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Participant Results

The Get Healthy Service was developed and first implemented by NSW Health in 2009.   In 2014 the service commenced in South Australia.

Ipsos has been commissioned to conduct an analysis of participant outcomes in SA since Get Healthy commenced until June 2016.

A copy of the report The Get Healthy Information and Coaching Service Routine Reporting and Monitoring - SA Health 2016” is available here. 

 

Key findings

Participants who completed the 6-month Get Healthy Service coaching program have reported successfully making healthy changes.  Significant improvements from baseline to graduation include:

  • An average weight loss of 3.0kg

  • An average waist circumference loss of 3.2cm

  • An increase in the amount of vegetables consumed daily
  • An increase in moderate physical activity and walking

 

Key characteristics of the participants are shown below

 

Baseline %

Mid-Point %

Graduation %

Obese

66

62

60

Overweight

25

26

26

Healthy Weight

9

12

14

Waist high risk (M / F)

71 / 84

58 / 82

59 / 79

Insufficient activity

61

43

40

< 5 veg per day

86

75

76

< 2 fruit per day

54

39

40

 

THE IMPORTANCE OF HEALTH PROFESSIONAL REFERRALS

A study examining the profile of Get Healthy Service participants (who had completed the program)has shown some important differences in relation to the socio-demographic and risk factors based on their “source of referral”:

  • Participants referred by health professionals (including GPs) are more likely to complete the 6 month coaching program than those who are self-referred.
  • A greater proportion of coaching participants referred by a GP was classified as obese (76.6%) and had a greatly increased waist circumference risk (88.6%) than those who are self-referred.
  • 78.7% of participants referred by a health professional were from the lowest two quintiles of advantage.

These findings emphasise the important role that GPs and other health practitioners have in referring clients to the GHS. Furthermore it was noted that GPs and other Health Professionals can target those in the community who are most at need of the assistance that the Get Healthy Service can offer, both in terms of a client’s socio-demographic profile and their risk factor profile

 

GET Healthy in NSW

The NSW Get Healthy Information and Coaching Service: The First Five Years 2009-2013 evaluation report was published in June 2014. The report showcases the effectiveness, reach and health impact of the Service since its inception in 2009.

KEY FINDINGS

  • Evidence supports the effectiveness of telephone-based programs.
  • Telephone counselling services can be effective in the short to medium term (3 to 6 months).
  • Offering an intervention that is 6-12 months in duration is more effective than an intervention offered for < 6 months.
  • Effective telephone-based programs should be individualised and based on evidence-based behavioural change theories.
  • A service that includes other components (e.g. print materials, other support mediums) is more effective than a stand-alone telephone-based service.
  • Telephone is a reliable tool that most people have access to.

Baseline to 6 Months

Participants who have completed the 6-month Get Healthy Service coaching program have reported significant improvements, helping them achieve great results. These include:

  • An average weight loss of 3.8kg
  • An average loss of 5.1cm off their waist
  • An increase in the amount of fruit and vegetables consumed daily
  • A decrease in the amount of take away meals consumed per week
  • A decrease in the amount of sweetened drinks consumed daily, such as soft drinks, cordials and fruit juices
  • An increase in physical activity levels

The following table shows anthropometric and behavioural risk factor changes from baseline to 6-months.

 NBaseline6 monthsChange 
Weight (kg) ¥392285.882.0-3.8**
BMI (kg/m2) ¥391830.929.6-1.4**
Waist circumference (cm) ¥3247101.696.6-5.0**
Fruit (daily serves) €38921.72.0+0.4**
Vegetables (daily serves) €39122.74.0+1.2**
Sweetened drinks (daily serves) €37410.40.1-0.3**
Takeaway meals (weekly serves) €37620.80.3-0.5**
Walking (no. 30min sessions per week) €39002.43.6+1.2**
Moderate physical activity (no. 30min sessions per week) €37961.01.7+0.7**
Vigorous physical activity (no. 20min sessions per week) €37440.40.8+0.4**

** significant at p<0.001; matched pair analysis; ¥ T-test undertaken for matched paired samples for significant mean difference; € Non parametric test undertaken for related samples for significant median difference.

Further evaluation results can be found in  NSW Get Healthy Information and Coaching Service: The First Five Years 2009-2013 is available for download here.

 

12 Months after Baseline

A 6-month follow up study (6 months after completing coaching and 12 months from baseline) showed that anthropometric improvements made at the completion of the coaching program were maintained for a further 6 months (12 months from baseline). These include:

  • Significant decreases in weight
  • Significant improvements in waist circumference
  • Significant decreases in Body Mass Index
  • Increased fruit consumption

Other findings:

  • Improvements in the proportion of participants undertaking recommended levels of physical activity from baseline to 12-months (increase of 5.2%), however the improvements made at end of the coaching program were not maintained at the 6-month follow up.
  • Degree of improvement in vegetable consumption obtained at the end of the coaching program was not maintained.
  • After adjusting for baseline levels and socio-demographic variables, the coaching program had significant maintenance effects for all anthropometric measurements and for fruit consumption.

Further evaluation results can be found in  NSW Get Healthy Information and Coaching Service: The First Five Years 2009-2013 is available for download here.

  • parminder small

    Parminder

    • 33 Years Old
    • Get Healthy Graduate

    "It was very hard to start but once you do it's too easy and now it's become part of my everyday life."

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    Joanne

    • 53 Years Old
    • Get Healthy Graduate

    "Joanne didn't really know what a healthy diet was until she joined Get Healthy"

  • laurel-small.png

    Laurel

    • 50 Years Old
    • Get Healthy Graduate

    "One thing my health coach taught me was about calories, I am now very mindful of calories as well as 5 servings of fruit and vegetables... it's been a great learning experience."

  • michael-profile.png

    Michael

    • 38 Years Old
    • Get Healthy Graduate

    "Michael's Get Healthy coach helped him to find ways to include more exercise in his daily life."

  • joy and jen small

    Jen & Joy

    • Get Healthy Graduates

    "Joy and Jen know that participating in Get Healthy together made it more fun for them and would recommend it to others. They are confident that they can maintain their new healthy lifestyles but know that they get more help from Get Healthy again if they need."

  • ian-small.png

    Ian

    • 58 Years Old
    • Get Healthy Graduate

    "I have gone from being an overweight guy who didn't exercise, to now where I consider myself very fit, very healthy. This has turned my life around!"

  • naser small

    Naser

    • Get Healthy Graduate

    "Regular conversations with his Get Healthy coach were key to increasing Naser's motivation to make changes to his diet to improve his health."

  • wendy small

    Wendy

    • 41 Years Old
    • Get Healthy Graduate

    ""We do a lot more as a family now, especially with the kids... I am not embarrassed to get into a swimming costume, I feel more comfortable""

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    Roger

    • 56 Years Old
    • Get Healthy Graduate

    "It was very good having that person, it gave you some motivation and justification because if I hadn't done the right thing I was honest and told her, she didn't judge."

  • elizabeth-small.png

    Elizabeth

    • 63 Years Old
    • Get Healthy Graduate

    "My husband eats a lot better, not a lot of junk, but if he indulges I can say no and not let it worry me which makes me feel better in myself."

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