Evidence map›Paper›PMID 11211636›Full record

Trial reportAmerican journal of public health2001

The impact of behavioral counseling on stage of change in fat intake, physical activity, and cigarette smoking in adults at increased risk of coronary heart disease.

A Steptoe, S Kerry, E Rink, S Hilton

Abstract readClinical TrialMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of public health, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 15 pooled it
–field-weighted citation impact
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

46 citing papers in PubMed, 15 syntheses or guidelines pooled it.

  1. Reduction in saturated fat intake for cardiovascular disease.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Effects of total fat intake on body fatness in adults.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Reduction in saturated fat intake for cardiovascular disease.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Pooled it
  5. Effects of total fat intake on body weight.The Cochrane database of systematic reviews · 2015
    Pooled it
  6. Pooled it
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  8. Community wide interventions for increasing physical activity.The Cochrane database of systematic reviews · 2015
    Pooled it
  9. Pooled it
  10. Reduced or modified dietary fat for preventing cardiovascular disease.The Cochrane database of systematic reviews · 2012
    Pooled it
  11. Reduced or modified dietary fat for preventing cardiovascular disease.The Cochrane database of systematic reviews · 2011
    Pooled it
  12. Pooled it
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  14. Interventions for promoting physical activity.The Cochrane database of systematic reviews · 2005
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

A SteptoeSt George's Hospital Medical School, University of London, 1-19 Tarrington Pl, London, United Kingdom. asteptoe@ucl.ac.uk
S Kerry
E Rink
S Hilton

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study assessed stages of change in fat intake, physical activity, and cigarette smoking during a randomized controlled trial of behavioral counseling.

methodsTwenty general practices (primary health care centers) were randomized to lifestyle counseling by behavioral methods or to usual health promotion. A total of 883 patients were selected for the presence of 1 or more of the following risk factors: cigarette smoking, high cholesterol, or a combination of a high body mass index and low physical activity. Stage of change (precontemplation, contemplation, preparation, and action/maintenance) was assessed at baseline and after 4 and 12 months.

resultsThe odds of moving to action/maintenance for behavioral intervention vs control patients at 4 months were 2.15 (95% confidence interval [CI] = 1.30, 3.56) for fat reduction, 1.89 (95% CI = 1.07, 3.36) for increased physical activity, and 1.77 (95% CI = 0.76, 4.14) for smoking cessation. The likelihood of achieving action/maintenance was related to baseline stage for all 3 behaviors.

conclusionsBrief behavioral counseling based on advice matched to stage of readiness for change may be valuable in encouraging healthy lifestyles among patients in primary care at raised risk of cardiovascular disease.

Indexed as

ExerciseFeeding BehaviorHealth BehaviorSmoking PreventionAdultAttitude to HealthCoronary DiseaseCounselingDietary FatsFemaleHealth Knowledge, Attitudes, PracticeHumansHypercholesterolemiaLife StyleMaleMiddle AgedDietary Fats

Identifiers

PMID11211636
PMCPMC1446539

What OpenQuestion holds

Textmetadata
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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.