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Exercise for overweight and obese women: a multimodal pilot intervention comparing in-person with phone-based delivery of guided imagery
Giacobbi PR Jr, Thurlow Zautra N, Dreisbach KA, Liguori KR
International Journal of Sport and Exercise Psychology 2018;16(4):452-463
clinical trial
3/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: No; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Physical inactivity and sedentary behaviour are global public health challenges and are associated with approximately 6% of deaths worldwide. Physical activity begins to decline in late adolescence and continues to decrease throughout adulthood with adult women reporting less activity than men. This 10-week pilot study tested a peer-delivered multi-modal psycho-social intervention with overweight and obese women and compared fitness and psycho-social outcomes by manipulating the delivery mechanism: in-person versus telephone. Thirty-three overweight or obese women were randomised to fitness centre or telephone-tailored counselling for the 10-week intervention. Twenty-two women completed the study (mean age 20.73, SD 2.07) with an average body mass index of 29.82 (SD 5.01). Significant improvements were observed in ratings of perceived exertion during a three-minute step-test, self-determined motivation to exercise, imagery usage, and coping self-efficacy with no between-group differences.

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