Behavioral counseling research and evidence-based practice recommendations: U.S. Preventive Services Task Force perspectives.

Abstract:

:The U.S. Preventive Services Task Force (USPSTF) makes recommendations on which preventive services to routinely incorporate into primary care for specific populations. Behavioral counseling interventions are preventive services designed to help persons engage in healthy behaviors and limit unhealthy ones. The USPSTF's evaluation of behavioral counseling interventions asks 2 primary questions: Do interventions in the clinical setting influence persons to change their behavior, and does changing health behavior improve health outcomes with minimal harms?This article discusses challenges encountered by the USPSTF in aggregating the behavioral counseling intervention literature to develop guidelines. The challenges relate broadly to study populations, intervention protocols, assessment of outcomes, and linking behavior changes to health outcomes. Recommendations to address these challenges include use of the PRECIS (Pragmatic-Explanatory Continuum Indicator Summary) tool as a guide for the development of feasible, replicable, and generalizable behavioral counseling interventions; improved reporting of study methods and results; consensus measures for key behavioral outcomes; and use of existing data sets to link behavior change and clinical outcomes.

journal_name

Ann Intern Med

authors

Curry SJ,Grossman DC,Whitlock EP,Cantu A

doi

10.7326/M13-2128

subject

Has Abstract

pub_date

2014-03-18 00:00:00

pages

407-13

issue

6

eissn

0003-4819

issn

1539-3704

pii

1846639

journal_volume

160

pub_type

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