Patient-Centered Care: Lifestyle Modifications Among Adult Participants With Dyslipidemia

Abstract

BackgroundDyslipidemia, a risk factor for coronary heart disease (CHD), is a burden due to morbidity, mortality, and CHD-related costs. Patient-centered clinical interventions improve adherence to lifestyle modifications among adults with dyslipidemia.ObjectiveThe study's objectives were to (a) promote participants' safety through increased knowledge on the risks and prevention of CHD, (b) help participants identify their own barriers to lifestyle modifications, and (c) develop strategies with participants on individualized plans to adhere to healthy living.MethodsSeventeen participants with dyslipidemia enrolled in a quality improvement over 6 weeks. Participants were from one employee health clinic in Mississippi. Measures are Heart Disease Fact Questionnaire (HDFQ), Framingham Tool, pre- and poststudy lipid panels, and physiologic measurements. Interventions include motivational technique-led interviews as a tool for behavioral change.ResultsPre- and post-HDFQ responses indicated an 18% increase in knowledge attainment because of the patient-centered care interventions. Postinterventions, mean plasma lipid panels were 29% lower, weight loss ranged from 0 to 10.1 pounds, and body mass indexes were 0.4 to 1.2 less. Blood pressures (BPs) preintervention ranged from 120/70 to 159/89. Postinterventions BP ranged from 107/82 to 146/70.ConclusionsPatient-centered clinical interventions improve management of dyslipidemia through increased knowledge on risks and prevention of CHD and also through finding own barriers to healthy living.ImplicationsHealthcare providers can make a difference in people's lives through exploring the unhealthy behaviors and discovering ways for better health outcomes.

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“…Furthermore, the PCCS showed improved patient adherence to several better behavioral or medication treatments, for example, improved nutrition and fluid restriction for patients undergoing hemodialysis [ 32 ], the control of SBP for patients with uncontrolled hypertensive [ 33 ] and improved dyslipidemia management via risk prevention from healthy lifestyle [ 34 ]. This suggests that PCCS can also effectively improve disease management in other chronic diseases.…”

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“…However, a model that supports lifestyle modifications in an evidence-based manner in a format that can be integrated into clinical practice is necessary for primary care providers. Patient involvement is critical for the clinical integration of such models; patient participation in treatment planning, knowledge exchanges, setting goals, and performing self-care activities is necessary for effective lifestyle modifications [ 10 , 11 ]. Patient participation is valuable for symptom control and the management of chronic health conditions [ 12 ].…”