Effect of aditional brief counselling after periodic health examination on motivation for health behavior change

Ki Young Son, Cheol Min Lee, Belong Cho, Youl Lee Lym, Seung-Won Oh, Wonjoo Chung, Jin-Seok Lee, DuShin Park, Han Suk Kim

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

This study was to evaluate the effect of additional brief counseling by a primary care physician on lifestyle modification of examinees after a periodic health examination. 1,000 participants of the 2007 Korean national health screening program were asked to note any variation in their health behavior after participating in the screening program. The degree of comprehensive motivation for lifestyle modification was assessed in terms of stages of health behavior change. We calculated odds ratio of positive change (enhanced stage of change) with multiple logistic regression analysis and age-adjusted proportion of positive changers. Of 989 respondents, 486 and 503 received the basic and additional programs, respectively. Additional group were more likely to be positive changer than basic group (adjusted OR 1.78; 95% CI 1.19-2.65), and this was more prominent in older age group (adjusted OR 2.38, 95% CI 1.23-4.58). The age-adjusted proportions of positive changers were 22.7% (95% CI, 17.9-28.3) and 36.2% (95% CI, 30.4-42.4) in the basic and additional groups, respectively (P < 0.001). The additional consultation led to improvements in the stage of health behavior change after the health examination. Thus, such a consultation should be considered when designing a health-screening program.

Original languageEnglish
Pages (from-to)1285-1291
Number of pages7
JournalJournal of Korean Medical Science
Volume27
Issue number11
DOIs
StatePublished - 1 Dec 2012

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Health Behavior
Motivation
Counseling
Life Style
Health
Referral and Consultation
National Health Programs
Primary Care Physicians
Age Groups
Logistic Models
Odds Ratio
Regression Analysis

Keywords

  • Aged
  • Counseling
  • Health behavior
  • Mass screening
  • Motivation

Cite this

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abstract = "This study was to evaluate the effect of additional brief counseling by a primary care physician on lifestyle modification of examinees after a periodic health examination. 1,000 participants of the 2007 Korean national health screening program were asked to note any variation in their health behavior after participating in the screening program. The degree of comprehensive motivation for lifestyle modification was assessed in terms of stages of health behavior change. We calculated odds ratio of positive change (enhanced stage of change) with multiple logistic regression analysis and age-adjusted proportion of positive changers. Of 989 respondents, 486 and 503 received the basic and additional programs, respectively. Additional group were more likely to be positive changer than basic group (adjusted OR 1.78; 95{\%} CI 1.19-2.65), and this was more prominent in older age group (adjusted OR 2.38, 95{\%} CI 1.23-4.58). The age-adjusted proportions of positive changers were 22.7{\%} (95{\%} CI, 17.9-28.3) and 36.2{\%} (95{\%} CI, 30.4-42.4) in the basic and additional groups, respectively (P < 0.001). The additional consultation led to improvements in the stage of health behavior change after the health examination. Thus, such a consultation should be considered when designing a health-screening program.",
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Effect of aditional brief counselling after periodic health examination on motivation for health behavior change. / Son, Ki Young; Lee, Cheol Min; Cho, Belong; Lym, Youl Lee; Oh, Seung-Won; Chung, Wonjoo; Lee, Jin-Seok; Park, DuShin; Kim, Han Suk.

In: Journal of Korean Medical Science, Vol. 27, No. 11, 01.12.2012, p. 1285-1291.

Research output: Contribution to journalArticle

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