Low-budget method for lifestyle improvement in primary care. Experiences from the Göteborg Health Profile Project

Scand J Prim Health Care. 2005 Jun;23(2):82-7. doi: 10.1080/02813430510018482.

Abstract

Objective: To describe a self-administered preventive tool dealing with risk factors for cardiovascular disease and its effect with special reference to the question: did the project involve persons most in need of lifestyle changes?

Design: Screening questions offered to consecutive patients and followed by a self-administered health profile, intervention, and follow-up. Setting. Primary healthcare area of Askim, Sweden.

Subjects: Men and women between 18 and 65 years of age visiting GPs for acute disorders or planned visits during a three-month period were offered screening questions and, if wanted, a health profile.

Main outcome measures: Participation rates, effects on lifestyle factors.

Results: There was an overrepresentation of subjects with a less favourable lifestyle among those who asked for the health profile. There was good agreement for all variables between self-estimation in screening questions and grading in the basal health profile. Lifestyle improvement was observed for dietary habits, physical activity, and mental stress at the one year follow-up.

Conclusions: The results indicate that a relevant selection of persons with a "risk profile" can be made by means of simple screening questions. The pedagogic model using self-administered health profile in combination with own responsibility seems to be a tool for low-budget preventive work in primary healthcare.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Cardiovascular Diseases / prevention & control*
  • Female
  • Follow-Up Studies
  • Health Promotion / economics*
  • Health Status*
  • Humans
  • Life Style*
  • Male
  • Mass Screening / economics
  • Middle Aged
  • Preventive Health Services / economics*
  • Primary Health Care / economics*
  • Risk Factors
  • Self Concept*
  • Surveys and Questionnaires
  • Sweden