Multiple behavioral risk factor interventions in primary care. Summary of research evidence.

摘要: Abstract Background An important barrier to the delivery of health behavior change interventions in primary care settings is lack an integrated screening and intervention approach that can cut across multiple risk factors help clinicians patients address these risks efficient productive manner. Methods We review evidence for separately physical activity, unhealthy diet, obesity, cigarette smoking, risky/harmful alcohol use, behavioral drawn primarily from cardiovascular diabetes literature. Results There efficacy reduce smoking use unselected patients, medium- high-intensity dietary counseling by specially trained high-risk patients. fair good moderate, sustained weight loss obese receiving counseling, but insufficient regarding nonobese adults. Evidence activity limited. Large gaps remain our knowledge about care. Conclusions derive several principles strategies delivering factor research These be linked “5A's” construct (assess, advise, agree, assist, arrange-follow up) provide a unifying conceptual framework describing, delivering, evaluating healthcare settings. also recommendations future research.