nurse at Weeks 0 and 12. Setting: Two general practices in Adelaide, South Australia. Subjects: Forty-nine men and women aged 48·0 (sd 5·88) years identified by their general practitioner as being at future risk of CVD (BMI = 33·13 (sd 5·39) kg/m2; LDL cholesterol (LDL-C) = 2·66 (sd 0·92) mmol/l). Results: CLIP participants demonstrated significantly greater reductions in LDL-C (estimated mean (EM) = 1·98 (se 0·17) mmol/l) and total cholesterol (EM = 3·61 (se 0·21) mmol/l) at Week 12 when compared with the control group (EM = 3·23 (se 0·18) mmol/l and EM = 4·77 (se 0·22) mmol/l, respectively). There were no significant treatment effects for systolic blood pressure (F(1,45) = 0·28, P = 0·60), diastolic blood pressure (F(1,43) = 0·52, P = 0·47), weight (F(1,42) = 3·63, P = 0·063) or waist circumference (F(1,43) = 0·32, P = 0·577). Conclusions: In general practice patients, delivering CLIP through an existing telephone health service is effective in achieving reductions in LDL-C and total cholesterol. While CLIP may have potential for wider implementation to support primary prevention of CVD, longer-term cost-effectiveness data are warranted.
Keywords: Telephone support; weight loss; lipid reduction; general practice
Rights: © The Authors 2013
RMID: 0020135819
DOI: 10.1017/S1368980013000220
Appears in Collections:General Practice publications

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