Patient Education and Counseling
Volume 70, Issue 1 , Pages 31-39 , January 2008

A randomised controlled trial on the effectiveness of a primary health care based counselling intervention on physical activity, diet and CHD risk factors

  • Sarah Hardcastle

      Affiliations

    • University of Brighton, Eastbourne, UK
    • Corresponding Author InformationCorresponding author at: Chelsea School, Denton Road, Eastbourne, East Sussex BN20 7SR, UK. Tel.: +44 1273 643761.
    • ,
  • Adrian Taylor

      Affiliations

    • University of Exeter, Exeter, UK
    • ,
  • Martin Bailey

      Affiliations

    • University of Brighton, Eastbourne, UK
    • ,
  • Richard Castle

      Affiliations

    • University of Brighton, Brighton, UK

Received 6 March 2007 ,Revised 13 September 2007 ,Accepted 23 September 2007.

References 

  1. Wild SH, Byrne CD. ABC of obesity. Risk factors for diabetes and coronary heart disease. Brit Med J. 2006;11:1009–1011
  2. Wilson PW, D’Agostino RB, Sullivan L, Parise H, Kannel WB. Overweight and obesity as determinants of cardiovascular risk: the Framingham experience. Arch Intern Med. 2002;162:1867–1872
  3. McMillan DC, Sattar N, McArdle CS. ABC of obesity. Obesity and cancer. Brit Med J. 2006;333:1109–1111
  4. Taylor AH, Dorn L. Effects of physical inactivity on stress, fatigue, health, and risk of road traffic accidents. Annu Rev Public Health. 2006;27:371–391
  5. Avenell A, Broom J, Brown TJ, Poobalan A, Aucott L, Stearns SC, et al. Systematic review of the long-term effects and economic consequences of treatments for obesity and implications for health improvement. Health Technol Assess. 2004;8:1–182
  6. Department of Health. At least five a week: evidence on the impact of physical activity and its relationship to health. A report from the Chief Medical Officer. London: The Stationery Office; 2004.
  7. Jakicic JM, Otto AD. Treatment and prevention of obesity: what is the role of exercise?. Nutr Rev. 2006;64:S57–S61
  8. Resnicow K, Vaughan R. A chaotic view of behavior change: a quantum leap for health promotion. Int J Behav Nutr Phys Act. 2006;12:3–25
  9. Hill JO. Understanding and addressing the epidemic of obesity: an energy balance perspective. Endocr Rev. 2006;27:750–761
  10. Kreuter M, Scharff D, Brennan L, Lukwago S. Physician recommendations for diet and physical activity: which patients get advised to change?. Prev Med. 1997;26:825–833
  11. Calfas K, Sallis J, Zabinski M, Wilfey D, Rupp J, Prochaska J, et al. Preliminary evaluation of a multicomponent program for nutrition and physical activity change in primary care: PACE+ for adults. Prev Med. 2002;34:153–161
  12. McGuire HL, Svetkey LP, Harsha DW, Elmer PJ, Appel LJ, Ard JD. Comprehensive lifestyle modification and blood pressure control: a review of the PREMIER trial. J Clin Hypertens. 2004;6:383–390
  13. Svetkey LP, Harsha DW, Vollmer WM, Stevens VJ, Obarzanek E, Elmer PJ, et al. Premier: a clinical trial of comprehensive lifestyle modification for blood pressure control: rationale, design and baseline characteristics. Ann Epidemiol. 2003;13:462–471
  14. Elmer PJ, Obarzanek E, Vollmer WM, Simons-Morton D, Stevens VJ, Young DR, et al. Effects of comprehensive lifestyle modification on diet, weight, physical fitness, and blood pressure control: 18-month results of a randomised trial. Ann Intern Med. 2006;144:485–495
  15. Miller ER, Erlinger TP, Young DR, Jehn M, Charleston J, Rhodes D, et al. Results of the diet, exercise, and weight loss intervention trial (DEW-IT). Hypertension. 2002;40:612–618
  16. Taylor AH. The role of primary care in promoting physical activity. In:  Riddoch C,  McKenna J editor. Perspectives in health and exercise. vol. 153:London: MacMillan; 2003;p. 180
  17. Foster GD, Makris AP, Bailor B. Behavioural treatment of obesity. Am J Clin Nutr. 2005;82:230S–235S
  18. Britt E, Hudson SM, Blampied NM. Motivational interviewing in health settings: a review. Patient Educ Couns. 2004;53:147–155
  19. Miller W, Rollnick S. Motivational interviewing: preparing people to change. New York: Guildford Press; 2002;
  20. Little P, Everitt H, Williamson I. Preferences of patients for patient centred approach to consultation in primary care: observational study. Brit Med J. 2001;322:1–7
  21. Knight KM, McGowan L, Dickens C, Bundy C. A systematic review of motivational interviewing in physical health care settings. Brit J Health Psychol. 2006;11:319–332
  22. Rubak S, Sandbaek A, Lauritzen T, Christensen B. Motivational interviewing: a systematic review and meta-analysis. Brit J Gen Pract. 2005;55:305–312
  23. Harland J, White M. The Newcastle exercise project: a randomised controlled trial of methods to promote physical activity in primary care. Brit Med J. 1999;319:828–832
  24. Hillsdon M, Thorogood M, White I, Foster C. Advising people to take more exercise is ineffective: a randomised controlled trial of physical activity promotion in primary care. Int J Epidemiol. 2002;31:808–815
  25. Halbert JA, Silagy CA, Finucane PM, Withers RT, Hamdorf PA. Physical activity and cardiovascular risk factors: effect of advice from an exercise specialist in Australian general practice. Med J Aust. 2000;173:85–87
  26. Wilson GT, Schlam TR. The transtheoretical model and motivational interviewing in the treatment of eating and weight disorders. Clin Psychol Rev. 2004;24:361–378
  27. Rollnick S, Mason P, Butler C. Health behaviour change: a guide for practitioners. Edinburgh, Scotland: Churchill Livingston; 1999;
  28. Emmons KM, Rollnick S. Motivational interviewing in health care settings opportunities and limitations. Am J Prev Med. 2001;20:68–74
  29. Miller WR, Mount KA. A small study of training in motivational interviewing: does one workshop change clinician and client behaviour?. Behav Cogn Psychother. 2001;29:57–71
  30. Booth ML. Assessment of physical activity: an international perspective. Res Q Exerc Sport. 2000;71:114–120
  31. Craig CL, Marshall A, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12 country reliability and validity. Med Sci Sports Exerc. 2003;35:1381–1395
  32. Roe L, Strong C, Neil A, Mant D. Dietary intervention in primary care: validity of the DINE method for diet assessment. Fam Pract. 1994;11:375–381
  33. Department for the Environment, Food and Rural Affairs (DEFRA). National food survey 2000: annual report on food expenditure, consumption and nutrient intakes. London: HMSO; 2001.
  34. Crawley H. Food portion sizes (MAFF Handbook). 2nd ed.. London: HMSO; 1994;
  35. Committee on Medical Aspects of Food and Nutrient Policy. Annual report. London: HMSO; 1999.
  36. Bingham SA, Gill C, Welch C. Comparison of dietary methods in nutritional epidemiology: weighed records v 24h records, food-frequency questionnaires and estimated diet records. Brit J Nutr. 1995;72:619–643
  37. Nelson M, Bingham SA. Assessment of food consumption and nutrient intake. In:  Margetts BM,  Nelson M editor. Design Concepts in Nutritional Epidemiology. 2nd ed.. New York: Oxford University Press; 1997;p. 123–169
  38. Ashfield-Watt PAL, Welch AA, Godward S, Bingham SA. Effect of a pilot community intervention on fruit and vegetable intakes: use of the FACET (Five-a-day Community Evaluation Tool). Public Health Nutr. 2007;10:671–680
  39. Taylor AH, Doust J, Webborn ADJ. Randomised controlled trial to examine the effects of a GP exercise referral programme in Hailsham, East Sussex, on modifiable coronary heart disease risk factors. J Epidemiol Community Health. 1998;52:595–601
  40. Johnson-Kozlow M, Sallis JF, Gilpin EA, Rock CL, Pierce JP. Comparative validation of the IPAQ and the 7-day PAR among women diagnosed with breast cancer. Int J Behav Nutr Phys Act. 2006;3:7
  41. Steptoe A, Kerry S, Rink E, Hilton S. The impact of behavioural counselling on stage of change in fat intake, physical activity, and cigarette smoking in adults at increased risk of coronary heart disease. Am J Public Health. 2001;91:265–269
  42. Lane C, Huws-Thomas M, Hood K, Rollnick S, Edwards K, Robling M. Measuring adaptations of motivational interviewing: the development and validation of the behaviour change counselling index (BECCI). Patient Educ Couns. 2005;56:116–173
  43. Bellg AJ, Borrelli B, Hecht J, Minicucci D, Ory M, Ogedegbe G, et al. Enhancing treatment fidelity in health behaviour change studies: best practice and recommendations from the NIH behaviour change consortium. Health Psychol. 2004;23:443–451

PII: S0738-3991(07)00376-X

doi: 10.1016/j.pec.2007.09.014

Patient Education and Counseling
Volume 70, Issue 1 , Pages 31-39 , January 2008

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