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Content

Translating an evidence-based lifestyle intervention program into primary care: lessons learned.

Description

Blonstein AC, Yank V, Stafford RS, Wilson SR, Rosas LG, Ma J., Health Promot Pract. 14(4):491-7. doi: 10.1177/1524839913481604. Epub 2013 Mar 28., 2013 Jul 01

Abstract

The E-LITE (Evaluation of Lifestyle Interventions to Treat Elevated Cardiometabolic Risk in Primary Care) trial evaluated the feasibility and potential effectiveness of translating an evidence-based lifestyle intervention for the management of obesity and related risk factors in a primary care setting.

Delivered by allied health care providers, the intervention promoted at least 7% weight loss and at least 150 minutes per week of moderate-intensity physical activity through gradual, sustainable lifestyle changes. Activities included interactive group lessons, food tasting, guided physical activity, and technology-mediated self-monitoring and behavioral counseling.

This article discusses insights and potential areas for improvement to strengthen program implementation for dissemination of the E-LITE program to other primary care settings. We focus on (a) the role of allied health professionals in program delivery, (b) strengthening program integration within a primary care clinic, and (c) the use of information technology to extend the reach and impact of the program.

Our experience shows the feasibility of implementing an evidence-based lifestyle intervention program combining group-delivered nutrition and behavioral counseling, physical activity training, and technology-mediated follow-up in a primary care setting. Challenges remain, and we offer possible solutions to overcome them.

Pubmed Abstract

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Associated Topics

  • Diabetes, Insulin Resistance and Metabolic Syndrome
  • Disease Management
  • Food and Nutrition
  • Health Services
  • Obesity

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