title: Promoting lifestyle behaviour change and well-being in hospital patients: a pilot study of an evidence-based psychological intervention.
abstract: Lifestyle risk behaviours show an inverse social gradient, clustering in vulnerable groups. We designed and piloted an intervention to address barriers to lifestyle behaviour change among hospital patients.
  
  
  
  We designed our intervention using effective components of behaviour change interventions informed by psychological theory. Delivered by a health psychologist based at the Royal Free London NHS Foundation Trust, the 4-week intervention included detailed baseline assessment, personalized goal setting, psychological skills development, motivation support and referral to community services. Primary outcomes were feasibility and patient acceptability. We also evaluated changes to health and well-being.
  
  
  
  From 1 July 2013 to 31 September 2014, 686 patients were referred, 338 (49.3%) attended a first appointment and 172 (25.1%) completed follow-up. Furthermore, 72.1% of attenders were female with the median age 55 years and poor self-reported baseline health. After 4 weeks, self-efficacy, health and well-being scores significantly improved: 63% of lifestyle goals and 89% of health management goals were fully achieved; 58% of referrals to community lifestyle behaviour change services and 79% of referrals to other services (e.g. Citizen's Advice Bureau) were accepted; 99% were satisfied/very satisfied with the service.
  
  
  
  Our hospital-based intervention was feasible, acceptable and showed preliminary health and well-being gains.
authors.affiliation: Public Health Department, Royal Free London NHS Foundation Trust, London, UK.
authors.forename: Lucy
authors.initials: L
authors.lastname: Gate
authors.affiliation: Public Health Department, Royal Free London NHS Foundation Trust, London, UK Institute of Health Informatics Research, UCL, London, UK.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Warren-Gash
authors.affiliation: Psychology Department, Royal Free London NHS Foundation Trust, London, UK.
authors.forename: Alex
authors.initials: A
authors.lastname: Clarke
authors.affiliation: Public Health Department, Royal Free London NHS Foundation Trust, London, UK.
authors.forename: Angela
authors.initials: A
authors.lastname: Bartley
authors.affiliation: Public Health Department, Royal Free London NHS Foundation Trust, London, UK.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Fowler
authors.affiliation: Public Health Department, Royal Free London NHS Foundation Trust, London, UK.
authors.forename: Gerry
authors.initials: G
authors.lastname: Semple
authors.affiliation: Public Health Department, Royal Free London NHS Foundation Trust, London, UK London Boroughs of Camden and Islington, London, UK.
authors.forename: Jason
authors.initials: J
authors.lastname: Strelitz
authors.affiliation: Public Health Department, Royal Free London NHS Foundation Trust, London, UK.
authors.forename: Peter
authors.initials: P
authors.lastname: Dutey
authors.affiliation: Marie Curie Cancer Care, London, UK.
authors.forename: Adrian
authors.initials: A
authors.lastname: Tookman
authors.affiliation: Public Health Department, Royal Free London NHS Foundation Trust, London, UK Research Department of Infection & Population Health, UCL, London, UK.
authors.forename: Alison
authors.initials: A
authors.lastname: Rodger
mesh_terms: D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010865:Pilot Projects; D040242:Risk Reduction Behavior
keywords: evidence-based medicine; health behaviour; health promotion; lifestyle