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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >The effect of personal lifestyle intervention among health care providers on their patients and clinics; the Promoting Health by Self Experience (PHASE) randomized controlled intervention trial
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The effect of personal lifestyle intervention among health care providers on their patients and clinics; the Promoting Health by Self Experience (PHASE) randomized controlled intervention trial

机译：保健提供者之间的个人生活方式干预对其患者和诊所的影响;通过自我体验促进健康（PHASE）随机对照干预试验

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Objective: To determine the effect of self-experience multidisciplinary lifestyle intervention on health care providers (HCPs), patients and clinics. Methods: We randomized 15 primary-care clinics (serving 93,821 members), matched by patient profile, to provide the HCPs, either intervention or control HMO program. We followed personally 77 HCPs and 496 patients, and evaluated clinical measurement rate (CMR) changes (January-September 2010; Israel). Results: HCPs within the intervention group demonstrated personal improvement in health initiative attitudes (p0.05 vs. baseline), and a decrease in salt intake (p0.05 vs. control). HCP intervention group's patients exhibited overall improvement in dietary patterns, specifically in salt, red meat (p0.05 vs. baseline), fruit, and vegetable (p0.05 vs. control) intake. Height, lipids, HbA1 C and CMR increased within the intervention group's clinics (p0.05 vs. baseline) with increased referral to angiography tests (p0.05 vs. control). Within the intervention group, HCPs' salt pattern improvement was associated with increased lipid CMR (r=0.71; p=0.048), and lower HCPs' body weight was associated with increased blood pressure (r=-0.81; p=0.015) and lipid (r=-0.69; p=0.058) CMR. Conclusions: HCPs' personal lifestyles are directly correlated with their clinical performance. Interventions to promote health through HCP's self-experience are valuable and somewhat haloed to patients and clinics, suggesting an adjunct strategy in primary prevention.
机译：目的：确定自我体验的多学科生活方式干预对卫生保健提供者（HCP），患者和诊所的影响。方法：我们根据患者情况随机分配了15家初级保健诊所（服务93,821名成员），以提供HCP（干预或对照HMO计划）。我们亲自跟踪了77位HCP和496位患者，并评估了临床测量率（CMR）的变化（2010年1月至9月;以色列）。结果：干预组中的HCP表现出健康主动态度方面的个人改善（相对于基线，p <0.05）和盐摄入量减少（相对于对照组，p <0.05）。 HCP干预组的患者饮食结构总体改善，尤其是盐，红肉（相对于基线，p <0.05），水果和蔬菜（相对于对照组，p <0.05）的摄入量。干预组诊所内的身高，血脂，HbA1 C和CMR均增加（相对于基线，p <0.05），而接受血管造影检查的比例增加（相对于对照组，p <0.05）。在干预组中，HCPs的盐模式改善与脂质CMR升高相关（r = 0.71; p = 0.048），HCPs体重降低与血压升高（r = -0.81; p = 0.015）和脂质相关（r ＝ -0.69; p ＝ 0.058）CMR。结论：HCP的个人生活方式与其临床表现直接相关。通过HCP的自我经验来促进健康的干预措施很有价值，并且对患者和诊所而言有些微不足道，这表明了一级预防的辅助策略。

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