Metadados
Tipologia documental
Título
Impact of training primary care physicians in behavioral counseling to reduce cardiovascular disease risk factors in Ecuador
Autores
Manuel E Baldeón,Marco Fornasini,Nancy Flores,Philip A Merriam,Milagros Rosal,Juan C Zevallos,Ira Ocken
Resumo
To assess the feasibility of implementing a physician-based, patient-centered counseling intervention model in Ecuador to improve the ability of primary care physicians (PCPs) to reduce cardiovascular disease (CVD) risk factors among patients.
This was a randomized clinical trial conducted in primary care clinics in Quito in 2014 - 2016. Participants included 15 PCPs and their adult patients at high risk of developing type-2 diabetes. A physician-based and patient-centered counseling program was delivered to eight PCPs. Seven PCPs who did not receive the training comprised the control group. The patient experience was assessed by a patient exit interview (PEI). Assessment of the patient's anthropometrics, blood pressure, and blood biochemistry parameters were conducted. Changes within and between groups were estimated utilizing chi-square, ANOVA, paired t-tests, and coefficient with intervention.
A total of 197 patients participated, 113 in the intervention care group (ICG) and 84 in the usual care group (UCG)
Editora científica
Data
DOI do documento
Palavras-chave
Biochemistry,Blood pressure,Body mass index,Cardiovascular disease,Cardiovascular diseases,Cholesterol,Clinical research,Clinical trials,Counseling,Developing countries,Diabetes,Doenças cardiovasculares,Ecuador,Enfermedades cardiovasculares,Equador,Feasibility,HDL-colesterol,Health Policy & Services,High risk,Intervention,LDCs,LDL-colesterol,Original Research,Parameters,Patient-centered care,Patients,Physicians,Primary care,Risk behavior,Risk factors,Risk reduction,capacitación de recursos humanos en salud,capacitação de recursos humanos em saúde,cholesterol, HDL,cholesterol, LDL,diabetes mellitus tipo 2,diabetes mellitus, type 2,health human resource training,presión sanguínea,pressão sanguínea