A systematic review of lifestyle counseling for diverse patients in primary care
| Autor: | Chanita Hughes-Halbert, Paul J. Nietert, Andrea M. Wessell, Cathy L. Melvin, Lynne S. Nemeth, Melanie Jefferson, LaShanta Rice |
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| Rok vydání: | 2017 |
| Předmět: |
Counseling
Gerontology Epidemiology Health Behavior Population Ethnic group Psychological intervention 030209 endocrinology & metabolism Article Body Mass Index law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Weight management Ethnicity Humans Medicine 030212 general & internal medicine education Exercise Life Style Randomized Controlled Trials as Topic education.field_of_study Primary Health Care business.industry Public Health Environmental and Occupational Health Lifestyle counseling Systematic review business Inclusion (education) |
| Zdroj: | Preventive Medicine. 100:67-75 |
| ISSN: | 0091-7435 |
| DOI: | 10.1016/j.ypmed.2017.03.020 |
| Popis: | Prior research and systematic reviews have examined strategies related to weight management, less is known about lifestyle and behavioral counseling interventions optimally suited for implementation in primary care practices generally, and among racial and ethnic patient populations. Primary care practitioners may find it difficult to access and use available research findings on effective behavioral and lifestyle counseling strategies and to assess their effects on health behaviors among their patients. This systematic review compiled existing evidence from randomized trials to inform primary care providers about which lifestyle and behavioral change interventions are shown to be effective for changing patients' diet, physical activity and weight outcomes. Searches identified 444 abstracts from all sources (01/01/2004-05/15/2014). Duplicate abstracts were removed, selection criteria applied and dual abstractions conducted for 106 full text articles. As of June 12, 2015, 29 articles were retained for inclusion in the body of evidence. Randomized trials tested heterogeneous multi-component behavioral interventions for an equally wide array of outcomes in three population groups: diverse patient populations (23 studies), African American patients only (4 studies), and Hispanic/Mexican American/Latino patients only (2 studies). Significant and consistent findings among diverse populations showed that weight and physical activity related outcomes were more amenable to change via lifestyle and behavioral counseling interventions than those associated with diet modification. Evidence to support specific interventions for racial and ethnic minorities was promising, but insufficient based on the small number of studies. |
| Databáze: | OpenAIRE |
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