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首页> 外文期刊>American Journal of Preventive Medicine >Applying the Pragmatic-Explanatory Continuum Indicator Summary Model in a Primary Care-Based Lifestyle Intervention Trial
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Applying the Pragmatic-Explanatory Continuum Indicator Summary Model in a Primary Care-Based Lifestyle Intervention Trial

机译：在初级保健的生活方式干预试验中应用务实的解释性连续体指示器摘要模型

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The majority of adults in the U.S. can be classified as overweight or obese (68%), putting them at risk for Type 2 diabetes, cardiovascular diseases, and other adverse health outcomes. The U.S. Preventive Services Task Force recommends that providers offer or refer obese adults to intensive, multicomponent lifestyle interventions. However, there is a critical need for interventions that have been shown to be pragmatic and effective among diverse populations, scalable across different clinical settings and systems, and sustainable over time. The Pragmatic Explanatory Continuum Indicator Summary (PRECIS) tool can be used to assess the degree to which trials of behavioral lifestyle interventions provide evidence to support this need. We used our recently completed trial, Evaluation of Lifestyle Interventions to Treat Elevated Cardiometabolic Risk in Primary Care (E-LITE), as a case study and assessed the domains of PRECIS to explore the degree to which we felt it achieved its intended pragmatic design (completed in December 2014). Overall, the systematic assessment using the PRECIS tool revealed that the E-LITE trial design was very pragmatic in nature. Its results and the subsequent adoption of the intervention into actual practice also suggest high potential for implementation of primary care interventions. (C) 2015 American Journal of Preventive Medicine.
机译：美国大多数成年人可以被归类为超重或肥胖（68％），使其面临2型糖尿病，心血管疾病和其他不利健康结果的风险。美国预防性服务工作队建议提供商提供或将肥胖成年人提供给密集，多组分的生活方式干预措施。然而，对于在不同群体中，在不同临床环境和系统上可扩展的术语中，已被证明是务实和有效的干预措施的关键需求，以及随着时间的推移可持续。务实的解释性连续内容摘要（Precis）工具可用于评估行为生活方式干预的试验的程度提供了支持这种需求的证据。我们利用最近完成的试验，评估生活方式干预，以治疗初级保健（E-Lite）的升高的心肌差异风险，为一个案例研究，并评估了PRECIS探讨了我们觉得它达到预期务实设计的程度（于2014年12月完成）。总体而言，使用PRECIS工具的系统评估显示，E-Lite试验设计本质上非常务实。其结果和随后采用干预实际做法也建议实施初级保健干预措施的高潜力。 （c）2015年美国预防医学杂志。

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