Effectiveness of Motivational Interviewing in improving lipid level in patients with dyslipidemia assisted by general practitioners: Dislip-EM study protocol
| Autor: | Margarita Criado, Enrique Martín, Joaquin Ruiz, Modesto Pérez, Juan C Arboniés, Nieves Barragán, Francisco Buitrago, José A Fernández, Remedios Martín, Roger Ruiz, Inmaculada Olaya, Josep M Bosch, Luis A Pérula, Jose A Prados, Julia Bóveda, Manuel Campiñez, Josep Massons |
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| Jazyk: | angličtina |
| Předmět: |
Adult
Male medicine.medical_specialty General Practice Motivational interviewing MEDLINE Context (language use) Overweight law.invention Interviews as Topic Study Protocol Randomized controlled trial law Intervention (counseling) Surveys and Questionnaires medicine Humans Triglycerides Aged Dyslipidemias Hypolipidemic Agents lcsh:R5-920 Motivation business.industry Middle Aged medicine.disease Clinical trial Cholesterol Physical therapy Female medicine.symptom lcsh:Medicine (General) business Family Practice Dyslipidemia |
| Zdroj: | DDFV. Repositorio Institucional de la Universidad Francisco de Vitoria instname BMC Family Practice DDFV: Repositorio Institucional de la Universidad Francisco de Vitoria Universidad Francisco de Vitoria BMC Family Practice, Vol 12, Iss 1, p 125 (2011) |
| ISSN: | 1471-2296 0128-2190 |
| DOI: | 10.1186/1471-2296-12-125 |
| Popis: | Background The non-pharmacological approach to cholesterol control in patients with hyperlipidemia is based on the promotion of a healthy diet and physical activity. Thus, to help patients change their habits, it is essential to identify the most effective approach. Many efforts have been devoted to explain changes in or adherence to specific health behaviors. Such efforts have resulted in the development of theories that have been applied in prevention campaigns, and that include brief advice and counseling services. Within this context, Motivational Interviewing has proven to be effective in changing health behaviors in specific cases. However, more robust evidence is needed on the effectiveness of Motivational Interviewing in treating chronic pathologies -such as dyslipidemia- in patients assisted by general practitioners. This article describes a protocol to assess the effectiveness of MI as compared with general practice (brief advice), with the aim of improving lipid level control in patients with dyslipidemia assisted by a general practitioner. Methods/Design An open, two-arm parallel, multicentre, cluster, controlled, randomized, clinical trial will be performed. A total of 48-50 general practitioners from 35 public primary care centers in Spain will be randomized and will recruit 436 patients with dyslipidemia. They will perform an intervention based either on Motivational Interviewing or on the usual brief advice. After an initial assessment, follow-ups will be performed at 2, 4, 8 and 12 months. Primary outcomes are lipid levels (total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides) and cardiovascular risk. The study will assess the degree of dietary and physical activity improvement, weight loss in overweight patients, and adherence to treatment guidelines. Discussion Motivational interview skills constitute the primary strategies GPs use to treat their patients. Having economical, simple, effective and applicable techniques is essential for primary care professionals to help their patients change their lifestyle and improve their health. This study will provide scientific evidence on the effectiveness of Motivational interviewing, and will be performed under strict control over the data collected, ensuring the maintenance of therapeutic integrity. Trials Registration ClinicalTrials.gov (NCT01282190). |
| Databáze: | OpenAIRE |
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