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Behavioural counselling in general practice for the promotion of healthy behaviour among adults at increased risk of coronary heart disease: randomised trial

Behavioural counselling in general practice for the promotion of healthy behaviour among adults at increased risk of coronary heart disease: randomised trial
Behavioural counselling in general practice for the promotion of healthy behaviour among adults at increased risk of coronary heart disease: randomised trial
OBJECTIVE: To measure the effect of behaviourally oriented counselling in general practice on healthy behaviour and biological risk factors in patients at increased risk of coronary heart disease.

DESIGN: Cluster randomised controlled trial.

PARTICIPANTS: 883 men and women selected for the presence of one or more modifiable risk factors: regular cigarette smoking, high serum cholesterol concentration (6.5-9.0 mmol/l), and high body mass index (25-35) combined with low physical activity.

INTERVENTION: Brief behavioural counselling, on the basis of the stage of change model, carried out by practice nurses to reduce smoking and dietary fat intake and to increase regular physical activity.

MAIN OUTCOME MEASURES: Questionnaire measures of diet, exercise, and smoking habits, and blood pressure, serum total cholesterol concentration, weight, body mass index, and smoking cessation (with biochemical validation) at 4 and 12 months.

RESULTS: Favourable differences were recorded in the intervention group for dietary fat intake, regular exercise, and cigarettes smoked per day at 4 and 12 months. Systolic blood pressure was reduced to a greater extent in the intervention group at 4 but not at 12 months. No differences were found between groups in changes in total serum cholesterol concentration, weight, body mass index, diastolic pressure, or smoking cessation.

CONCLUSIONS: Brief behavioural counselling by practice nurses led to improvements in healthy behaviour. More extended counselling to help patients sustain and build on behaviour changes may be required before differences in biological risk factors emerge.
prevention & control, trial, methods, male, disease, health promotion, practice nurse, activity, smoking, women, diet, counselling, risk, cholesterol, body mass index, improvement, middle aged, hypercholesterolemia, research, adults, adult, smoking cessation, serum, controlled-trial, female, psychology, blood, heart, blood pressure, patients, controlled trial, exercise, outcome, clinical-trial, risk factors, model, weight, questionnaire, pressure, general-practice, coronary disease, nurses, coronary heart disease, health behavior, practice nurses, behaviour, general practice, humans, london, research support, design
0959-8138
943-948
Steptoe, Andrew
aadc4799-ddd7-4013-a8c9-c37ec87f23c3
Doherty, Sheelagh
b3d7a55d-5bca-4121-8e01-76a8b6029493
Rink, Elizabeth
09028936-7054-40eb-a368-cc0c0843298b
Kerry, Sally
2c1d1fe8-7399-4239-bd01-7ade058855df
Kendrick, Tony
c697a72c-c698-469d-8ac2-f00df40583e5
Hilton, Sean
b21c9ef8-8efa-4fdc-96df-132948d2401a
Steptoe, Andrew
aadc4799-ddd7-4013-a8c9-c37ec87f23c3
Doherty, Sheelagh
b3d7a55d-5bca-4121-8e01-76a8b6029493
Rink, Elizabeth
09028936-7054-40eb-a368-cc0c0843298b
Kerry, Sally
2c1d1fe8-7399-4239-bd01-7ade058855df
Kendrick, Tony
c697a72c-c698-469d-8ac2-f00df40583e5
Hilton, Sean
b21c9ef8-8efa-4fdc-96df-132948d2401a

Steptoe, Andrew, Doherty, Sheelagh, Rink, Elizabeth, Kerry, Sally, Kendrick, Tony and Hilton, Sean (1999) Behavioural counselling in general practice for the promotion of healthy behaviour among adults at increased risk of coronary heart disease: randomised trial. BMJ, 319 (7215), 943-948. (PMID:10514155)

Record type: Article

Abstract

OBJECTIVE: To measure the effect of behaviourally oriented counselling in general practice on healthy behaviour and biological risk factors in patients at increased risk of coronary heart disease.

DESIGN: Cluster randomised controlled trial.

PARTICIPANTS: 883 men and women selected for the presence of one or more modifiable risk factors: regular cigarette smoking, high serum cholesterol concentration (6.5-9.0 mmol/l), and high body mass index (25-35) combined with low physical activity.

INTERVENTION: Brief behavioural counselling, on the basis of the stage of change model, carried out by practice nurses to reduce smoking and dietary fat intake and to increase regular physical activity.

MAIN OUTCOME MEASURES: Questionnaire measures of diet, exercise, and smoking habits, and blood pressure, serum total cholesterol concentration, weight, body mass index, and smoking cessation (with biochemical validation) at 4 and 12 months.

RESULTS: Favourable differences were recorded in the intervention group for dietary fat intake, regular exercise, and cigarettes smoked per day at 4 and 12 months. Systolic blood pressure was reduced to a greater extent in the intervention group at 4 but not at 12 months. No differences were found between groups in changes in total serum cholesterol concentration, weight, body mass index, diastolic pressure, or smoking cessation.

CONCLUSIONS: Brief behavioural counselling by practice nurses led to improvements in healthy behaviour. More extended counselling to help patients sustain and build on behaviour changes may be required before differences in biological risk factors emerge.

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More information

Published date: 9 October 1999
Related URLs:
Keywords: prevention & control, trial, methods, male, disease, health promotion, practice nurse, activity, smoking, women, diet, counselling, risk, cholesterol, body mass index, improvement, middle aged, hypercholesterolemia, research, adults, adult, smoking cessation, serum, controlled-trial, female, psychology, blood, heart, blood pressure, patients, controlled trial, exercise, outcome, clinical-trial, risk factors, model, weight, questionnaire, pressure, general-practice, coronary disease, nurses, coronary heart disease, health behavior, practice nurses, behaviour, general practice, humans, london, research support, design
Organisations: Primary Care & Population Sciences
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Identifiers

Local EPrints ID: 62150
URI: http://eprints.soton.ac.uk/id/eprint/62150
ISSN: 0959-8138
PURE UUID: 1b5603fe-f0ed-43da-927b-eafdce349d9a
ORCID for Tony Kendrick: ORCID iD orcid.org/0000-0003-1618-9381

Catalogue record

Date deposited: 03 Sep 2008
Last modified: 23 Jul 2022 01:43

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Contributors

Author: Andrew Steptoe
Author: Sheelagh Doherty
Author: Elizabeth Rink
Author: Sally Kerry
Author: Tony Kendrick ORCID iD
Author: Sean Hilton

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