Anthony, D orcid.org/0000-0003-1787-8832, Dyson, PA, Lv, J et al. (3 more authors) (2016) Community Interventions for Health can support clinicians in advising patients to reduce tobacco use, improve dietary intake and increase physical activity. Journal of Clinical Nursing, 25 (21-22). pp. 3167-3175. ISSN 0962-1067
Abstract
Aims and objectives To increase clinical interventions to reduce modifiable risk factors for non-communicable disease in low and middle-income countries Background Non-communicable disease is the leading cause of death in the world and is common in low and middle-income countries. Risk factors for non-communicable disease are modifiable and health professionals are in an unique position to intervene and influence them. Design Clinical interventions were utilized as part of the Community Interventions for Health programme, a non-randomised, controlled study undertaken in three communities – one each in China, India and Mexico. Methods All clinicians in intervention and control areas of the study were invited to complete surveys. 2280 completed surveys at baseline and 2501 at follow-up. Culturally appropriate interventions to reduce tobacco use, improve dietary intake and increase physical activity were delivered in the intervention areas. Results Clinicians in the intervention group felt more prepared to advise smoking cessation and improvement of diet. They were more likely to test serum cholesterol and blood pressure but less likely to take measurements of height, hip, waist and skinfold thickness. There were more resources available to clinicians in the intervention group and they used counselling more and complementary medicine less than those in the control group. Conclusions Community interventions which have been shown to have a positive effect in the community and workplace also change clinical practice. Relevance to clinical practice Community interventions make clinicians, including nurses, more likely to feel prepared to offer advice and more likely to use counselling. This would be expected to reduce risk factors in patients.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016, John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Anthony, D, Dyson, P, Lv, J, Thankappan, KR, Champgane, B and Matthews, DR (2016) Community Interventions for Health can support clinicians in advising patients to reduce tobacco use, improve dietary intake and increase physical activity. Journal of Clinical Nursing. ISSN 0962-1067, which has been published in final form at http://dx.doi.org/10.1111/jocn.13323. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | tobacco; smoking; physical activity; nutrition; obesity; nursing |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing Adult (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 11 Jul 2016 11:14 |
Last Modified: | 29 Jul 2017 12:38 |
Published Version: | http://dx.doi.org/10.1111/jocn.13323 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/jocn.13323 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:102152 |