Primary Care Counseling Techniques May Not be Helpful in Preventing Risky Health Behaviors
From 2001 to 2003, researchers at the Kaiser Permanente Center for Health Research conducted a comprehensive review of published trials to identify common core elements of counseling in primary care settings that are effective across behaviors for physical activity, diet and risky drinking.
The effort was part of the Evidence-Based Practice Program, sponsored by the federal Agency for Healthcare Research and Quality, to provide recommendations for clinical preventive services in the primary care setting.
The principal investigator concluded that "current evidence does not support a clear role for primary prevention [i.e., reducing the risk of developing disease] in primary care clinical settings.
Rather, a role in secondary prevention [i.e., helping high-risk individuals—those with established disease—to avoid further deterioration] seems clearly appropriate from our results, particularly for diet."