Volunteers: An Effective Medium for Delivering Therapeutic Lifestyle Interventions

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avondale-bepress-to-dspace.facultyNursing
avondale-bepress-to-dspace.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
avondale-bepress-to-dspace.peer_review_statusPeer reviewed before publication
avondale-bepress.abstract<p>Purpose: Lifestyle modification programs have been shown to effectively treat chronic disease. The Coronary Health Improvement Program has been delivered by both paid professional and unpaid volunteer facilitators. This study compared participant outcomes of each mode in the United States.</p> <p>Design: Pre-/post-analysis of CHIP interventions delivered between 1999 and 2012.</p> <p>Setting: Professional-delivered programs in Rockford Illinois 1999-2004 and volunteer-delivered programs across North America 2005-2012.</p> <p>Subjects: Adults ≥21 years (professional programs N = 3158 34.3% men, mean age = 54.0 ± 11.4 years; volunteer programs N = 7115 33.4% men, mean age = 57.4 ± 13.0 years).</p> <p>Measures: Body mass index, blood pressure (systolic and diastolic), blood lipid profile (total cholesterol, high-density lipoprotein, triglycerides, low-density lipoprotein), and fasting plasma glucose.</p> <p>Analysis: Analysis of Covariance, with adjustment for age, gender, BMI change and baseline biometric and effect sizes.</p> <p>Results: The professional-delivered programs achieved significantly greater reductions in BMI (.4%, P < .001) and HDL (1.9%, P < .001) and the volunteer-delivered programs achieved greater reductions in SBP (1.4%, P < .001), DBP (1.1%, P < .001), TC (1.4%, P = .004), LDL (2.3%, P < .001), TG (4.0%, P = .006), and FPG (2.7%, P < .001). However, the effect size differences between the groups were minimal (Cohen’s d .1-.2).</p> <p>Conclusions: Lifestyle modification programs have been shown to effectively treat chronic disease. The Complete Health Improvement Program (CHIP) lifestyle intervention has been delivered by both paid professional and unpaid volunteer facilitators. This study compared selected chronic disease biometric outcomes of participants in each mode in the United States. It found volunteer-delivered programs do not appear to be any less effective than programs delivered by paid professionals, which is noteworthy as volunteers may provide important social capital in the combat of chronic disease.</p>
avondale-bepress.articleid1254
avondale-bepress.authorsLillian M Kent
avondale-bepress.authorsPaul M Rankin
avondale-bepress.authorsDarren P Morton
avondale-bepress.authorsRebekah M Rankin
avondale-bepress.authorsRoger L Greenlaw
avondale-bepress.authorsHeine S Englert
avondale-bepress.context-key27522894
avondale-bepress.coverpage-urlhttps://research.avondale.edu.au/nh_papers/248
avondale-bepress.document-typearticle
avondale-bepress.field.author_faculty_disciplineNursing
avondale-bepress.field.avon_earlyonline2021-12-28T00:00:00-08:00
avondale-bepress.field.comments<p>Used by permission: the author(s).</p>
avondale-bepress.field.custom_citation<p>Kent, L. M., Rankin, P. M., Morton, D. P., Rankin, R. M., Greenlaw, R. L., & Englert, H. S. (2022). Volunteers: An effective medium for delivering therapeutic lifestyle interventions. <em>American Journal of Health Promotion</em>, <em>36</em>(4), 633-642. https://doi.org/10.1177/08901171211062581</p>
avondale-bepress.field.distribution_licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
avondale-bepress.field.doihttps://doi.org/10.1177/08901171211062581
avondale-bepress.field.embargo_date2022-01-18T00:00:00Z
avondale-bepress.field.field_of_education06 Health
avondale-bepress.field.for_20214202 Epidemiology
avondale-bepress.field.issn0890-1171
avondale-bepress.field.issue_number4
avondale-bepress.field.journalAmerican Journal of Health Promotion
avondale-bepress.field.page_numbers633-642
avondale-bepress.field.peer_reviewBefore publication
avondale-bepress.field.publication_date2022-05-01T00:00:00Z
avondale-bepress.field.reportable_itemsC1
avondale-bepress.field.research_centreLifestyle Medicine and Health Research Centre
avondale-bepress.field.staff_classificationAdjunct
avondale-bepress.field.volume_number36
avondale-bepress.fulltext-urlhttps://research.avondale.edu.au/cgi/viewcontent.cgi?article=1254&amp;context=nh_papers&amp;unstamped=1
avondale-bepress.keywordsCoronary Health Improvement Program
avondale-bepress.keywordschronic disease
avondale-bepress.keywordslifestyle intervention
avondale-bepress.keywordsprofessional-delivered
avondale-bepress.keywordsvolunteer-delivered
avondale-bepress.label248
avondale-bepress.publication-date2022-05-01T00:00:00Z
avondale-bepress.publication-titleNursing and Health Papers and Journal Articles
avondale-bepress.statepublished
avondale-bepress.submission-date2022-01-18T17:28:01Z
avondale-bepress.submission-pathnh_papers/248
avondale-bepress.titleVolunteers: An Effective Medium for Delivering Therapeutic Lifestyle Interventions
avondale-bepress.typearticle
dc.contributor.authorEnglert, Heine S.
dc.contributor.authorGreenlaw, Roger L.
dc.contributor.authorRankin, Rebekah M.
dc.contributor.authorMorton, Darren P.
dc.contributor.authorRankin, Paul M.
dc.contributor.authorKent, Lillian M.
dc.date.accessioned2023-11-01T00:34:19Z
dc.date.available2023-11-01T00:34:19Z
dc.date.issued2022-05-01
dc.date.submitted2022-01-18T17:28:01Z
dc.description.abstract<p>Purpose: Lifestyle modification programs have been shown to effectively treat chronic disease. The Coronary Health Improvement Program has been delivered by both paid professional and unpaid volunteer facilitators. This study compared participant outcomes of each mode in the United States.</p> <p>Design: Pre-/post-analysis of CHIP interventions delivered between 1999 and 2012.</p> <p>Setting: Professional-delivered programs in Rockford Illinois 1999-2004 and volunteer-delivered programs across North America 2005-2012.</p> <p>Subjects: Adults ≥21 years (professional programs N = 3158 34.3% men, mean age = 54.0 ± 11.4 years; volunteer programs N = 7115 33.4% men, mean age = 57.4 ± 13.0 years).</p> <p>Measures: Body mass index, blood pressure (systolic and diastolic), blood lipid profile (total cholesterol, high-density lipoprotein, triglycerides, low-density lipoprotein), and fasting plasma glucose.</p> <p>Analysis: Analysis of Covariance, with adjustment for age, gender, BMI change and baseline biometric and effect sizes.</p> <p>Results: The professional-delivered programs achieved significantly greater reductions in BMI (.4%, P < .001) and HDL (1.9%, P < .001) and the volunteer-delivered programs achieved greater reductions in SBP (1.4%, P < .001), DBP (1.1%, P < .001), TC (1.4%, P = .004), LDL (2.3%, P < .001), TG (4.0%, P = .006), and FPG (2.7%, P < .001). However, the effect size differences between the groups were minimal (Cohen’s d .1-.2).</p> <p>Conclusions: Lifestyle modification programs have been shown to effectively treat chronic disease. The Complete Health Improvement Program (CHIP) lifestyle intervention has been delivered by both paid professional and unpaid volunteer facilitators. This study compared selected chronic disease biometric outcomes of participants in each mode in the United States. It found volunteer-delivered programs do not appear to be any less effective than programs delivered by paid professionals, which is noteworthy as volunteers may provide important social capital in the combat of chronic disease.</p>
dc.description.versionBefore publication
dc.identifier.citation<p>Kent, L. M., Rankin, P. M., Morton, D. P., Rankin, R. M., Greenlaw, R. L., & Englert, H. S. (2022). Volunteers: An effective medium for delivering therapeutic lifestyle interventions. <em>American Journal of Health Promotion</em>, <em>36</em>(4), 633-642. https://doi.org/10.1177/08901171211062581</p>
dc.identifier.doihttps://doi.org/10.1177/08901171211062581
dc.identifier.issn0890-1171
dc.identifier.urihttps://research.avondale.edu.au/handle/123456789/27522894
dc.language.isoen_us
dc.rights<p>Used by permission: the author(s).</p>
dc.rights.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectCoronary Health Improvement Program
dc.subjectchronic disease
dc.subjectlifestyle intervention
dc.subjectprofessional-delivered
dc.subjectvolunteer-delivered
dc.titleVolunteers: An Effective Medium for Delivering Therapeutic Lifestyle Interventions
dc.typeJournal Article
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