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Behaviour change among overweight and socially disadvantaged adults: A longitudinal study of the NHS Health Trainer Service.

Gardner, B; Cane, J; Rumsey, N; Michie, S; (2012) Behaviour change among overweight and socially disadvantaged adults: A longitudinal study of the NHS Health Trainer Service. Psychology & Health , 27 (10) pp. 1178-1193. 10.1080/08870446.2011.652112. Green open access

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Abstract

Social disadvantage is associated with being overweight, a poor diet and physical inactivity. The NHS Health Trainer Service (HTS) is a national initiative designed to promote behaviour change among socially disadvantaged people in England and Wales. This study reports pre-post changes in Body Mass Index (BMI), associated behaviours and cognitions among service users who set dietary or physical activity goals during a 12-month period (2008-2009; N = 4418). Sixty-nine percent of clients were from the two most deprived population quintiles and 94.7% were overweight or obese. Mean BMI decreased from 34.03 to 32.26, with overweight/obesity prevalence decreasing by 3.7%. There were increases in fruit and vegetable consumption, reductions in fried snack consumption, increases in frequency of moderate or intensive activity and gains in self-efficacy and perceived health and wellbeing. Clients with higher BMI, poorer diet or less activity at baseline achieved greater change. Findings suggest that the NHS HTS has the potential to improve population health and reduce health inequalities through behaviour change.

Type: Article
Title: Behaviour change among overweight and socially disadvantaged adults: A longitudinal study of the NHS Health Trainer Service.
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/08870446.2011.652112
Publisher version: http://dx.doi.org/10.1080/08870446.2011.652112
Language: English
Additional information: This is a preprint of an article whose final and definitive form has been published in the Psychology & Health © 2012 copyright Taylor & Francis; Psychology & Health is available online at: http://www.tandfonline.com/openurl?genre=article&issn=0887-0446&volume=27&issue=10&spage=1178
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/1336004
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