ArticleJournal of physical activity & health2010
Adoption and implementation of physical activity and dietary counseling by community health center providers and nurses.
Article in Journal of physical activity & health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00860444 (The Heart Healthy and Ethnically Relevant), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled 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.
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.
The Heart Healthy and Ethnically Relevant (HHER) Lifestyle Program for Cardiovascular Risk Reduction
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis.Primary health care research & development · 2019Pooled it
- Inconsistent Counselor Fidelity in Delivering an Evidence-Based Adherence Intervention During a PrEP Trial.AIDS and behavior · 2022Trial
- Improving knowledge, self-efficacy and collective efficacy regarding the Brazilian dietary guidelines in primary health care professionals: a community controlled trial.BMC family practice · 2020Trial
- Trial
- Uptake of evidence-based physical activity programs: comparing perceptions of adopters and nonadopters.Translational behavioral medicine · 2016Trial
- Results of the Heart Healthy and Ethnically Relevant Lifestyle trial: a cardiovascular risk reduction intervention for African American women attending community health centers.American journal of public health · 2011Trial
- Heart Healthy and Ethnically Relevant (HHER) Lifestyle trial for improving diet and physical activity in underserved African American women.Contemporary clinical trials · 2010Trial
- REducing delay through edUcation on eXacerbations for people with chronic lung disease: Study protocol of a single-arm pre-post study.Journal of advanced nursing · 2022Article
- Article
- Lessons Learned From Implementing of Garden Education Program in Early Child Care.Health promotion practice · 2021Article
- 'It's like trying to ice a cake that's not been baked': a qualitative exploration of the contextual factors associated with implementing an evidence-based information intervention for family carers at the end of life.Primary health care research & development · 2020Article
- Design and methodology of a cluster-randomized trial in early care and education centers to meet physical activity guidelines: Sustainability via Active Garden Education (SAGE).Contemporary clinical trials · 2019Article
- Physical activity promotion by health practitioners: a distance-learning training component to improve knowledge and counseling.Primary health care research & development · 2018Article
- Feasibility of an implementation strategy for the integration of health promotion in routine primary care: a quantitative process evaluation.BMC family practice · 2017Article
- Developing physical activity counselling in primary care through participatory action approach.BMC family practice · 2016Article
- Type-2 diabetes primary prevention program implemented in routine primary care: a process evaluation study.Trials · 2016Observational
- Implementing Smarter Lunchrooms Makeovers in New York state middle schools: an initial process evaluation.Archives of public health = Archives belges de sante publique · 2016Article
- Modifying health behavior to prevent cardiovascular diseases: a nationwide survey among German primary care physicians.International journal of environmental research and public health · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundPrimary care providers are expected to provide lifestyle counseling, yet many barriers exist. Few studies report on adoption and implementation in routine practice. This study reports training, adoption, and implementation of an intervention to promote physical activity (PA) and dietary counseling in community health centers.
methodsProviders (n = 30) and nurses (n = 28) from 9 clinics were invited to participate. Adopters completed CD-ROM training in stage-matched, patient-centered counseling and goal setting. Encounters were audio recorded. A subsample was coded for fidelity.
resultsFifty-seven percent of providers and nurses adopted the program. Provider counseling was seen in 66% and nurse goal setting in 58% of participant (N = 266) encounters, although audio recordings were lower. Duration of provider counseling and nurse goal setting was 4.9 ± 4.5 and 7.3 ± 3.8 minutes, respectively. Most PA (80%) and diet (94%) goals were stage-appropriate. Although most providers discussed at least 1 behavioral topic, some topics (eg, self-efficacy, social support) were rarely covered.
conclusionsA sizeable percentage of providers and nurses completed training, rated it favorably, and delivered lifestyle counseling, although with variable fidelity. With low implementation cost and limited office time required, this model has the potential to be disseminated to improve counseling rates in primary care.
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What OpenQuestion holds
Registered trials
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.