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Blomstrand A, Ariai N, Baar AC, et al. Implementation of a low-budget, lifestyle-improvement method in an ordinary primary healthcare setting: a stepwise intervention study. BMJ Open. 2012;2(4)doi: 10.1136/bmjopen-2012-001154.
Blomstrand, A., Ariai, N., Baar, A. C., Finbom-Forsgren, B. M., Thorn, J., & Björkelund, C. (2012). Implementation of a low-budget, lifestyle-improvement method in an ordinary primary healthcare setting: a stepwise intervention study. BMJ open, 2(4), . https://doi.org/10.1136/bmjopen-2012-001154
Blomstrand, Ann, et al. "Implementation of a low-budget, lifestyle-improvement method in an ordinary primary healthcare setting: a stepwise intervention study." BMJ open vol. 2,4 (2012). doi: https://doi.org/10.1136/bmjopen-2012-001154
Blomstrand A, Ariai N, Baar AC, Finbom-Forsgren BM, Thorn J, Björkelund C. Implementation of a low-budget, lifestyle-improvement method in an ordinary primary healthcare setting: a stepwise intervention study. BMJ Open. 2012 Aug 08;2(4). doi: 10.1136/bmjopen-2012-001154. Print 2012. PMID: 22874629; PMCID: PMC3425908.
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BMJ Open. 2012 Aug 08;2(4). doi: 10.1136/bmjopen-2012-001154. Print 2012.

Implementation of a low-budget, lifestyle-improvement method in an ordinary primary healthcare setting: a stepwise intervention study.

BMJ open

Ann Blomstrand, Nashmil Ariai, Ann-Christine Baar, Britt-Marie Finbom-Forsgren, Jörgen Thorn, Cecilia Björkelund

Affiliations

  1. Primary Health Care Unit, Department of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

PMID: 22874629 PMCID: PMC3425908 DOI: 10.1136/bmjopen-2012-001154

Abstract

OBJECTIVE: To evaluate, in an ordinary primary healthcare setting, the effects of a screening questionnaire and a self-administered health profile dealing with special reference to the involvement of motivated individuals in need of lifestyle changes.

DESIGN: Intervention study in a naturalistic context, using a screening questionnaire offered to consecutive patients, followed by a self-administered health profile and a health dialogue.

SETTING: Hisingen primary healthcare area (130 033 inhabitants), Gothenburg, Sweden.

PARTICIPANTS: Men and women aged between 18 and 79, visiting any of the eight public primary healthcare centres (PCC) during an 8-month period, were presented with a screening questionnaire and, were offered, a health profile, a plasma glucose (p-glucose), blood pressure check and a health dialogue.

MAIN OUTCOME MEASURES: Motivation level, negative lifestyle factors in screening questionnaire and intraindividual changes in blood pressure, p-glucose, body mass index (BMI) and lifestyle factors between baseline and 1-year follow-up.

RESULTS: Subjects with less favourable lifestyle and higher motivation chose to participate. A higher percentage of presumptive participants reported a less favourable lifestyle. The presumptive participants also indicated higher motivation. Participants showed more readiness to initiate lifestyle changes compared to non-participants (p<0.001). At 1-year follow-up significant reductions in BMI, waist circumference, waist-hip ratio (WHR), blood pressure and p-glucose were observed.

CONCLUSIONS: The results indicate that the method is on target and applicable to motivated individuals with a 'risk profile'. A pedagogical model including a self-administered health-profile and a health dialogue, combined with emphasising the individual's own resources, seems to be a feasible method for effective preventive work in primary healthcare.

References

  1. Obesity (Silver Spring). 2012 Jun;20(6):1234-9 - PubMed
  2. Scand J Prim Health Care. 2008;26(3):140-6 - PubMed
  3. Lancet. 2011 Feb 12;377(9765):557-67 - PubMed
  4. Am J Prev Med. 2007 Aug;33(2):155-61 - PubMed
  5. Eur Heart J. 2011 Mar;32(5):590-7 - PubMed
  6. Can Fam Physician. 2008 Dec;54(12):1706-13 - PubMed
  7. Int J Obes (Lond). 2005 Aug;29(8):916-24 - PubMed
  8. Lancet. 2011 Aug 27;378(9793):815-25 - PubMed
  9. Scand J Public Health. 2009 Sep;37(7):706-12 - PubMed
  10. Scand J Prim Health Care. 2005 Jun;23(2):82-7 - PubMed
  11. BMC Public Health. 2009 Mar 02;9:73 - PubMed
  12. Am Psychol. 1992 Sep;47(9):1102-14 - PubMed
  13. Eur J Nutr. 2008 Dec;47(8):424-31 - PubMed
  14. Circulation. 1968 Dec;38(6):1104-15 - PubMed
  15. Scand J Prim Health Care. 1993 Dec;11(4):267-75 - PubMed
  16. Br J Sports Med. 2009 Jan;43(1):1-2 - PubMed
  17. Scand J Prim Health Care Suppl. 1990;1:33-8 - PubMed
  18. Stroke. 2003 Apr;34(4):913-8 - PubMed
  19. Scand J Prim Health Care. 2003 Dec;21(4):248-52 - PubMed
  20. Fam Med. 2000 Apr;32(4):246-51 - PubMed
  21. Scand J Public Health Suppl. 2001;56:13-20 - PubMed
  22. Stroke. 1990 Feb;21(2):223-9 - PubMed
  23. BMC Fam Pract. 2009 Aug 26;10:59 - PubMed
  24. Br J Gen Pract. 2001 Apr;51(465):291-4 - PubMed
  25. Lancet. 2008 Nov 8;372(9650):1661-9 - PubMed
  26. J Intern Med. 2008 Jun;263(6):636-43 - PubMed
  27. Am J Cardiol. 1991 Nov 1;68(11):1171-5 - PubMed

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