Virtual Behavioral Intervention to Promote Healthy Lifestyle Behaviors: A Feasibility RCT During COVID-19 Pandemic

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2023 Jan 8

PMID 36611550

Authors

Shaima A Alothman

Mohammed M Alshehri

Alaa A AlMasud

Mohanad S Aljubairi

Ibrahim Alrashed

Mohammad Abu Shaphe

Abdullah F Alghannam

Affiliations

Soon will be listed here.

Abstract

Background: the COVID-19 pandemic has had a substantial impact on human health, affecting many lifestyle behaviors such as physical activity, sedentary behavior, dietary habits and sleep.

Purpose: to assess the feasibility of six sessions of a virtual behavioral intervention to promote healthy lifestyle practices during a stay-at-home advisory phase of the COVID-19 pandemic.

Methods: A participant-blinded randomized controlled trial was performed through a virtual platform setting. Participants were randomly assigned into two groups. They were assigned to a motivational interviewing (MI) intervention or attention group, with pre- and postintervention assessments. The MI treatment consisted of six sessions (twice each week). The same number of virtual structured sessions were provided for the attention group, and they provided brief advice to promote healthy lifestyles. The study was conducted from April to June 2020.

Results: The feasibility outcomes indicated that 39 of the 50 participants (78%) completed the trial. The dropout rate was 21.7% for the attention group and 22.2% for the intervention group. Participating in MI had a significant positive interventional effect on physical activity level, distress and fear of COVID-19.

Conclusions: It is feasible to deliver behavioral change interventions virtually. Further, MI can be used as a useful strategy for the favorable promotion of a healthy lifestyle.

Trial Registration: NCT05392218 (26/05/2022).

Citing Articles

Substance Use and Mental Health in Emerging Adult University Students Before, During, and After the COVID-19 Pandemic in Mexico: A Comparative Study.

Hernandez-Fuentes G, Romero-Michel J, Guzman-Sandoval V, Diaz-Martinez J, Delgado-Enciso O, Garcia-Perez R Diseases. 2024; 12(12.

PMID: 39727633 PMC: 11727221. DOI: 10.3390/diseases12120303.

Virtual motivational interviewing for physical activity among older adults: A non-randomised, mixed-methods feasibility study.

Akinrolie O, Ripat J, Strachan S, Webber S, McNabb A, Peters J Int J Psychol. 2024; 60(1):e13269.

PMID: 39552399 PMC: 11626223. DOI: 10.1002/ijop.13269.

Telehealth Lifestyle Pilot Study for Improving Occupational Performance in Older Adults.

Leverentz C, Salvati B, Moore C, Shin J, Qi Y, Jewell V OTJR (Thorofare N J). 2024; 45(2):209-218.

PMID: 39385615 PMC: 11837419. DOI: 10.1177/15394492241284566.

Effectiveness of behavioural interventions with motivational interviewing on physical activity outcomes in adults: systematic review and meta-analysis.

Zhu S, Sinha D, Kirk M, Michalopoulou M, Hajizadeh A, Wren G BMJ. 2024; 386:e078713.

PMID: 38986547 PMC: 11234249. DOI: 10.1136/bmj-2023-078713.

Virtual Motivational Interviewing (VIMINT) to support physical activity: Experiences of older adults and counsellors.

Akinrolie O, Ripat J, Strachan S, Webber S, Barclay R J Health Psychol. 2024; 29(12):1416-1430.

PMID: 38414103 PMC: 11528923. DOI: 10.1177/13591053241235094.

References

Winter S, Sheats J, King A . The Use of Behavior Change Techniques and Theory in Technologies for Cardiovascular Disease Prevention and Treatment in Adults: A Comprehensive Review. Prog Cardiovasc Dis. 2016; 58(6):605-12. PMC: 4868665. DOI: 10.1016/j.pcad.2016.02.005. View

Rodriguez L, Litt D, Stewart S . Drinking to cope with the pandemic: The unique associations of COVID-19-related perceived threat and psychological distress to drinking behaviors in American men and women. Addict Behav. 2020; 110:106532. PMC: 7320671. DOI: 10.1016/j.addbeh.2020.106532. View

Ahorsu D, Lin C, Imani V, Saffari M, Griffiths M, Pakpour A . The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addict. 2020; 20(3):1537-1545. PMC: 7100496. DOI: 10.1007/s11469-020-00270-8. View

Lundahl B, Moleni T, Burke B, Butters R, Tollefson D, Butler C . Motivational interviewing in medical care settings: a systematic review and meta-analysis of randomized controlled trials. Patient Educ Couns. 2013; 93(2):157-68. DOI: 10.1016/j.pec.2013.07.012. View

Garfan S, Alamoodi A, Zaidan B, Al-Zobbi M, Hamid R, Alwan J . Telehealth utilization during the Covid-19 pandemic: A systematic review. Comput Biol Med. 2021; 138:104878. PMC: 8450049. DOI: 10.1016/j.compbiomed.2021.104878. View

Spring B, Pellegrini C, McFadden H, Pfammatter A, Stump T, Siddique J . Multicomponent mHealth Intervention for Large, Sustained Change in Multiple Diet and Activity Risk Behaviors: The Make Better Choices 2 Randomized Controlled Trial. J Med Internet Res. 2018; 20(6):e10528. PMC: 6030572. DOI: 10.2196/10528. View

Loef M, Walach H . The combined effects of healthy lifestyle behaviors on all cause mortality: a systematic review and meta-analysis. Prev Med. 2012; 55(3):163-70. DOI: 10.1016/j.ypmed.2012.06.017. View

Dafaalla M, Farah A, Bashir S, Khalil A, Abdulhamid R, Mokhtar M . Validity and reliability of Arabic MOS social support survey. Springerplus. 2016; 5(1):1306. PMC: 4978659. DOI: 10.1186/s40064-016-2960-4. View

Kumar A, Nayar K . COVID 19 and its mental health consequences. J Ment Health. 2020; 30(1):1-2. DOI: 10.1080/09638237.2020.1757052. View

10.

Moccia L, Janiri D, Pepe M, Dattoli L, Molinaro M, De Martin V . Affective temperament, attachment style, and the psychological impact of the COVID-19 outbreak: an early report on the Italian general population. Brain Behav Immun. 2020; 87:75-79. PMC: 7169930. DOI: 10.1016/j.bbi.2020.04.048. View

11.

Rahman M, Hoque N, Alif S, Salehin M, Islam S, Banik B . Factors associated with psychological distress, fear and coping strategies during the COVID-19 pandemic in Australia. Global Health. 2020; 16(1):95. PMC: 7542573. DOI: 10.1186/s12992-020-00624-w. View

12.

Evans P, Rainger G, Mason J, Guzik T, Osto E, Stamataki Z . Endothelial dysfunction in COVID-19: a position paper of the ESC Working Group for Atherosclerosis and Vascular Biology, and the ESC Council of Basic Cardiovascular Science. Cardiovasc Res. 2020; 116(14):2177-2184. PMC: 7454368. DOI: 10.1093/cvr/cvaa230. View

13.

Prochaska J, DiClemente C . Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983; 51(3):390-5. DOI: 10.1037//0022-006x.51.3.390. View

14.

Kessler R, Barker P, Colpe L, Epstein J, Gfroerer J, Hiripi E . Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003; 60(2):184-9. DOI: 10.1001/archpsyc.60.2.184. View

15.

Aadahl M, Linneberg A, Moller T, Rosenorn S, Dunstan D, Witte D . Motivational counseling to reduce sitting time: a community-based randomized controlled trial in adults. Am J Prev Med. 2014; 47(5):576-86. DOI: 10.1016/j.amepre.2014.06.020. View

16.

Crutzen R, Viechtbauer W, Spigt M, Kotz D . Differential attrition in health behaviour change trials: a systematic review and meta-analysis. Psychol Health. 2014; 30(1):122-34. DOI: 10.1080/08870446.2014.953526. View

17.

Tuccero D, Railey K, Briggs M, Hull S . Behavioral Health in Prevention and Chronic Illness Management: Motivational Interviewing. Prim Care. 2016; 43(2):191-202. DOI: 10.1016/j.pop.2016.01.006. View

18.

Chaix B, Delamon G, Guillemasse A, Brouard B, Bibault J . Psychological distress during the COVID-19 pandemic in France: a national assessment of at-risk populations. Gen Psychiatr. 2021; 33(6):e100349. PMC: 7692000. DOI: 10.1136/gpsych-2020-100349. View

19.

Bai Y, Lin C, Lin C, Chen J, Chue C, Chou P . Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatr Serv. 2004; 55(9):1055-7. DOI: 10.1176/appi.ps.55.9.1055. View

20.

Kaminsky L, German C, Imboden M, Ozemek C, Peterman J, Brubaker P . The importance of healthy lifestyle behaviors in the prevention of cardiovascular disease. Prog Cardiovasc Dis. 2021; 70:8-15. DOI: 10.1016/j.pcad.2021.12.001. View