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Despite proven efficacy, there are few published evaluations of telephone delivered interventions targeting physical activity, healthy eating, and weight loss in community dissemination contexts. This study aims to evaluate participant and program outcomes from the Optimal Health Program, a telephone delivered healthy lifestyle and weight loss program provided by a primary health care organization. Dissemination study used a single group, repeated measures design; outcomes were assessed at 6 month (mid program; n=166) and 12 month (end of program; n=88) using paired analyses. The program reached a representative sample of at risk, primary care patients, with 56 % withdrawing before program completion. Among completers, a statistically significant improvement between baseline and end of program was observed for weight [mean change (SE) 5.4 (7.0)kg] and waist circumference [4.8 (9.7)cm], underpinned by significant physical activity and dietary change. Findings suggest that telephone delivered weight loss and healthy lifestyle programs can provide an effective model for use in primary care settings, but participant retention remains a challenge. informaci��n sobre las meizitang strong de gel blanco At the end of the day, the only way of ensuring that there’s no EtG in your liver at the time of the test is to refrain from drinking. If you know you’re going to be tested, lay off the booze especially if your job is on the line!
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