Health behavior: Difference between revisions
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==Methods to improve health behavior== | ==Methods to improve health behavior== | ||
===Ongoing feedback=== | |||
A [[randomized controlled trial]] of patients at very high risk of coronary events found that use of two [[clinical prediction rule]]s (http://www.chiprehab.com/CVD/) for predicting coronary events along with tailored feedback, may improve cholesterol values.<ref name="pmidpending">Steven A. Grover et al., “Patient Knowledge of Coronary Risk Profile Improves the Effectiveness of Dyslipidemia Therapy: The CHECK-UP Study: A Randomized Controlled Trial,” Arch Intern Med 167, no. 21 (November 26, 2007), http://archinte.ama-assn.org/cgi/content/abstract/167/21/2296 (accessed November 27, 2007).</ref> In this trial, patients were also shown how their calculated risk changed over time and improved in response to changes in the patients' lifestyle changes and pharmacotherapy. | A [[randomized controlled trial]] of patients at very high risk of coronary events found that use of two [[clinical prediction rule]]s (http://www.chiprehab.com/CVD/) for predicting coronary events along with tailored feedback, may improve cholesterol values.<ref name="pmidpending">Steven A. Grover et al., “Patient Knowledge of Coronary Risk Profile Improves the Effectiveness of Dyslipidemia Therapy: The CHECK-UP Study: A Randomized Controlled Trial,” Arch Intern Med 167, no. 21 (November 26, 2007), http://archinte.ama-assn.org/cgi/content/abstract/167/21/2296 (accessed November 27, 2007).</ref> In this trial, patients were also shown how their calculated risk changed over time and improved in response to changes in the patients' lifestyle changes and pharmacotherapy. | ||
In the treatment of obesity, daily weighing is associated with better dietary restraint.<ref name="pmid17035649">{{cite journal |author=Wing RR, Tate DF, Gorin AA, Raynor HA, Fava JL |title=A self-regulation program for maintenance of weight loss |journal=N. Engl. J. Med. |volume=355 |issue=15 |pages=1563–71 |year=2006 |pmid=17035649 |doi=10.1056/NEJMoa061883 |issn=}}</ref><ref name="pmid17663619">{{cite journal |author=Wing RR, Tate DF, Gorin AA, Raynor HA, Fava JL, Machan J |title=STOP regain: are there negative effects of daily weighing? |journal=J Consult Clin Psychol |volume=75 |issue=4 |pages=652–6 |year=2007 |pmid=17663619 |doi=10.1037/0022-006X.75.4.652 |issn=}}</ref> | |||
===Shared decision making=== | ===Shared decision making=== | ||
Revision as of 13:12, 6 December 2007
Health behavior is defined as "behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural."[1] Health behavior includes the concept of patient compliance, which is defined as "voluntary cooperation of the patient in following a prescribed regimen."[1]
How to detect noncompliance
A systematic review by the Rational Clinical Examination concluded that missing appointment, not improving with treatment, and counting pills are the best methods to detect non-compliance.[2]
Methods to improve health behavior
Ongoing feedback
A randomized controlled trial of patients at very high risk of coronary events found that use of two clinical prediction rules (http://www.chiprehab.com/CVD/) for predicting coronary events along with tailored feedback, may improve cholesterol values.[3] In this trial, patients were also shown how their calculated risk changed over time and improved in response to changes in the patients' lifestyle changes and pharmacotherapy.
In the treatment of obesity, daily weighing is associated with better dietary restraint.[4][5]
References
- ↑ 1.0 1.1 National Library of Medicine. Health behavior. Retrieved on 2007-12-06. Cite error: Invalid
<ref>tag; name "title" defined multiple times with different content - ↑ Stephenson BJ, Rowe BH, Haynes RB, Macharia WM, Leon G (1993). "The rational clinical examination. Is this patient taking the treatment as prescribed?". JAMA 269 (21): 2779–81. PMID 8492406. [e] pdf
- ↑ Steven A. Grover et al., “Patient Knowledge of Coronary Risk Profile Improves the Effectiveness of Dyslipidemia Therapy: The CHECK-UP Study: A Randomized Controlled Trial,” Arch Intern Med 167, no. 21 (November 26, 2007), http://archinte.ama-assn.org/cgi/content/abstract/167/21/2296 (accessed November 27, 2007).
- ↑ Wing RR, Tate DF, Gorin AA, Raynor HA, Fava JL (2006). "A self-regulation program for maintenance of weight loss". N. Engl. J. Med. 355 (15): 1563–71. DOI:10.1056/NEJMoa061883. PMID 17035649. Research Blogging.
- ↑ Wing RR, Tate DF, Gorin AA, Raynor HA, Fava JL, Machan J (2007). "STOP regain: are there negative effects of daily weighing?". J Consult Clin Psychol 75 (4): 652–6. DOI:10.1037/0022-006X.75.4.652. PMID 17663619. Research Blogging.