A systematic review of lifestyle counseling for diverse patients in primary care

PREVENTIVE MEDICINE

卷:100

Review

Melvin, Cathy L.^1,2  Jefferson, Melanie S.^1,3  Rice, LaShanta J.^1,3  Nemeth, Lynne S.⁴  Wessell, Andrea M.⁵  Nietert, Paul J.²  Hughes-Halbert, Chanita^1,3,6 

[1] Med Univ South Carolina, Hollings Canc Ctr, 68 President St,MSC955, Charleston, SC 29425 USA

[2] Med Univ South Carolina, Dept Publ Hlth Sci, 68 President St,MSC955, Charleston, SC 29425 USA

[3] Med Univ South Carolina, Dept Psychiat & Behav Sci, 171 Ashley Ave, Charleston, SC 29425 USA

[4] Med Univ South Carolina, Dept Nursing, Charleston, SC 29425 USA

[5] Med Univ South Carolina, Dept Family Med, Charleston, SC 29425 USA

[6] Ralph H Johnson Vet Affairs Hosp, Hlth Equ & Rural Outreach Innovat Ctr, Charleston, SC USA

关键词: Lifestyle counseling;    Lifestyle interventions;    Behavioral counseling;    Behavioral interventions;    Racial populations;    Ethnic populations;    Primary care practices;    Implementation;    Primary care providers;    Diet or weight outcomes;    Physical activity outcomes;   

DOI  :  10.1016/j.ypmed.2017.03.020

来源: Elsevier

【 摘 要 】

Prior research and systematic reviews have examined strategies related to weight management, less is known about lifestyle and behavioral counseling interventions optimally suited for implementation in primary care practices generally, and among racial and ethnic patient populations. Primary care practitioners may find it difficult to access and use available research findings on effective behavioral and lifestyle counseling strategies and to assess their effects on health behaviors among their patients. This systematic review compiled existing evidence from randomized trials to inform primary care providers about which lifestyle and behavioral change interventions are shown to be effective for changing patients' diet, physical activity and weight outcomes. Searches identified 444 abstracts from all sources (01/01/2004-05/15/2014). Duplicate abstracts were removed, selection criteria applied and dual abstractions conducted for 106 full text articles. As of June 12, 2015, 29 articles were retained for inclusion in the body of evidence. Randomized trials tested heterogeneous multi-component behavioral interventions for an equally wide array of outcomes in three population groups: diverse patient populations (23 studies), African American patients only (4 studies), and Hispanic/Mexican American/Latino patients only (2 studies). Significant and consistent findings among diverse populations showed that weight and physical activity related outcomes were more amenable to change via lifestyle and behavioral counseling interventions than those associated with diet modification. Evidence to support specific interventions for racial and ethnic minorities was promising, but insufficient based on the small number of studies. (C) 2017 Published by Elsevier Inc.

【 授权许可】

Free