Consultation training of nurses for cardiovascular prevention – A randomized study of 2 years duration

Drevenhorn, Eva; Bengtson, Ann; Nilsson, Peter M.; Nyberg, Per; Kjellgren, Karin

doi:10.3109/08037051.2012.680734

Cited by 30 publications

(87 citation statements)

References 20 publications

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“…The reasons for loss at follow‐up were refusal to participate, death, and not meeting inclusion criteria. This has previously been reported in detail (Drevenhorn et al., ). Patients in the CG received the usual care.…”

Section: Methodssupporting

confidence: 83%

Assessment of hypertensive patients' self-care agency after counseling training of nurses

Drevenhorn

Bengtson

Nyberg

et al. 2015

Journal of the American Association of Nurse Practitioners

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Purpose The aim of the study was to assess hypertensive patients’ self‐care agency and any correlation with the patient's lifestyle changes and the nurse's degree of patient centeredness after counseling training. Data sources Nurses in the intervention group (IG; n = 19) working at nurse‐led clinics at health centers were trained in patient centeredness (motivational interviewing) and the stages of change model and included 137 patients. Nurses in the control group (CG; n = 14) included 51 patients. The Exercise of Self‐Care Agency (ESCA) instrument was used. There was a significant difference from baseline to the 2‐year follow‐up in the ESCA score (IG, p = .0001). An increase in ESCA score was correlated with an increased level of physical activity after 2 years (IG, p = .0001; CG, p = .040). Conclusions The counseling training gave an increase in the patients’ self‐care agency scores, which was significantly correlated with increased physical activity. Implications for practice In clinical practice it is important for nurses to be patient centered in their counseling to affect patients’ self‐care agency in a positive direction.

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Section: Methodssupporting

confidence: 83%

Assessment of hypertensive patients' self-care agency after counseling training of nurses

Drevenhorn

Bengtson

Nyberg

et al. 2015

Journal of the American Association of Nurse Practitioners

Self Cite

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show abstract

“…Of the three studies that reported results by sex, one study showed a decrease in BMI and weight for both men and women within the intervention (Drevenhorn et al, 2012). Another study showed that women lost more weight than men within the control group, but men lost more weight than women within the intervention group; however, the results were non-significant for the latter.…”

Section: Resultsmentioning

confidence: 99%

Randomized Trials of Nurse-Delivered Interventions in Weight Management Research: A Systematic Review

et al. 2017

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The purpose of this systematic review was to determine whether nurse-delivered weight management interventions improve weight outcomes across the lifespan. We conducted a comprehensive search of the PubMed, CINAHL, and PsycINFO electronic databases. We graded the trials using an adapted Jadad approach for methodological quality. The search identified a total of 1,159 citations; 23 articles from 20 studies were eligible for this review. Sixty-five percent of the studies reported significant findings related to body mass index (BMI) or weight reduction. Studies that were particularly successful at helping participants reduce weight and/or BMI involved nurses engaged in health promotion activities, operating within multidisciplinary teams and/or providing consultations, physical activity education, and coaching over the phone. Of the studies that involved longer-term follow-up assessments, three out of nine studies showed a significant loss in weight or BMI between the intervention and control groups at follow-up times ranging from 12 months to 2 years.

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“…Consequently, medical offices started incorporating relatively low intensity motivational interviewing treatments. Preliminary evidence suggests motivational interviewing interventions in primary care may positively impact individual components of metabolic syndrome such as blood pressure (Hardcastle, Taylor, Bailey, & Castle, 2008; Hardcastle, Taylor, Bailey, Harley, & Hagger, 2013; Williams, Hollis, Collins, & Morgan, 2014; Woollard et al, 1995) and high-density lipoproteins (Drevenhorn, Bengtson, Nilsson, Nyberg, & Kjellgren, 2012). None of the primary care motivational interviewing for weight loss treatments, however, examined the impact of motivational interviewing on these variables combined as in metabolic syndrome (Barnes & Ivezaj, 2015).…”

Section: 1 Introductionmentioning

confidence: 99%

Preliminary examination of metabolic syndrome response to motivational interviewing for weight loss as compared to an attentional control and usual care in primary care for individuals with and without binge-eating disorder

Barnes

Barber

2017

Eating Behaviors

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Motivational interviewing (MI) treatment for weight loss is being studied in primary care. The effect of such interventions on metabolic syndrome or binge eating disorder (BED; DSM-5 criteria), both highly related to excess weight, has not been examined. This study conducted secondary analyses from a randomized controlled trial to test the impact of MI for weight loss in primary care on metabolic syndrome. 74 adult participants with overweight/obesity recruited through primary care were randomized to 12 weeks of either MI, an attentional control, or usual care. Participants completed measurements for metabolic syndrome at pre- and post-treatment. There were no statistically significant differences in metabolic syndrome rates at pre-, X2(2)=0.16, p = 0.921, or post-, X2(2)=0.852, p = 0.653 treatment. The rates in metabolic syndrome, however, decreased for MI (10%) and attentional control (13.8%) participants, but not for usual care. At baseline, metabolic syndrome rates did not differ significantly between participants with BED or without BED across treatments. At post-treatment, participants with BED were significantly more likely to meet criteria for metabolic syndrome than participants without BED, X2(1)=5.145, p = 0.023, phi =.273. Across treatments, metabolic syndrome remitted for almost a quarter of participants without BED (23.1%) but for 0% of those with BED. These preliminary results are based on a small sample and should be interpreted with caution, but they are the first to suggest that relatively low intensity MI weight loss interventions in primary care may decrease metabolic syndrome rates but not for individuals with BED.

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Consultation training of nurses for cardiovascular prevention – A randomized study of 2 years duration

Cited by 30 publications

References 20 publications

Assessment of hypertensive patients' self-care agency after counseling training of nurses

Assessment of hypertensive patients' self-care agency after counseling training of nurses

Randomized Trials of Nurse-Delivered Interventions in Weight Management Research: A Systematic Review

Preliminary examination of metabolic syndrome response to motivational interviewing for weight loss as compared to an attentional control and usual care in primary care for individuals with and without binge-eating disorder

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