Defining common core elements of effective primary care health behavior change counseling

Five of the ten leading Healthy People 2010 indicators for improving the health of the population are lifestyle-related behaviors (tobacco use, sedentary lifestyle, poor dietary habits, alcohol misuse, illicit drug use, and risky sexual practices). Despite mounting evidence that brief primary care interventions can effectively modify these behaviors, national surveys indicate persistent gaps in the delivery of these interventions. One barrier to their wider implementation has been the lack of a common approach that providers can employ for a variety of different health behavior change interventions -- which has come about, in part, because previous evidence reviews have generally focused on a single topic (e.g., tobacco), or a single element of potential interventions (clinical advice). This grant supports a rigorous cross-cutting evidence review to supplement ongoing categorical (physical activity, diet, risky drinking) updates of the U.S. Preventive Service's Task Force Guide to Clinical Preventive Services to identify common core elements that are effective across behaviors, and to determine whether the practical 5-A framework work developed for the tobacco cessation guideline can be generalized to other behaviors. This project will be considered successful if it produces a framework for identifying common and practical counseling techniques across different behavioral interventions.

Grant Details

Amount Awarded $320,112.00

Awarded on: 6/28/2001

Time frame: 8/1/2001 - 12/31/2003

Grant Number: 41378


Kaiser Foundation Hospitals, Kaiser Foundation Research Institute

1 Kaiser Plaza
Oakland, 94612-3614


Evelyn P. Whitlock
Project Director