Translating an Evidence-Based Lifestyle Intervention Program Into Primary Care: Lessons Learned

被引：15

作者：

Blonstein, Andrea C. ^{[1
]}

Yank, Veronica ^{[1
,2
]}

Stafford, Randall S. ^{[2
]}

Wilson, Sandra R. ^{[1
,2
]}

Rosas, Lisa Goldman ^{[2
]}

Ma, Jun ^{[1
,2
]}

机构：

[1] Palo Alto Med Fdn, Res Inst, 795 El Camino Real,Ames Bldg, Palo Alto, CA 94301 USA

[2] Stanford Univ, Sch Med, Stanford, CA 94305 USA

来源：

HEALTH PROMOTION PRACTICE | 2013年 / 14卷 / 04期

关键词：

behavior change; obesity; chronic disease; health education; nutrition; physical; activity/exercise; patient education; process evaluation; program planning and evaluation;

D O I：

10.1177/1524839913481604

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The E-LITE (Evaluation of Lifestyle Interventions to Treat Elevated Cardiometabolic Risk in Primary Care) trial evaluated the feasibility and potential effectiveness of translating an evidence-based lifestyle intervention for the management of obesity and related risk factors in a primary care setting. Delivered by allied health care providers, the intervention promoted at least 7% weight loss and at least 150 minutes per week of moderate-intensity physical activity through gradual, sustainable lifestyle changes. Activities included interactive group lessons, food tasting, guided physical activity, and technology-mediated self-monitoring and behavioral counseling. This article discusses insights and potential areas for improvement to strengthen program implementation for dissemination of the E-LITE program to other primary care settings. We focus on (a) the role of allied health professionals in program delivery, (b) strengthening program integration within a primary care clinic, and (c) the use of information technology to extend the reach and impact of the program. Our experience shows the feasibility of implementing an evidence-based lifestyle intervention program combining group-delivered nutrition and behavioral counseling, physical activity training, and technology-mediated follow-up in a primary care setting. Challenges remain, and we offer possible solutions to overcome them.

引用

页码：491 / 497

页数：7

共 14 条

[1]

Centers for Disease Control and Prevention (CDC), 2011, CTR DIS CONTR PREV D

[2]

Centers for Medicare and Medicaid Services, 2011, CAG00423N CTR MED ME

[3]

Knowler WC, 2002, NEW ENGL J MED, V346, P393, DOI 10.1056/NEJMoa012512

[4]

Kramer MK, 2006, DIABETES, V55, pA517

[5] Translating the Diabetes Prevention Program A Comprehensive Model for Prevention Training and Program Delivery [J].

Kramer, M. Kaye ;

Kriska, Andrea M. ;

Venditti, Elizabeth M. ;

Miller, Rachel G. ;

Brooks, Maria M. ;

Burke, Lora E. ;

Siminerio, Linda M. ;

Solano, Francis X. ;

Orchard, Trevor J. .

AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2009, 37 (06) :505-511

[6] How does physician advice influence patient behavior?: Evidence for a priming effect [J].

Kreuter, MW ;

Chheda, SG ;

Bull, FC .

ARCHIVES OF FAMILY MEDICINE, 2000, 9 (05) :426-433

[7] Translating the Diabetes Prevention Program Lifestyle Intervention for Weight Loss Into Primary Care A Randomized Trial [J].

Ma, Jun ;

Yank, Veronica ;

Xiao, Lan ;

Lavori, Philip W. ;

Wilson, Sandra R. ;

Rosas, Lisa G. ;

Stafford, Randall S. .

JAMA INTERNAL MEDICINE, 2013, 173 (02) :113-121

[8] Evaluation of lifestyle interventions to treat elevated cardiometabolic risk in primary care (E-LITE): a randomized controlled trial [J].

Ma, Jun ;

King, Abby C. ;

Wilson, Sandra R. ;

Xiao, Lan ;

Stafford, Randall S. .

BMC FAMILY PRACTICE, 2009, 10

[9] Screening for and Management of Obesity in Adults: US Preventive Services Task Force Recommendation Statement [J].

Moyer, Virginia A. .

ANNALS OF INTERNAL MEDICINE, 2012, 157 (05) :373-U126

[10]

National institutes of Health National Heart Lung ABI, 2000, PRACT GUID ID EV TRE

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