Intensive dietary advice program in primary care

A sedentary lifestyle and inappropriate eating habits are the main causes of major diseases (cardiovascular diseases, type 2 diabetes, and certain types of cancers), as well as a high morbidity and mortality. The Dietary Advice program was designed by the Andalusian Health Department to promote healthy habits (i.e. physical exercise and a balanced diet) to prevent secondary diseases. This program is organised in two phases: Basic Dietary Advice and Intensive Dietary Advice. This paper aims to describe the interventions protocol on the intensive dietary phase of the program focused on the promotion on changes in people's lifestyles from a multi-factorial approach. The program consisted of two individual nurse visits, five workshops and nursing follow up clinics. The individual visits ensured that the team learned of each person needs; likewise, the group activities were aimed at improving the transmission of knowledge and the acquisition of skills, abilities and attitudes towards healthier lifestyles. (C) 2011 Elsevier Espana, S.L. All rights reserved.