Acquista V W, Wachtel T J, Gomes C I, Salzillo M, Stockman M
Division of General Internal Medicine, Rhode Island Hospital, Providence.
J Community Health. 1988 Spring;13(1):43-52. doi: 10.1007/BF01321479.
In an effort to improve Health Risk Appraisals and to induce individuals to change their lifestyles, comprehensive evaluations and counseling sessions were carried out for 476 participants of an experimental preventive care program (1984). Nurse practitioners interviewed participants in their homes and collected information about their lifestyle, medical history, and family history. In addition, physical examinations were performed and blood samples were obtained for laboratory analysis. This information was used to formulate health risk profiles for all participants who were then counseled on how to decrease identified health risks. Interventions included education about health risks and specific programs which were administered to help modify high-risk behaviors. At one year follow-up, significant risk reductions were reported in many areas of increased risk.
为了改进健康风险评估并促使个人改变生活方式,针对一项实验性预防保健项目(1984年)的476名参与者开展了全面评估和咨询会议。执业护士在参与者家中对其进行访谈,并收集有关他们生活方式、病史和家族病史的信息。此外,还进行了体格检查并采集血样用于实验室分析。这些信息被用于为所有参与者制定健康风险概况,然后就如何降低已确定的健康风险为他们提供咨询。干预措施包括有关健康风险的教育以及为帮助改变高危行为而实施的具体项目。在一年的随访中,报告显示在许多风险增加的领域风险显著降低。