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The CHANGE program: Exercise intervention in primary care.

Doug Klein1, Khursheed Jeejeebhoy2, Angelo Tremblay3

  • 1Associate Professor and Director of the CHANGE Alberta research group in the Department of Family Medicine at the University of Alberta in Edmonton. Doug.klein@ualberta.ca.

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|July 14, 2017
PubMed
Summary
This summary is machine-generated.

The Canadian Health Advanced by Nutrition and Graded Exercise (CHANGE) program integrates dietitians and kinesiologists into primary care to help patients with metabolic syndrome adopt healthier lifestyles. This interprofessional approach shows promise for overcoming barriers and improving patient health outcomes.

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Area of Science:

  • Primary care research
  • Lifestyle medicine
  • Metabolic syndrome management

Background:

  • Primary care settings need practical programs for lifestyle interventions to reverse metabolic abnormalities.
  • Integrating such programs is crucial for effective patient management in routine practice.

Purpose of the Study:

  • To implement a lifestyle intervention program within existing primary care clinics.
  • To utilize an interprofessional model involving dietitians and kinesiologists.

Main Methods:

  • The Canadian Health Advanced by Nutrition and Graded Exercise (CHANGE) program offers personalized nutrition and exercise plans for metabolic syndrome.
  • Exercise is individualized and gradually intensified, with collaboration between family physicians and kinesiologists.
  • Patients receive fitness assessments at baseline, 3 months, and 12 months.

Main Results:

  • Preliminary findings suggest the CHANGE program is feasible, implementable, and effective.
  • The interprofessional model helps overcome barriers to lifestyle interventions.
  • Collaborative care fosters the development of healthy lifestyle habits.

Conclusions:

  • Interprofessional primary care teams can effectively support patients with metabolic syndrome.
  • Integrating specialists like dietitians and kinesiologists enhances lifestyle intervention delivery.
  • The CHANGE program model facilitates patient goal achievement and habit formation.