Behavioral Counseling to Promote a Healthy Lifestyle in Persons With Cardiovascular Risk Factors: A Systematic Review for the U.S. Preventive Services Task Force

Lin, Jennifer S; O’Connor, Elizabeth; Evans, Corinne V; Senger, Caitlyn A; Rowland, Maya G; Groom, Holly

doi:10.7326/m14-0130

Cited by 224 publications

(186 citation statements)

References 75 publications

Supporting

Mentioning

169

Contrasting

Unclassified

Order By: Relevance

“…26,27 There is evidence to indicate that a more rigorous and intensive approach to behavioral counseling to promote the HL phenotype is effective. 28 Thus, having physicians putting more emphasis on the practice of HLM and delivery of HL interventions (i.e., being physically active and moving more throughout the day, consuming a healthy diet, not smoking and maintaining a healthy body weight) is key for improving the health status of every individual receiving care, starting from children with no apparent risk factors (true primordial prevention), to at risk patients for primary prevention of all forms of chronic disease and through to secondary prevention HL interventions, such as cardiac rehabilitation following CVD events or heart surgery. 7,17,22,[29][30][31] Unfortunately, most of…”

Section: Hlm Initiatives In Medical Educationmentioning

confidence: 99%

Training Health Professionals to Deliver Healthy Living Medicine

Hivert

McNeil

Lavie³

et al. 2017

Progress in Cardiovascular Diseases

View full text Add to dashboard Cite

The growing incidence and prevalence of unhealthy living behaviors leading to compromised health, along with unhealthy supportive environments, are the primary reasons for the current chronic disease crisis in almost all countries. Over the course of health professions training across disciplines, a large amount about information regarding various aspects of chronic disease is introduced, from pathophysiology to a broad array of approaches to examinations (focused on diagnosis and prognosis) and interventions.Currently, a late primary or secondary prevention focus is the primary educational approach in the health professions. In either scenario, the health professional is often trained to approach their discipline from a catch up approach, with little focus on how an individual's health condition, at the time of presentation, came to be. It is unfortunate that so little educational time and effort is devoted to train future health professionals on how to practice Healthy Living Medicine (HLM) and, deliver healthy living (HL) interventions. The primary goal should be to keep individuals healthy where they live, work and go to school and minimize initiating care in the hospital and outpatient clinical setting. The current review describes current trends in training health professionals in HLM and the delivery of HL interventions.

show abstract

Section: Hlm Initiatives In Medical Educationmentioning

confidence: 99%

Training Health Professionals to Deliver Healthy Living Medicine

Hivert

McNeil

Lavie³

et al. 2017

Progress in Cardiovascular Diseases

View full text Add to dashboard Cite

show abstract

“…While important advances have been made and successes realized [6,7], there are numerous examples of carefully designed and wellimplemented interventions that had small effects or were ineffective [8][9][10][11][12][13][14]. Effective interventions have shown diminished effectiveness when disseminated perhaps due to their complex nature and intensive components [15].…”

Section: Introductionmentioning

confidence: 99%

Deconstructing interventions: approaches to studying behavior change techniques across obesity interventions

Tate

Lytle

Sherwood

et al. 2016

Behav. Med. Pract. Policy Res.

View full text Add to dashboard Cite

Deconstructing interventions into the specific techniques that are used to change behavior represents a new frontier in behavioral intervention research. This paper considers opportunities and challenges in employing the Behavior Change Techniques Taxonomy (BCTTv1) developed by Michie and colleagues, to code the behavior change techniques (BCTs) across multiple interventions addressing obesity and capture dose received at the technique level. Numerous advantages were recognized for using a shared framework for intervention description. Coding interventions at levels of the social ecological framework beyond the individual level, separate coding for behavior change initiation vs. maintenance, fidelity of BCT delivery, accounting for BCTs mode of delivery, and tailoring BCTs, present both challenges and opportunities. Deconstructing interventions and identifying the dose required to positively impact health-related outcomes could enable important gains in intervention science.

show abstract

“…Unfortunately, despite multiple trials providing evidence of the effectiveness of lifestyle counseling for healthy diet, physical activity, and smoking cessation among individuals with cardiovascular risk, and clear guidelines recommending such practices by the Joint National Committee on Prevention,Detection, Evaluation, and Treatment of HighBlood Pressure and the U.S. Preventive Services Task Force (USPSTF), rates nationally remain uniformly low. 2 If lifestyle counseling for adults in clinical practice is generally uncommon, is the low rate in young adults particularly noteworthy? We believe it is, for the following reasons.…”

mentioning

confidence: 99%

“…Although the current literature makes it difficult to determine the minimum necessary components of counseling for an effective intervention, the best strategies for effective lifestyle counseling empower patients with support for self-management, including at least one Bself-regulatory technique^derived from control theory such as prompt intention formation, specific goal setting, feedback on performance, self-monitoring of behavior, and review of behavioral goals. 2 Such techniques can be learned, but many clinicians may not be aware or feel sufficiently well equipped to provide this type of effective counseling.…”

mentioning

confidence: 99%