Effect of Aditional Brief Counselling after Periodic Health Examination on Motivation for Health Behavior Change

Abstract

This study was to evaluate the effect of additional brief counseling by a primary care physician on lifestyle modification of examinees after a periodic health examination. 1,000 participants of the 2007 Korean national health screening program were asked to note any variation in their health behavior after participating in the screening program. The degree of comprehensive motivation for lifestyle modification was assessed in terms of stages of health behavior change. We calculated odds ratio of positive change (enhanced stage of change) with multiple logistic regression analysis and age-adjusted proportion of positive changers. Of 989 respondents, 486 and 503 received the basic and additional programs, respectively. Additional group were more likely to be positive changer than basic group (adjusted OR 1.78; 95% CI 1.19-2.65), and this was more prominent in older age group (adjusted OR 2.38, 95% CI 1.23-4.58). The age-adjusted proportions of positive changers were 22.7% (95% CI, 17.9-28.3) and 36.2% (95% CI, 30.4-42.4) in the basic and additional groups, respectively (P < 0.001). The additional consultation led to improvements in the stage of health behavior change after the health examination. Thus, such a consultation should be considered when designing a health-screening program.

Food-Related Behaviors of Women in Substance Abuse Recovery: A Photo-Elicitation Study

“…Research has focused on clients' readiness to change as a predictor of treatment outcomes. For example, some studies have indicated that individuals with increased readiness to change were more likely to reach treatment goals, such as lower body mass index and increased physical activity (Son et al, 2012;Jakubowski et al, 2012). Factors that have been linked with an increased readiness to change have included legal mandates (parole/probation), interpersonal relationships (significant others, parents, etc.…”

What do academicians know about periodic health examinations?

“…A study concerning a change in health behavior showed that lifestyle behaviors such as smoking, alcohol consumption, exercise and diet have improved in people who had periodic health examinations [25].…”

The awareness of patients regarding periodical health examination within a sample from a university hospital

“…ve arkadaşları, PSM'ye giden kişilerin sigara ve alkol tüketimini azaltma, düzenli egzersiz yapma ve sağlıklı beslenme gibi yaşam biçimlerindeki değişikliklerin birinci basamak hekimleri tarafından bu konularda motivasyonel görüşmeler yapılması sonucunda bu alışkanlıklarının olumlu yönde geliştiğini belirtmişlerdir. [14] Diğer taraftan da Kunnas ve arkadaşlarının yaptıkları 15 yıllık prospektif bir kohort çalışmasında hipertansiyonu ve diyabeti olan hastaların düzenli PSM'ye başvurmalarıyla beden kitle indekslerinde ve sistolik tansiyon ölçümlerinde artış görülmüş, yaşam tarzı değişikliklerinde önemli bir değişikliğe rastlanmamıştır. Tüm bu çalışmaların sonucunda da PSM'nin planlandığı gibi etkili olmadığı belirtilmiştir.…”