Translating what we have learned into practice. Principles and hypotheses for interventions addressing multiple behaviors in primary care
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UMass Chan Affiliations
Department of Medicine, Division of Preventive and Behavioral MedicineDocument Type
Journal ArticlePublication Date
2004-08-01Keywords
Behavior TherapyCounseling
*Health Behavior
Humans
*Physician's Practice Patterns
*Physician-Patient Relations
Primary Health Care
Life Sciences
Medicine and Health Sciences
Women's Studies
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BACKGROUND: The evidence base regarding what works in practice for helping patients change multiple risk behaviors is less developed than is the more basic literature on behavior change. Still, there is enough consistency of findings to present testable hypotheses for clinicians and administrators to evaluate and guide practice until more definitive evidence is available. METHODS: The behavior change principles known as the 5A's outline a sequence of support activities (assess, advise, agree, assist, arrange) that are effective for helping patients to change various health behaviors. These same principles also apply at the clinic level for designing activities to support behavior change. RESULTS: Successful practices promoting sustainable changes in multiple behaviors are patient centered, tailored, proactive, population based, culturally proficient, multilevel, and ongoing. Often a stepped-care model can be used to provide increasingly intensive (and costly) interventions for patients who are not successful at earlier intervention levels. CONCLUSIONS: Contextual factors are influential in determining success at both the patient and the office practice level. Therefore, greater attention should be paid to creating supportive family, healthcare system, and community resources and policies. We enumerate 15 hypotheses to be tested for improving patient-clinician interactions and for medical office change.Source
Am J Prev Med. 2004 Aug;27(2 Suppl):88-101. Link to article on publisher's siteDOI
10.1016/j.amepre.2004.04.019Permanent Link to this Item
http://hdl.handle.net/20.500.14038/50892PubMed ID
15275677Related Resources
Link to article in PubMedae974a485f413a2113503eed53cd6c53
10.1016/j.amepre.2004.04.019