Health behavior
Health behavior is defined as "behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural."[1] Health behavior includes the concept of patient compliance, which is defined as "voluntary cooperation of the patient in following a prescribed regimen."[1]
How to detect noncompliance
A systematic review by the Rational Clinical Examination concluded that missing appointment, not improving with treatment, and counting pills are the best methods to detect non-compliance.[2]
Methods to improve health behavior
Health promotion
Health promotion is "encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care."[3]
Internet websites for health promotion may improve health behavior according to a randomized controlled trial.[4]
Access to medical record
A randomized controlled trial found that a 20-minute sessions before regularly scheduled visits in which "patients were helped to read their medical record and coached to ask questions and negotiate medical decisions" improved functional status.[5]
Ongoing feedback
A randomized controlled trial of patients at very high risk of coronary events found that use of two clinical prediction rules (http://www.chiprehab.com/CVD/) for predicting coronary events along with tailored feedback, may improve cholesterol values.[6] In this trial, patients were also shown how their calculated risk changed over time and improved in response to changes in the patients' lifestyle changes and pharmacotherapy.
In the treatment of obesity, daily weighing is associated with better dietary restraint.[7][8]
Simplify medication schedules
Patient participation
References
- ↑ 1.0 1.1 National Library of Medicine. Health behavior. Retrieved on 2007-12-06. Cite error: Invalid
<ref>tag; name "title" defined multiple times with different content - ↑ Stephenson BJ, Rowe BH, Haynes RB, Macharia WM, Leon G (1993). "The rational clinical examination. Is this patient taking the treatment as prescribed?". JAMA 269 (21): 2779–81. PMID 8492406. [e] pdf
- ↑ Template:Health promotion
- ↑ Hughes SL, Seymour RB, Campbell RT, Shaw JW, Fabiyi C, Sokas R (2011). "Comparison of two health-promotion programs for older workers.". Am J Public Health 101 (5): 883-90. DOI:10.2105/AJPH.2010.300082. PMID 21421955. Research Blogging.
- ↑ Greenfield S, Kaplan S, Ware JE (1985). "Expanding patient involvement in care. Effects on patient outcomes". Ann. Intern. Med. 102 (4): 520–8. PMID 3977198. [e]
- ↑ Steven A. Grover et al., “Patient Knowledge of Coronary Risk Profile Improves the Effectiveness of Dyslipidemia Therapy: The CHECK-UP Study: A Randomized Controlled Trial,” Arch Intern Med 167, no. 21 (November 26, 2007), http://archinte.ama-assn.org/cgi/content/abstract/167/21/2296 (accessed November 27, 2007).
- ↑ Wing RR, Tate DF, Gorin AA, Raynor HA, Fava JL (2006). "A self-regulation program for maintenance of weight loss". N. Engl. J. Med. 355 (15): 1563–71. DOI:10.1056/NEJMoa061883. PMID 17035649. Research Blogging.
- ↑ Wing RR, Tate DF, Gorin AA, Raynor HA, Fava JL, Machan J (2007). "STOP regain: are there negative effects of daily weighing?". J Consult Clin Psychol 75 (4): 652–6. DOI:10.1037/0022-006X.75.4.652. PMID 17663619. Research Blogging.