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1996-02-27
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Document 0599
DOCN M9630599
TI Ebeltoft project: baseline data from a five-year randomized, controlled,
prospective health promotion study in a Danish population.
DT 9603
AU Lauritzen T; Leboeuf-Yde C; Lunde IM; Nielsen KD; Nordic Institute for
Chiropractic and Clinical Biomechanics,; Odense, Denmark.
SO Br J Gen Pract. 1995 Oct;45(399):542-7. Unique Identifier : AIDSLINE
MED/96104321
AB BACKGROUND. There is increasing political pressure on the medical
profession to approach welfare diseases, such as coronary heart disease
and diabetes, through prevention. General practitioners are required to
offer regular health checks to healthy people, in spite of the lack of
scientific evidence for the universal need, usefulness and side effects
of such an intervention. Randomized controlled trials are needed. AIM. A
study was carried out to investigate people's interest in participating
in health checks and in discussions about health with their own general
practitioner, participants' health status, the proportion who received
health advice following health checks, and the lifestyle goals they set
following discussion with their general practitioner. This study reports
the baseline data from a five-year randomized, controlled, prospective,
population-based study in general practices in Ebeltoft, Denmark.
METHOD. All general practitioners from the four practices in Ebeltoft
and a random sample of 2000 people aged between 30 and 50 years were
invited to participate. Participants were randomly divided into three
groups--one control group and two intervention groups. One intervention
group were given a health check which included being screened for
cardiovascular risk factors, lung and liver function, fitness, sight and
hearing and an optional test for the human immunodeficiency virus (HIV);
this group received written feedback from the general practitioner. The
other intervention group were also given a health check and written
feedback; in addition, they were given the opportunity to attend their
general practitioner to discuss preventive health. RESULTS. A total of
1370 people participated in the study (69% response rate). Health advice
was given to 76% of 905 participants following health checks. Almost all
of the 456 participants (96%) who were offered the opportunity of
discussing their health with their general practitioner took up the
offer; 64% of the 456 participants reported that they had decided to
undertake lifestyle changes. Eleven of those who discussed their health
with the doctor were referred to a specialist (2%). CONCLUSION. There
was considerable interest in participating in health promotion. Three
out of four of those having a health check were given health advice. Two
out of three of those offered a health talk with the general
practitioner appeared willing to make relevant lifestyle changes.
Long-term follow up is needed to determine effects and side effects of
health checks and health talks.
DE Adult Attitude to Health Denmark *Family Practice Female Health
Education *Health Promotion Human Male Middle Age Prospective
Studies Support, Non-U.S. Gov't CLINICAL TRIAL JOURNAL ARTICLE
RANDOMIZED CONTROLLED TRIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).