Trial reportBMC health services research2012
Predictors of primary care referrals to a vascular disease prevention lifestyle program among participants in a cluster randomised trial.
Trial report in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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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.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Process evaluations of primary care interventions addressing chronic disease: a systematic review.BMJ open · 2019Pooled it
- The impact of health literacy and life style risk factors on health-related quality of life of Australian patients.Health and quality of life outcomes · 2016Trial
- Analysis of the psychological impact of a vascular risk factor intervention: results from a cluster randomized controlled trial in Australian general practice.BMC family practice · 2013Trial
- Factors influencing participation in a vascular disease prevention lifestyle program among participants in a cluster randomized trial.BMC health services research · 2013Trial
- The impact of a brief lifestyle intervention delivered by generalist community nurses (CN SNAP trial).BMC public health · 2013Trial
- Preventive evidence into practice (PEP) study: implementation of guidelines to prevent primary vascular disease in general practice protocol for a cluster randomised controlled trial.Implementation science : IS · 2013Trial
- Why do general practitioners not refer patients to behaviour-change programmes after preventive health checks? A mixed-method study.BMC family practice · 2019Article
- Article
- The quality of cardiovascular disease prevention in rural primary care.The Australian journal of rural health · 2016Observational
- Effective Strategies to Recruit Young Adults Into the TXT2BFiT mHealth Randomized Controlled Trial for Weight Gain Prevention.JMIR research protocols · 2015Article
- Research protocol: Management of obesity in patients with low health literacy in primary health care.BMC obesity · 2015Article
- Does health literacy affect patients' receipt of preventative primary care? A multilevel analysis.BMC family practice · 2014Article
- Introducing healing circles and talking circles into primary care.The Permanente journal · 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
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCardiovascular disease accounts for a large burden of disease, but is amenable to prevention through lifestyle modification. This paper examines patient and practice predictors of referral to a lifestyle modification program (LMP) offered as part of a cluster randomised controlled trial (RCT) of prevention of vascular disease in primary care.
methodsData from the intervention arm of a cluster RCT which recruited 36 practices through two rural and three urban primary care organisations were used. In each practice, 160 eligible high risk patients were invited to participate. Practices were randomly allocated to intervention or control groups. Intervention practice staff were trained in screening, motivational interviewing and counselling and encouraged to refer high risk patients to a LMP involving individual and group sessions. Data include patient surveys; clinical audit; practice survey on capacity for preventive care; referral records from the LMP. Predictors of referral were examined using multi-level logistic regression modelling after adjustment for confounding factors.
resultsOf 301 eligible patients, 190 (63.1%) were referred to the LMP. Independent predictors of referral were baseline BMI ≥ 25 (OR 2.87 95%CI:1.10, 7.47), physical inactivity (OR 2.90 95%CI:1.36,6.14), contemplation/preparation/action stage of change for physical activity (OR 2.75 95%CI:1.07, 7.03), rural location (OR 12.50 95%CI:1.43, 109.7) and smaller practice size (1-3 GPs) (OR 16.05 95%CI:2.74, 94.24).
conclusionsProviding a well-structured evidence-based lifestyle intervention, free of charge to patients, with coordination and support for referral processes resulted in over 60% of participating high risk patients being referred for disease prevention. Contrary to expectations, referrals were more frequent from rural and smaller practices suggesting that these practices may be more ready to engage with these programs.
trial registrationACTRN12607000423415.
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