Blonstein Andrea C, Yank Veronica, Stafford Randall S, Wilson Sandra R, Rosas Lisa Goldman, Ma Jun
Palo Alto Medical Foundation Research Institute, Palo Alto, CA 94301, USA.
Health Promot Pract. 2013 Jul;14(4):491-7. doi: 10.1177/1524839913481604. Epub 2013 Mar 28.
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.
E-LITE（初级保健中治疗心血管代谢风险升高的生活方式干预评估）试验评估了在初级保健环境中转化基于证据的生活方式干预措施以管理肥胖及相关风险因素的可行性和潜在效果。该干预由专职医疗保健人员提供，通过逐步、可持续的生活方式改变，促进至少7%的体重减轻以及每周至少150分钟的中等强度体育活动。活动包括互动式小组课程、食物品尝、有指导的体育活动以及技术介导的自我监测和行为咨询。本文讨论了相关见解以及加强项目实施以将E-LITE项目推广至其他初级保健环境的潜在改进领域。我们重点关注：（a）专职医疗专业人员在项目实施中的作用；（b）加强项目在初级保健诊所内的整合；（c）利用信息技术扩大项目的覆盖范围和影响力。我们的经验表明，在初级保健环境中实施一个结合小组提供的营养和行为咨询、体育活动培训以及技术介导随访的基于证据的生活方式干预项目是可行的。挑战依然存在，我们提供了可能的解决方案来克服这些挑战。
