Long-term impact of a real-world coordinated lifestyle promotion initiative in primary care: a quasi-experimental cross-sectional study
TLDR
Lifestyle teams were perceived to have an important role at the centres in driving the lifestyle promotion work forward and being a forum for knowledge exchange but had limited impact on lifestyle promotion practices.Abstract:
Background
Integration of lifestyle promotion in routine primary care has been suboptimal. Coordinated care models (e.g. screening, brief advice and referral to in-house specialized staff) could facilitate lifestyle promotion practice; they have been shown to increase the quality of services and reduce costs in other areas of care. This study evaluates the long-term impact of a coordinated lifestyle promotion intervention with a multidisciplinary team approach in a primary care setting.read more
Citations
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Journal Article
Competing demands and opportunities in primary care
TL;DR: Preventive interventions have yielded dramatic improvements in population health, with substantial benefits in patient-oriented outcomes including death from infectious disease and infant mortality.
Journal ArticleDOI
A systematic review of approaches to improve practice, detection and treatment of unhealthy alcohol use in primary health care: a role for continuous quality improvement.
Monika Dzidowska,K. S. Kylie Lee,K. S. Kylie Lee,Claire E. Wylie,Jodie Bailie,Nikki Percival,James H. Conigrave,Noel Hayman,Noel Hayman,Noel Hayman,Katherine M. Conigrave,Katherine M. Conigrave +11 more
TL;DR: Utilizing CQI methods in implementation research would appear to be well-suited to drive improvements in service delivery for unhealthy alcohol use, although the body of literature describing such studies is still small.
Journal ArticleDOI
Validity and reliability of the Spanish version of the Organizational Readiness for Knowledge Translation (OR4KT) questionnaire.
TL;DR: The Spanish version of the Organizational Readiness for Knowledge Translation questionnaire exhibits very strong reliability and good validity, although it needs to be validated in a larger sample and in different implementation contexts.
Journal ArticleDOI
Towards implementing coordinated healthy lifestyle promotion in primary care: a mixed method study.
TL;DR: The findings showed how the development phase influenced the implementation and embedding processes, which add aspects to the General Theory of Implementation, and highlighted the importance of identifying and engaging key stakeholders early in an implementation process.
Dissertation
Development of an alcohol intervention model for predicting healthcare costs, life years, quality-adjusted life years and using for economic evaluation
TL;DR: An alcohol intervention model that predicts life years, quality adjusted life years (QALYs), and healthcare costs classified by the Alcohol Use Disorder Identification Test (AUDIT) screening tool and other various risk factors related to alcohol consumption was developed and transferred to the Thai setting.
References
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Journal ArticleDOI
Barriers, facilitators and attitudes influencing health promotion activities in general practice: an explorative pilot study
TL;DR: This pilot study explored which lifestyle interventions Dutch GPs and PNs carry out in primary care, which barriers and facilitators can be identified and what main topics are with respect to attitudes towards health promoting activities.
Journal ArticleDOI
A systematic review of single health behavior change interventions vs. multiple health behavior change interventions among older adults
Claudio R. Nigg,Camonia R. Long +1 more
TL;DR: Evaluated SHBC interventions vs. multiple health behavior change interventions among older age individuals revealed that interventions were the most common and showed the most promise in influencing positive outcomes in physical activity behavior among community-dwelling older adults.
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Case management for at-risk elderly patients in the English integrated care pilots: observational study of staff and patient experience and secondary care utilisation
Martin Roland,Richard Lewis,Adam Steventon,Gary A. Abel,John L. Adams,Martin Bardsley,Laura Brereton,Xavier Chitnis,Annalijn Conklin,Laura Staetsky,Sarah Tunkel,Tom Ling +11 more
TL;DR: Case management may result in improvements in some aspects of care and has the potential to reduce secondary care costs, however, to improve patient experience, case management approaches need to be introduced in a way which respects patients’ wishes.
Journal ArticleDOI
Is integration of healthy lifestyle promotion into primary care feasible? Discussion and consensus sessions between clinicians and researchers
Gonzalo Grandes,Alvaro Sanchez,Josep M Cortada,Laura Balagué,Carlos Calderón,Arantza Arrazola,Itziar Vergara,Eduardo Millan +7 more
TL;DR: It is recommended to address optimisation of health promotion in PHC from a research perspective in which PHC professionals, researchers and managers of these services cooperate in designing and evaluating innovative programs.
Journal ArticleDOI
A qualitative study of lifestyle counselling in general practice in Ireland.
Barry Lambe,Claire Collins +1 more
TL;DR: GPs and practice nurses regularly conduct lifestyle counselling despite considerable barriers and it is essential that they are supported to carry out lifestyle counselling as part of a systematic 'whole practice approach' to prevention in general practice.