@article{bce895f7e8ee4880aa9b2f684d7f6dc9,
title = "The gap between clinical trial and application in health behavior counseling: Can behavioral medicine build a bridge?",
abstract = "Patients desire to have information about health-related behaviors (e.g.,exercise) provided to them by their health care provider. Outcomes of clinical trials in physical activity counseling are modest at best and therefore, the degree of effectiveness of physical activity counseling in the primary care setting remains unclear. We.describe what may be considered a {"}real-world{"} example of behavior change counseling aimed at primary or secondary risk factor identification and modification for CHD in women. We examined rates of baseline and follow-up physical activity in our sample of midlife Caucasian and African American women (N = 227) participating in a hospital-based CHD-risk screening. Baseline physical activity levels and rates of return for follow-up appointments were quite low with only negligible achievement of behavior change recommendations. In light of these findings, the potential role of behavioral medicine in training and collaboration with health care providers in primary care behavior counseling is discussed.",
keywords = "Health behavior counseling, Integrated primary care, Multi-disciplinary training",
author = "Beacham, {Abbie O.} and Stetson, {Barbara A.} and Johnson, {Laura R.} and Adams, {Kent J.} and Stephen Looney and Melissa Burgard",
note = "Funding Information: This study reviewed effects of a clinical screening for CHD and health behavior change intervention which was conducted as a clinical service in the general community. As such, it was not developed with the explicit goal of application of evidence-based strategies and outcome assessment. Most of studies in primary care counseling for exercise reviewed have been comprehensive and controlled clinical trials. Resources for such controlled trials are frequently supported by external grant funding not routinely available for typical clinical service provision in “real-world” settings. The program we describe may be considered a “real-world” example of behavior change counseling aimed at primary or secondary risk factor identification and modification. This scenario reintroduces an enduring question of how to effectively bridge “the treatment gap” between evidence-based approaches to health behavior change and “real-world” clinical application for meaningful clinical change in a cost-and time-efficient manner (Pearson & Peters, 1997).",
year = "2003",
month = dec,
doi = "10.1023/A:1026341002113",
language = "English (US)",
volume = "10",
pages = "239--249",
journal = "Journal of Clinical Psychology in Medical Settings",
issn = "1068-9583",
publisher = "Springer New York",
number = "4",
}