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A Randomised Controlled Trial to Evaluate the Administration of the Health Improvement Card as a Health Promotion Tool: A Physiotherapist-Led Community-Based Initiative

Author

Listed:
  • Yiwen Bai

    (Department of Physical Therapy, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
    Department of Rehabilitation Medicine, Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200137, China)

  • Xubo Wu

    (Department of Physical Therapy, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
    Department of Rehabilitation Medicine, Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200137, China)

  • Raymond CC Tsang

    (Department of Physiotherapy, MacLehose Rehabilitation Centre, Hong Kong, China)

  • Ruisheng Yun

    (Department of Physical Therapy, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China)

  • Yan Lu

    (Department of Rehabilitation Medicine, Seventh People’s Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200137, China)

  • Elizabeth Dean

    (Department of Physical Therapy, University of British Columbia, Vancouver, BC V6T 1Z3, Canada)

  • Alice YM Jones

    (School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane 4072, Australia)

Abstract

A randomised controlled trial was conducted to evaluate the administration of the Health Improvement Card (HIC) on lifestyle practices and biometric variables in community-dwelling Chinese participants. Adults living in Shanghai were randomly assigned to either the HIC-intervention or control group. Measurements/assessments were conducted at baseline and three-month follow-up. Supervised physiotherapy students administered the HIC and four standardised questionnaires related to health and wellbeing. Both groups received a health promotion education pamphlet. Based on participants’ HIC biometric and lifestyle scores, students prescribed lifestyle, and exercise advice to the HIC-intervention group. 171 individuals (39 men, 132 women) (mean age 68.4 ± 9.7 y) participated. At follow-up, body mass index (BMI) and waist circumference decreased significantly in the HIC-intervention group. Furthermore, the number of participants in the HIC-intervention group categorised as low risk regarding their physical activity and dietary practices, increased by 32.2% and 20%, respectively. Changes in standardised questionnaire scores did not meet minimum clinically importance differences in either group. This is the first study to demonstrate that HIC-informed health promotion education can improve people’s lifestyle practices, thereby, objective biometric variables. Evaluation of the effect of HIC-informed lifestyle education on some biometric parameters (blood pressure and BMI) may warrant a longer timeframe.

Suggested Citation

  • Yiwen Bai & Xubo Wu & Raymond CC Tsang & Ruisheng Yun & Yan Lu & Elizabeth Dean & Alice YM Jones, 2020. "A Randomised Controlled Trial to Evaluate the Administration of the Health Improvement Card as a Health Promotion Tool: A Physiotherapist-Led Community-Based Initiative," IJERPH, MDPI, vol. 17(21), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8065-:d:438784
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    Cited by:

    1. Etienne Ngeh Ngeh & Anna Lowe & Carol Garcia & Sionnadh McLean, 2023. "Physiotherapy-Led Health Promotion Strategies for People with or at Risk of Cardiovascular Diseases: A Scoping Review," IJERPH, MDPI, vol. 20(22), pages 1-18, November.

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