Health behavior

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Revision as of 09:42, 6 December 2007 by imported>Robert Badgett (→‎Methods to improve health behavior)
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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

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.

Shared decision making

For more information, see: Shared decision making.


References

  1. 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
  2. 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
  3. 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).

See also