Optimizing the Intensity of Lifestyle Medicine Interventions: Similar Outcomes for Half the Sessions
Autor: | Brett G Mitchell, John Gobble, Lillian Kent, Karina Parker, Darren Morton, Paul Rankin, Hans A Diehl |
---|---|
Rok vydání: | 2018 |
Předmět: |
0301 basic medicine
medicine.medical_specialty 030109 nutrition & dietetics medicine.diagnostic_test business.industry Health Policy Public Health Environmental and Occupational Health Psychological intervention Medicine (miscellaneous) Mean age Intensity (physics) 03 medical and health sciences 0302 clinical medicine Blood pressure Chronic disease Lifestyle medicine Physical therapy Community setting Medicine 030212 general & internal medicine business Lipid profile Original Research |
Zdroj: | American journal of lifestyle medicine. 11(3) |
ISSN: | 1559-8276 |
Popis: | Lifestyle medicine interventions are typically intensive by design. This study explored the optimal “dosage” of a well-known lifestyle medicine intervention—the Complete Health Improvement Program (CHIP). A total of 2383 individuals (mean age = 61.0 ± 9.2 years; 34% males) participated in either an 8-session (N = 448) or 16-session (N = 1935) version of the CHIP intervention conducted over 4 weeks in community settings throughout North America. Both the 8- and 16-session groups experienced significant improvements in all the chronic disease risk factors measured. There was no difference between the changes experienced by the 8- and 16-session groups in lipid profile, fasting plasma glucose, or systolic blood pressure. The 8-session group experienced a significantly greater reduction in body mass (0.3 percentage points or 0.8 lbs, P < .01), but the 16-session group recorded a significantly greater reduction in diastolic blood pressure (2.8 percentage points or 2.2 mm Hg, P < .01). There was no clear difference between the outcomes achieved in 4 weeks by the 8- and 16-session versions of the CHIP lifestyle medicine intervention. This study suggests that the short-term outcomes achieved by a 16-session CHIP intervention can be achieved in half the number of sessions, which has implications from a resourcing and cost-effectiveness perspective. |
Databáze: | OpenAIRE |
Externí odkaz: |