Adherence
Brief lifestyle interventions delivered by generalist community nurses increase client recall of advice and referrals but do not significantly change actual lifestyle behaviors or weight.
If you are a community nurse or healthcare provider, offering brief lifestyle advice is a good start, but it is not enough to change health outcomes on its own. You must actively refer high-risk clients to more intensive, long-term lifestyle programs to see real changes in diet, activity, or weight. Simply giving advice without a pathway to sustained support will not work.
The study demonstrated that although the intervention was associated with increases in advice and referral for diet or physical activity and readiness for change in physical activity, this did not translate into significant changes in lifestyle behaviours or weight.
Why this rating
Quasi-experimental trial with a large sample size (n=804) and rigorous statistical analysis (multilevel regression), though not a randomized controlled trial of the intervention itself.
Source
The impact of a brief lifestyle intervention delivered by generalist community nurses (CN SNAP trial)
Mark Harris et al. · BMC Public Health · 2013
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