A randomised controlled trial on the effectiveness of a primary health care based counselling intervention on physical activity, diet and CHD risk factors

摘要: Abstract Objective The aim of the study was to determine if multiple patient-centred lifestyle counselling sessions would be interest patients at risk coronary heart disease (CHD), in a primary care setting, and such result changes physical activity diet, health status. A randomised trial conducted compare intervention with usual (health promotion leaflet), among 334 mostly obese patients. Methods Patients were into an group that received standard exercise nutrition information plus up five face-to-face Physical Activity Specialist (PAS) Registered Dietitian (RD) over 6-month period or control only information. Results Of those invited, tended more obese, older female. mean (S.D.) attended 2.0 (1.6) 50% attending least 3. At 6 months, active, particularly respect walking, had reduced weight, blood pressure cholesterol, but not changed their compared group. Furthermore, who did greater increases reductions cholesterol. Conclusion Attending client-centred patients, generally CHD factors. Practice implications setting can used effectively promote using specialists dietitians trained use adapted motivational interviewing (MI) style.