Evidence map›Paper›PMID 10514155›Full record

Trial reportBMJ (Clinical research ed.)1999

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

A Steptoe, S Doherty, E Rink, S Kerry, T Kendrick, S Hilton

Open access · bronzeAbstract readClinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ (Clinical research ed.), 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 18 pooled it
12.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 18 syntheses or guidelines pooled it, 245 citations in OpenAlex.

  1. Pooled it
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  4. Nursing interventions for smoking cessation.The Cochrane database of systematic reviews · 2017
    Pooled it
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  8. Community wide interventions for increasing physical activity.The Cochrane database of systematic reviews · 2015
    Pooled it
  9. Nurse delivered lifestyle interventions in primary health care to treat chronic disease risk factors associated with obesity: a systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2012
    Pooled it
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  14. Lifestyle interventions in primary care: systematic review of randomized controlled trials.Canadian family physician Medecin de famille canadien · 2008
    Pooled it
  15. Pooled it
  16. Interventions for promoting physical activity.The Cochrane database of systematic reviews · 2005
    Pooled it
  17. Pooled it
  18. Guideline
  19. Trial
  20. Trial
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

A SteptoeDepartment of Psychology, St George's Hospital Medical School, London SW17 0RE. asteptoe@sghms.ac.uk
S Doherty
E Rink
S Kerry
T Kendrick
S Hilton
St George's, University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo 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.

designCluster randomised controlled trial.

participants883 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.

interventionBrief 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 measuresQuestionnaire 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.

resultsFavourable 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.

conclusionsBrief 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.

Indexed as

Health BehaviorAdultBlood PressureBody Mass IndexCoronary DiseaseFemaleHealth PromotionHumansHypercholesterolemiaMaleMiddle AgedRisk FactorsSmoking Prevention

Identifiers

PMID10514155
PMCPMC28246
OpenAlexW1601229437

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.