Translating an evidence-based lifestyle intervention program into primary care: lessons learned

Health Promot Pract. 2013 Jul;14(4):491-7. doi: 10.1177/1524839913481604. Epub 2013 Mar 28.

Abstract

The E-LITE (Evaluation of Lifestyle Interventions to Treat Elevated Cardiometabolic Risk in Primary Care) trial evaluated the feasibility and potential effectiveness of translating an evidence-based lifestyle intervention for the management of obesity and related risk factors in a primary care setting. Delivered by allied health care providers, the intervention promoted at least 7% weight loss and at least 150 minutes per week of moderate-intensity physical activity through gradual, sustainable lifestyle changes. Activities included interactive group lessons, food tasting, guided physical activity, and technology-mediated self-monitoring and behavioral counseling. This article discusses insights and potential areas for improvement to strengthen program implementation for dissemination of the E-LITE program to other primary care settings. We focus on (a) the role of allied health professionals in program delivery, (b) strengthening program integration within a primary care clinic, and (c) the use of information technology to extend the reach and impact of the program. Our experience shows the feasibility of implementing an evidence-based lifestyle intervention program combining group-delivered nutrition and behavioral counseling, physical activity training, and technology-mediated follow-up in a primary care setting. Challenges remain, and we offer possible solutions to overcome them.

Keywords: behavior change; chronic disease; health education; nutrition; obesity; patient education; physical activity/exercise; process evaluation; program planning and evaluation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cardiovascular Diseases / prevention & control*
  • Counseling / organization & administration
  • Diet
  • Evidence-Based Practice*
  • Exercise
  • Health Behavior*
  • Health Promotion / methods
  • Health Promotion / organization & administration
  • Humans
  • Internet
  • Life Style*
  • Primary Health Care / methods
  • Primary Health Care / organization & administration*
  • Program Evaluation
  • Weight Loss