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Low-budget method for lifestyle improvement in primary care. Experiences from the Göteborg Health Profile Project.

Artikel i vetenskaplig tidskrift
Författare Ann Blomstrand
Peter Lindqvist
Ingrid Enocsson Carlsson
Niels Pedersen
Calle Bengtsson
Publicerad i Scandinavian journal of primary health care
Volym 23
Nummer/häfte 2
Sidor 82-7
ISSN 0281-3432
Publiceringsår 2005
Publicerad vid Institutionen för samhällsmedicin, Avdelningen för allmänmedicin
Sidor 82-7
Språk en
Länkar dx.doi.org/10.1080/0281343051001848...
Ämnesord Life style, prevention, risk factors, primary health care, self-administered health profile
Ämneskategorier Medicin och Hälsovetenskap

Sammanfattning

OBJECTIVE: To describe a self-administered preventive tool dealing with risk factors for cardiovascular disease and its effect with special reference to the question: did the project involve persons most in need of lifestyle changes? DESIGN: Screening questions offered to consecutive patients and followed by a self-administered health profile, intervention, and follow-up. Setting. Primary healthcare area of Askim, Sweden. SUBJECTS: Men and women between 18 and 65 years of age visiting GPs for acute disorders or planned visits during a three-month period were offered screening questions and, if wanted, a health profile. MAIN OUTCOME MEASURES: Participation rates, effects on lifestyle factors. RESULTS: There was an overrepresentation of subjects with a less favourable lifestyle among those who asked for the health profile. There was good agreement for all variables between self-estimation in screening questions and grading in the basal health profile. Lifestyle improvement was observed for dietary habits, physical activity, and mental stress at the one year follow-up. CONCLUSIONS: The results indicate that a relevant selection of persons with a "risk profile" can be made by means of simple screening questions. The pedagogic model using self-administered health profile in combination with own responsibility seems to be a tool for low-budget preventive work in primary healthcare.

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