Health improvement and prevention study (HIPS) - evaluation of an intervention to prevent vascular disease in general practice
<p>Abstract</p> <p>Background</p> <p>The Health Improvement and Prevention Study (HIPS) study aims to evaluate the capacity of general practice to identify patients at high risk for developing vascular disease and to reduce their risk of vascular disease and diabetes th...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2010-08-01
|
| Series: | BMC Family Practice |
| Online Access: | http://www.biomedcentral.com/1471-2296/11/57 |
| _version_ | 1818234133046886400 |
|---|---|
| author | Davies Gawaine Wan Qing McKenzie Suzanne Passey Megan Laws Rachel A Fanaian Mahnaz Lyle David Harris Mark F |
| author_facet | Davies Gawaine Wan Qing McKenzie Suzanne Passey Megan Laws Rachel A Fanaian Mahnaz Lyle David Harris Mark F |
| author_sort | Davies Gawaine |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>The Health Improvement and Prevention Study (HIPS) study aims to evaluate the capacity of general practice to identify patients at high risk for developing vascular disease and to reduce their risk of vascular disease and diabetes through behavioural interventions delivered in general practice and by the local primary care organization.</p> <p>Methods/Design</p> <p>HIPS is a stratified randomized controlled trial involving 30 general practices in NSW, Australia. Practices are randomly allocated to an 'intervention' or 'control' group. General practitioners (GPs) and practice nurses (PNs) are offered training in lifestyle counselling and motivational interviewing as well as practice visits and patient educational resources. Patients enrolled in the trial present for a health check in which the GP and PN provide brief lifestyle counselling based on the 5As model (ask, assess, advise, assist, and arrange) and refer high risk patients to a diet education and physical activity program. The program consists of two individual visits with a dietician or exercise physiologist and four group sessions, after which patients are followed up by the GP or PN. In each practice 160 eligible patients aged between 40 and 64 years are invited to participate in the study, with the expectation that 40 will be eligible and willing to participate. Evaluation data collection consists of (1) a practice questionnaire, (2) GP and PN questionnaires to assess preventive care attitudes and practices, (3) patient questionnaire to assess self-reported lifestyle behaviours and readiness to change, (4) physical assessment including weight, height, body mass index (BMI), waist circumference and blood pressure, (5) a fasting blood test for glucose and lipids, (6) a clinical record audit, and (7) qualitative data collection. All measures are collected at baseline and 12 months except the patient questionnaire which is also collected at 6 months. Study outcomes before and after the intervention is compared between intervention and control groups after adjusting for baseline differences and clustering at the level of the practice.</p> <p>Discussion</p> <p>This study will provide evidence of the effectiveness of a primary care intervention to reduce the risk of cardiovascular disease and diabetes in general practice patients. It will inform current policies and programs designed to prevent these conditions in Australian primary health care.</p> <p>Trial Registration</p> <p>ACTRN12607000423415</p> |
| first_indexed | 2024-12-12T11:33:13Z |
| format | Article |
| id | doaj.art-501d11ca8c1d492a88ffa8c531b010c7 |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-12-12T11:33:13Z |
| publishDate | 2010-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-501d11ca8c1d492a88ffa8c531b010c72022-12-22T00:25:44ZengBMCBMC Family Practice1471-22962010-08-011115710.1186/1471-2296-11-57Health improvement and prevention study (HIPS) - evaluation of an intervention to prevent vascular disease in general practiceDavies GawaineWan QingMcKenzie SuzannePassey MeganLaws Rachel AFanaian MahnazLyle DavidHarris Mark F<p>Abstract</p> <p>Background</p> <p>The Health Improvement and Prevention Study (HIPS) study aims to evaluate the capacity of general practice to identify patients at high risk for developing vascular disease and to reduce their risk of vascular disease and diabetes through behavioural interventions delivered in general practice and by the local primary care organization.</p> <p>Methods/Design</p> <p>HIPS is a stratified randomized controlled trial involving 30 general practices in NSW, Australia. Practices are randomly allocated to an 'intervention' or 'control' group. General practitioners (GPs) and practice nurses (PNs) are offered training in lifestyle counselling and motivational interviewing as well as practice visits and patient educational resources. Patients enrolled in the trial present for a health check in which the GP and PN provide brief lifestyle counselling based on the 5As model (ask, assess, advise, assist, and arrange) and refer high risk patients to a diet education and physical activity program. The program consists of two individual visits with a dietician or exercise physiologist and four group sessions, after which patients are followed up by the GP or PN. In each practice 160 eligible patients aged between 40 and 64 years are invited to participate in the study, with the expectation that 40 will be eligible and willing to participate. Evaluation data collection consists of (1) a practice questionnaire, (2) GP and PN questionnaires to assess preventive care attitudes and practices, (3) patient questionnaire to assess self-reported lifestyle behaviours and readiness to change, (4) physical assessment including weight, height, body mass index (BMI), waist circumference and blood pressure, (5) a fasting blood test for glucose and lipids, (6) a clinical record audit, and (7) qualitative data collection. All measures are collected at baseline and 12 months except the patient questionnaire which is also collected at 6 months. Study outcomes before and after the intervention is compared between intervention and control groups after adjusting for baseline differences and clustering at the level of the practice.</p> <p>Discussion</p> <p>This study will provide evidence of the effectiveness of a primary care intervention to reduce the risk of cardiovascular disease and diabetes in general practice patients. It will inform current policies and programs designed to prevent these conditions in Australian primary health care.</p> <p>Trial Registration</p> <p>ACTRN12607000423415</p>http://www.biomedcentral.com/1471-2296/11/57 |
| spellingShingle | Davies Gawaine Wan Qing McKenzie Suzanne Passey Megan Laws Rachel A Fanaian Mahnaz Lyle David Harris Mark F Health improvement and prevention study (HIPS) - evaluation of an intervention to prevent vascular disease in general practice BMC Family Practice |
| title | Health improvement and prevention study (HIPS) - evaluation of an intervention to prevent vascular disease in general practice |
| title_full | Health improvement and prevention study (HIPS) - evaluation of an intervention to prevent vascular disease in general practice |
| title_fullStr | Health improvement and prevention study (HIPS) - evaluation of an intervention to prevent vascular disease in general practice |
| title_full_unstemmed | Health improvement and prevention study (HIPS) - evaluation of an intervention to prevent vascular disease in general practice |
| title_short | Health improvement and prevention study (HIPS) - evaluation of an intervention to prevent vascular disease in general practice |
| title_sort | health improvement and prevention study hips evaluation of an intervention to prevent vascular disease in general practice |
| url | http://www.biomedcentral.com/1471-2296/11/57 |
| work_keys_str_mv | AT daviesgawaine healthimprovementandpreventionstudyhipsevaluationofaninterventiontopreventvasculardiseaseingeneralpractice AT wanqing healthimprovementandpreventionstudyhipsevaluationofaninterventiontopreventvasculardiseaseingeneralpractice AT mckenziesuzanne healthimprovementandpreventionstudyhipsevaluationofaninterventiontopreventvasculardiseaseingeneralpractice AT passeymegan healthimprovementandpreventionstudyhipsevaluationofaninterventiontopreventvasculardiseaseingeneralpractice AT lawsrachela healthimprovementandpreventionstudyhipsevaluationofaninterventiontopreventvasculardiseaseingeneralpractice AT fanaianmahnaz healthimprovementandpreventionstudyhipsevaluationofaninterventiontopreventvasculardiseaseingeneralpractice AT lyledavid healthimprovementandpreventionstudyhipsevaluationofaninterventiontopreventvasculardiseaseingeneralpractice AT harrismarkf healthimprovementandpreventionstudyhipsevaluationofaninterventiontopreventvasculardiseaseingeneralpractice |