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- Title
Adoption and Implementation of Physical Activity and Dietary Counseling by Community Health Center Providers and Nurses.
- Authors
Wilcox, Sara; Parra-Medina, Deborah; Felton, Gwen M.; Poston, Mary Beth; McClain, Amanda
- Abstract
Background: Primary care providers are expected to provide lifestyle counseling, yet many barriers exist. Few studies report on adoption and implementation in routine practice. This study reports training, adoption, and implementation of an intervention to promote physical activity (PA) and dietary counseling in community health centers. Methods: Providers (n = 30) and nurses (n = 28) from 9 clinics were invited to participate. Adopters completed CD-ROM training in stage-matched, patient-centered counseling and goal setting. Encounters were audio recorded. A subsample was coded for fidelity. Results: Fifty-seven percent of providers and nurses adopted the program. Provider counseling was seen in 66% and nurse goal setting in 58% of participant (N = 266) encounters, although audio recordings were lower. Duration of provider counseling and nurse goal setting was 4.9 ± 4.5 and 7.3 ± 3.8 minutes, respectively. Most PA (80%) and diet (94%) goals were stage-appropriate. Although most providers discussed at least 1 behavioral topic, some topics (eg, self efficacy, social support) were rarely covered. Conclusions: A sizeable percentage of providers and nurses completed training, rated it favorably, and delivered lifestyle counseling, although with variable fidelity. With low implementation cost and limited office time required, this model has the potential to be disseminated to improve counseling rates in primary care.
- Subjects
PHYSICAL activity; NUTRITION counseling; COMMUNITY health services; LIFESTYLES; PRIMARY care; EXERCISE; DIET
- Publication
Journal of Physical Activity & Health, 2010, Vol 7, Issue 5, p602
- ISSN
1543-3080
- Publication type
Article
- DOI
10.1123/jpah.7.5.602