Randomized clinical trial comparing the effectiveness of two dietary interventions for patients with hyperlipidaemia

Mhurchú, Cliona Ní; Margetts, Barrie; Speller, Viv

doi:10.1042/cs0950479

Cited by 52 publications

(42 citation statements)

References 15 publications

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“…Our results indicate that the nurses scored above the mean average (4) in almost all MITI and MISC components. These findings are similar to the skills scores obtained in a trial of MET delivered by trained clinicians in the field of substance abuse [43].…”

Section: Discussionsupporting

confidence: 82%

“…A small number of studies have assessed the delivery of motivational interviewing (MI) based interventions by health professionals such as dieticians [43] specialist cardiac liaison nurses and general nurses [44]. Although interventions have been reported to lead to significant reductions in a number of behavioural and psychological outcomes the use of study specific tools to rate the frequency of MI techniques, as well as a lack of rigorous reporting regarding MI training make it difficult to draw comparisons across studies in this area.…”

Section: Discussionmentioning

confidence: 99%

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Nurse-led psychological interventions to improve diabetes control: Assessing competencies

Maissi

Ridge

Treasure

et al. 2011

Patient Education and Counseling

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Nurse-led psychological interventions to improve diabetes control: Assessing competencies

Maissi

Ridge

Treasure

et al. 2011

Patient Education and Counseling

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“…Mhurchu et al [26] randomized 121 adults with hyperlipidemia who were referred to a hospital dietetic service to either standard dietary intervention education or three sessions of AMI. Both groups reported increased dietary knowledge and behavior and significant weight reductions at 3-month follow-up, but no significant change in lipids was found for either group.…”

Section: And Weight Lossmentioning

confidence: 99%

The use of motivational interviewing in weight loss

Dorsten

2007

Curr Diab Rep

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Within the past two decades, motivational interviewing has emerged as a useful strategy to help individuals develop motivation to change health behavior and sustain those efforts. This article reviews the preliminary but burgeoning literature that supports the effectiveness of motivational interviewing strategies in promoting positive changes in a variety of health behaviors, including dietary change, activity increases, and regimen adherence. A variety of adaptations of the motivational interviewing process are discussed as relevant to making this treatment strategy increasingly applicable to a variety of health care settings.

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“…The Oslo Study found that regular dietary counseling produced significant long-term declines in serum cholesterol (interpreted as a marker of dietary fat and saturated fat intakes) compared to control participants (46). Motivational interviewing produced no additional changes in dietary fat intake beyond standard nutritional counseling in subjects with hyperlipidemia (68). Women with coronary heart disease reduced calories from fat and saturated fat consumption by half (net reduction of 12% of energy from fat) in a randomized intervention study (110).…”

Section: Individual Randomized Trialsmentioning

confidence: 99%

Dietary Interventions to Prevent Disease

Bowen

Beresford

2002

Annu. Rev. Public Health

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Key Words nutrition intervention, chronic disease preventions Abstract Changing dietary behaviors to prevent chronic disease has been an important research focus for the last 25 years. Here we present a review of published articles on the results of research to identify methods to change key dietary habits: fat intake, fiber intake, and consumption of fruits and vegetables. We divided the research reviewed into sections, based on the channel through which the intervention activities were delivered. We conclude that the field is making progress in identifying successful dietary change strategies, but that more can be learned. Particularly, we need to transfer some of the knowledge from the individual-based trials to community-level interventions. Also, more research with rigorous methodology must be done to test current and future intervention options. INTRODUCTION Rationale for Changing Dietary Behaviors to Prevent DiseaseDifferences in people's dietary intake are thought to account for more variation in cancer incidence than any other factor, including cigarette smoking (112,123). Most of the supporting scientific evidence comes from observational studies, including aggregate population studies (52,80). Carefully conducted epidemiological observational studies, both prospective and case-control, show repeatedly that dietary factors are associated with several chronic diseases, including coronary heart disease, some types of cancer, stroke, and non-insulin dependent diabetes, and thereby contribute substantially to the burden of preventable illness (31, 36, 41,48,49,54,59,67,79,86,89,94,101,111,118,122). Although there are exceptions (37,51,63,64,93,102,121), these studies are consistent in pointing to the roles of fat, fruits, and vegetables. However, a recent randomized controlled trial of low-fat, high-fiber dietary intervention failed to find benefit in lowering incidence of recurrent adenomas (88 Rationale for the Literature ReviewMany investigators have designed, implemented, and evaluated dietary change interventions targeting these critical nutrients. Although some changes have been made in the general public, the levels of fat, fruit, and vegetable consumption still fall short of goals in the areas of dietary fat intake and daily servings of fruits and vegetables, for example (55). We must identify successful methods of changing dietary behaviors to prevent disease in order to implement them as part of standard public health and primary care medical practice. Several reviews have been published in the past 15 years on the best methods of intervening in dietary behaviors in several areas of public health activity, such as cholesterol-lowering trials (107), worksites (38), patient education (92), cardiovascular disease prevention trials (23, 113), interventions in whole communities (42), and environmental influences (34). However, this disparate literature has not been pulled together. We have conducted this information synthesis to fill in this gap. Criteria for the Literature SearchWe used an initial e...

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Randomized clinical trial comparing the effectiveness of two dietary interventions for patients with hyperlipidaemia

Cited by 52 publications

References 15 publications

Nurse-led psychological interventions to improve diabetes control: Assessing competencies

Nurse-led psychological interventions to improve diabetes control: Assessing competencies

The use of motivational interviewing in weight loss

Dietary Interventions to Prevent Disease

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