Prevention in practice: results of a 2-year follow-up of routine health promotion interventions in general practice

Dowell, A C; Hilton, SR; Bland, J. M.; Harris, Tess; Jones, Jones; Katbamna, Savita

doi:10.1093/fampra/13.4.357

Cited by 18 publications

(8 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The "prevention in practice" study by Dowell et al 19 in Leeds, England, used a quasiexperimental design to compare self reported vigorous exercise in the two weeks before and two years after a health check aimed at changing multiple risk factors for the prevention of stroke and heart disease. A 12% stratified sample of patients was chosen from 18 general practices in the Yorkshire and Southwest Thames regions, and these patients were invited for a health check, yielding 1687 patients in the intervention group and 3937 patients in the control group without a health check.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of physical activity promotion in primary care office settings.

Eaton

Menard

1998

Br J Sports Med

View full text Add to dashboard Cite

Objective-To assess the eYcacy of physical activity promotion in primary care oYce settings. Design-Systematic review of clinical trials in which the eYcacy of physical activity promotion was investigated in a primary care oYce setting with at least one month of follow up. Subjects-A total of 13 981 adults, aged 17-85+, were included from 203 practices in eight trials assessing physical activity promotion in primary care oYce settings. Main outcome measures-Odds ratios and 95% confidence intervals were calculated comparing the number of participants who increased their physical activity or were active at follow up in the intervention group with a control group for each study. Results-Five of eight trials where positive with statistically significant results (range 0.91-6.56), but significant biases or limited clinical relevance of the outcomes were found in all trials. Short term trials of less than one year (four of four were positive), single-risk-factor trials (three of three were positive), randomised clinical trials (two of three were positive), and those assessing moderate levels of physical activity (three of four were positive) were most likely to find benefit. Only one of four trials lasting longer than a year were positive. Conclusion-There is limited evidence from well designed trials that oYce based physical activity promotion in primary care settings is eYcacious in promoting changes in physical activity that could conceivably have lasting clinical benefits. (Br J Sports Med 1998;32:11-16)

show abstract

Section: Resultsmentioning

confidence: 99%

A systematic review of physical activity promotion in primary care office settings.

Eaton

Menard

1998

Br J Sports Med

View full text Add to dashboard Cite

show abstract

“…Health check-ups have been demonstrated to improve the frequency of preventive care and support regular discussions on changing health behaviour in middle age [57, 58] and have also been found to improve the quality of preventative care [59]. Further, adults who received ongoing care from regular visits to the GP are found to be more likely to receive the preventive services as recommended by policy guidelines [18].…”

Section: Discussionmentioning

confidence: 99%

Why do men go to the doctor? Socio-demographic and lifestyle factors associated with healthcare utilisation among a cohort of Australian men

et al. 2016

View full text Add to dashboard Cite

BackgroundMen use health services less often than women and frequently delay seeking help even if experiencing serious health problems. This may put men at higher risk for developing serious health problems which, in part, may explain men’s higher rates of some serious illnesses and shorter life span relative to women. This paper identifies factors that contribute to health care utilisation in a cohort of Australian men by exploring associations between socio-economic, health and lifestyle factors and the use of general practitioner (GP) services.MethodsWe used data from Ten to Men, the Australian Longitudinal Study on Male Health. Health care utilisation was defined in two ways: at least one GP visit in the past 12 months and having at least yearly health check-ups with a doctor. Associations between these two measures and a range of contextual socio demographic factors (education, location, marital status, country of birth, employment, financial problems etc.) as well as individual health and lifestyle factors (self-rated health, smoking, drinking, healthy weight, pain medication) were examined using logistic regression analysis. The sample included 13,763 adult men aged 18 to 55 years. Analysis was stratified by age (18 to 34 year versus 35 to 55 years).ResultsOverall, 81 % (95 % CI: 80.3–81.6) of men saw a GP for consultation in the 12 months prior to the study. The odds of visiting a GP increased with increasing age (p < 0.01), but decreased with increasing remoteness of residence (p < 0.01). Older men, smokers and those who rate their health as excellent were less likely to visit a GP in the last 12 months, but those on daily pain medication or with co-morbidities were more likely to have visited a GP. However, these factors were not associated with consulting a GP in the last 12 months among young men.Overall, 39 % (95 % CI: 38.3–39.9) reported having an annual health check. The odds of having an annual health check increased with increasing age (p < 0.01), but showed no association with area of residence (p = 0.60). Across both age groups, the odds of a regular health check increased with obesity and daily pain medication, but decreased with harmful levels of alcohol consumption.ConclusionThe majority of men (61 %) did not engage in regular health check-up visits, representing a missed opportunity for preventative health care discussions. Lower consultation rates may translate into lost opportunities to detect and intervene with problems early and this is where men may be missing out compared to women.

show abstract

“…1,3,11 Furthermore, patients often struggle with adopting lifestyle changes; mere knowledge is not sufficient to result in change in behavior. 12 The gold standard approach to lifestyle intervention was utilized in the NIH-sponsored Diabetes Prevention Program. 8 However, such an intervention requires assembly of new teams of health care providers.…”

Section: Initial Patient Assessmentmentioning

confidence: 99%

The Metabolic Fitness Program

Rubenfire

Mollo

Krishnan

et al. 2011

Journal of Cardiopulmonary Rehabilitation and Prevention

View full text Add to dashboard Cite

show abstract

Prevention in practice: results of a 2-year follow-up of routine health promotion interventions in general practice

Abstract: This study confirms the low impact of health checks on the self reported modification of cardiovascular risk factors and shows that maintenance of appropriate health behaviour change is no more likely in those who have received a health check.

Cited by 18 publications

References 9 publications

A systematic review of physical activity promotion in primary care office settings.

A systematic review of physical activity promotion in primary care office settings.

Why do men go to the doctor? Socio-demographic and lifestyle factors associated with healthcare utilisation among a cohort of Australian men

The Metabolic Fitness Program

Contact Info

Product

Resources

About