Adherence
Providing a structured, evidence-based lifestyle intervention (diet and physical activity) that is free of charge and includes active coordination of referrals significantly increases the rate of referral to preventive care programs in primary care settings, particularly among high-risk patients.
To improve referrals to lifestyle programs, primary care practices should offer structured, evidence-based programs that are free to patients and include active coordination. Training staff in motivational interviewing and providing resources for referral can significantly increase patient engagement, especially for those who are overweight, inactive, or ready to change.
Providing a well-structured evidence-based lifestyle intervention, free of charge to patients, with coordination and support for referral processes resulted in over 60% of participating high risk patients being referred for disease prevention.
Why this rating
Cluster RCT design with multi-level analysis, though generalizability is limited by low response rates.
Source
Predictors of primary care referrals to a vascular disease prevention lifestyle program among participants in a cluster randomised trial
Megan Passey et al. · BMC Health Services Research · 2012
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