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Implementing a dietary intervention in primary care practice: a process evaluation.

D Lazovich1, S J Curry, S A Beresford

  • 1Division of Epidemiology, University of Minnesota, 1300 South 2nd Street, Suite 300, Minneapolis, MN 55454, USA.

American Journal of Health Promotion : AJHP
|February 24, 2001
PubMed
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Physicians can effectively deliver dietary interventions in primary care settings. Training healthcare teams and repeated advice enhance patient engagement with self-help booklets for improved dietary habits.

Area of Science:

  • Primary Care Medicine
  • Health Behavior Change
  • Nutrition Intervention

Background:

  • Physicians recognize the importance of dietary advice but often lack efficient tools.
  • Primary care settings are potential venues for implementing dietary interventions.

Purpose of the Study:

  • To assess the feasibility of physicians implementing a dietary intervention in primary care.
  • To evaluate patient reception and use of a self-help dietary booklet.

Main Methods:

  • Randomized trial involving physicians from 14 primary care practices.
  • Physicians provided a self-help booklet for dietary change during routine appointments.
  • Patients were interviewed by telephone 3 months later to assess booklet receipt and use.

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Main Results:

  • Physician documentation indicated 95% of eligible patients received the booklet.
  • 96% of interviewed patients reported receiving the booklet; 50% received it directly from their physician.
  • 93% read at least part of the booklet, with use correlating to discussion time.

Conclusions:

  • Physician participation and intervention effectiveness support primary care for dietary change.
  • Training the entire health team and consistent follow-up may boost intervention success.