Behavioral Counseling for Cardiovascular Disease Prevention in Primary Care Settings: A Systematic Review of Practice and Associated Factors

Bock C, Diehl K, Schneider S, Diehm C, Litaker D (2012)


Publication Type: Journal article

Publication year: 2012

Journal

Book Volume: 69

Pages Range: 495-518

Journal Issue: 5

DOI: 10.1177/1077558712441084

Abstract

Cardiovascular disease carries a substantial public health burden. Physician advice on modifying behavioral risk factors is effective, yet the practice of and factors associated with behavioral counseling in primary care have not been systematically investigated. The authors conducted a systematic review that identified 18 studies providing data on 6,338 physicians. The provision of preventive services differed by patients’ individual risk. Physicians’ counseling on smoking cessation was most commonly reported. The proportions of physicians counseling about nutrition and physical activity were notably lower and few physicians took further action by using more intensive counseling approaches. As studies were mainly based on self-reports, current delivery of preventive services may be overestimated. There is a need to increase the frequency of behavioral counseling in primary care settings, particularly for nutrition and physical activity, and to emphasize that counseling may also benefit individuals without cardiovascular disease risk factors. © 2012, SAGE Publications. All rights reserved.

Authors with CRIS profile

Involved external institutions

How to cite

APA:

Bock, C., Diehl, K., Schneider, S., Diehm, C., & Litaker, D. (2012). Behavioral Counseling for Cardiovascular Disease Prevention in Primary Care Settings: A Systematic Review of Practice and Associated Factors. Medical Care Research and Review, 69(5), 495-518. https://doi.org/10.1177/1077558712441084

MLA:

Bock, Christina, et al. "Behavioral Counseling for Cardiovascular Disease Prevention in Primary Care Settings: A Systematic Review of Practice and Associated Factors." Medical Care Research and Review 69.5 (2012): 495-518.

BibTeX: Download