What can we generalize from research on patient education and clinical health promotion to physician counseling on diet?

Abstract:

OBJECTIVE:This paper explores the status of knowledge development from clinical trials and other studies of patient education and clinical health promotion. DESIGN:It asks what this cumulative literature has to offer dietary counseling of patients by family doctors. A series of meta-analyses of drug education and preventive health education research in clinical settings provide a starting framework for guidelines on dietary counseling. CONCLUSIONS:Smoking cessation studies, in particular, have mounted in quantity and quality to the greatest extent and offer the clearest statement on what can be achieved, under what conditions, and with what support beyond the physician's counseling session or sessions. The Precede-Proceed Model offers a further guide to assuring the comprehensiveness of approaches to dietary change-enabling and reinforcing the change, not just predisposing it through admonitions and altering of knowledge, attitudes and beliefs. The specific evidence supporting the application of a patient counseling algorithm based on the Precede-Proceed model is reviewed here.

journal_name

Eur J Clin Nutr

authors

Green LW

doi

10.1038/sj.ejcn.1600795

subject

Has Abstract

pub_date

1999-05-01 00:00:00

pages

S9-18

eissn

0954-3007

issn

1476-5640

journal_volume

53 Suppl 2

pub_type

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