Effectiveness of two preventive interventions for coronary heart disease in primary care
Abstract
OBJECTIVES: 1. To compare a patient-centred, self-directive intervention with conventional care; 2. To evaluate longitudinal within-group changes of coronary heart disease risk. METHODS: Risk factor changes were evaluated in 110 men with high coronary heart disease risk attending a one year intervention study in general practice. The 22 participating general practice centres were randomly allocated to follow either a patient-centred, self-directive intervention or a conventional approach. RESULTS: No significant between-group differences were found in any single risk factor or in the combined risk of coronary heart disease. The improvement of total risk from screening time to conclusion of the study corresponded with changes of relative risks of CHD to 0.64 (95% CI: 0.54-0.77) and 0.65 (0.54-0.77) in the patient-centred, self-directive and the conventional care group respectively (p < 0.0001 in both groups). CONCLUSION: Everyday general practice clinical work seems as efficacious as a specific intervention method based on currently advocated behaviour change principles.
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Seven RCTs reported non-significant improvements in self-efficacy.
“Seven RCTs reported non-significant improvements in self-efficacy”
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Changes in perceived self-efficacy were reported in 14 studies.
“Changes in perceived self-efficacy were reported in 14 studies”
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Meland 1997 found no significant benefit of the intervention in any of the four health status outcomes it reported.
“Conversely, Bieber 2008 and Meland 1997 found no significant benefit of the intervention in any of the four outcomes on health status they each reported.”
From Interventions for providers to promote a patient-centred approach in clinical consultations (2012) · cites this paper as Meland 1997
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- Authors
- Meland, E., Lærum, E., & Ulvik, R. J.
- Affiliations
- University of Bergen (NO)
- University of Oslo (NO)
- Haukeland University Hospital (NO)
- Venue
- Scandinavian Journal of Primary Health Care
- Publisher
- Informa UK Limited
- Published
- 1997-01
- Volume
- 15
- Issue
- 1
- Pages
- 57-63
- ISSN
- 0281-3432 (ISSN-L)
- 1502-7724
- OpenAlex
- W2108322290
- Cited by
- 23
- References
- 0
- Citations by year
- 2024: 1 · 2019: 1 · 2017: 1 · 2012: 4
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Journal of Primary Health Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- coronary heart disease prevention, behavior change, cardiovascular risk factors, general practice, usual care comparison, risk factor control, intervention effectiveness
- MeSH terms
- Adult, Coronary Disease, Diet, Family Practice, Health Education, Humans, Life Style, Male, Middle Aged, Patient Dropouts, Risk, Risk Factors, Self Care, Smoking, Health Behavior, Outcome Assessment, Health Care, Risk Assessment
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