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Barrier-belief lifestyle counseling in primary care: A randomized controlled trial of efficacy

Bouma, A. J., van Wilgen, P., Lemmink, K. A. P. M., Stewart, R., Dijkstra, A. & Diercks, R. L., Dec-2018, In : Patient Education and Counseling. 101, 12, p. 2134-2144 11 p.

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  • Barrier-belief lifestyle counseling in primary care

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OBJECTIVE: Intervening on barrier beliefs (BBs) may inhibit the role of barriers as mediating factors in lifestyle behavior. The aim of this study was to analyze the effects of a barrier-belief counseling intervention (BBCI) on physical activity (PA) and healthy food intake.

METHODS: An RCT was conducted in a primary care setting among adults (aged 18-70), with two interventions: a BBCI (n = 123) and a standardized lifestyle group intervention (SLI) (n = 122). A non-treated hanging control group (n = 36) received no intervention. Outcomes on PA (accelerometer and SQUASH) and fruit and vegetable intake (self-report) were measured with follow-ups at 6, 12 and 18 months, and analyzed using multiple regression.

RESULTS: The BBCI was more effective on PA compared with the SLI (p < .01): in the short term all PA outcomes improved (p < .05), in the long term moderate-to-vigorous PA outcomes improved (p < .05), all with small effect sizes. No differences between interventions were found on fruit and vegetable intake. None of the outcomes in the control group changed over time.

CONCLUSIONS: BBCI in primary care improves PA compared with SLI.

PRACTICE IMPLICATIONS: The customized BB approach seems promising for implementation in healthcare practice to stimulate PA.

Original languageEnglish
Pages (from-to)2134-2144
Number of pages11
JournalPatient Education and Counseling
Volume101
Issue number12
Early online date20-Jul-2018
Publication statusPublished - Dec-2018

    Keywords

  • General practice, Behavior, Lifestyle, Counseling, Barriers, TIME PHYSICAL-ACTIVITY, SOCIAL COGNITIVE THEORY, LIVING MODEL GALM, OF-THE-LITERATURE, ADULTS AGED 55-65, BEHAVIOR-CHANGE, SELF-EFFICACY, VEGETABLE CONSUMPTION, SHORT QUESTIONNAIRE, ACTIVITY PROMOTION

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