TY - JOUR
T1 - Promotion of healthy behaviour among adults at increased risk of coronary heart disease in general practice
T2 - Methodology and baseline data from the Change of Heart study
AU - Hilton, Sean
AU - Doherty, Sheelagh
AU - Kendrick, Tony
AU - Kerry, Sally
AU - Rink, Elizabeth
AU - Steptoe, Andrew
PY - 1999
Y1 - 1999
N2 - Previous attempts to influence individuals' behaviour in order to lessen cardiovascular risk have met with limited success. We report on the way in which the Stages of Change model was used by trained practice nurses in a randomised controlled trial. Patients with one or more modifiable risk factors (regular smoking, high cholesterol, or the combination of high body mass index and low physical activity) were recruited during routine care at 20 group general practices in inner city to rural areas over 18 months. Baseline measurements on 883 people show that the control and intervention groups were reasonably matched, with one, two and three risk factors found among approximately 43, 48 and 9 per cent, respectively. Some differences between groups in readiness to modify behaviour as assessed by stage of change were observed. This trial will evaluate systematically the impact of brief behavioural counselling in general practice.
AB - Previous attempts to influence individuals' behaviour in order to lessen cardiovascular risk have met with limited success. We report on the way in which the Stages of Change model was used by trained practice nurses in a randomised controlled trial. Patients with one or more modifiable risk factors (regular smoking, high cholesterol, or the combination of high body mass index and low physical activity) were recruited during routine care at 20 group general practices in inner city to rural areas over 18 months. Baseline measurements on 883 people show that the control and intervention groups were reasonably matched, with one, two and three risk factors found among approximately 43, 48 and 9 per cent, respectively. Some differences between groups in readiness to modify behaviour as assessed by stage of change were observed. This trial will evaluate systematically the impact of brief behavioural counselling in general practice.
KW - Behaviour change
KW - Cardiovascular risk
KW - Health promotion
KW - Randomised controlled trial
KW - Stages of change model
UR - http://www.scopus.com/inward/record.url?scp=0002608876&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:0002608876
SN - 0017-8969
VL - 58
SP - 3
EP - 16
JO - Health Education Journal
JF - Health Education Journal
IS - 1
ER -