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Behavioral Counseling Research and Evidence-Based Practice Recommendations: U.S. Preventive Services Task Force Perspectives
Journal article   Open access   Peer reviewed

Behavioral Counseling Research and Evidence-Based Practice Recommendations: U.S. Preventive Services Task Force Perspectives

Susan J CURRY, David C GROSSMAN, Evelyn P WHITLOCK and Adelita CANTU
Annals of internal medicine, Vol.160(6), pp.407-413
2014
DOI: 10.7326/M13-2128
PMID: 24723080
url
https://doi.org/10.7326/M13-2128View
Published (Version of record) Open Access

Abstract

The U.S. Preventive Services Task Force (USPSTF) makes recommendations on which preventive services to routinely incorporate into primary care for specific populations. Behavioral counseling interventions are preventive services designed to help persons engage in healthy behaviors and limit unhealthy ones. The USPSTF's evaluation of behavioral counseling interventions asks 2 primary questions: Do interventions in the clinical setting influence persons to change their behavior, and does changing health behavior improve health outcomes with minimal harms?This article discusses challenges encountered by the USPSTF in aggregating the behavioral counseling intervention literature to develop guidelines. The challenges relate broadly to study populations, intervention protocols, assessment of outcomes, and linking behavior changes to health outcomes. Recommendations to address these challenges include use of the PRECIS (Pragmatic-Explanatory Continuum Indicator Summary) tool as a guide for the development of feasible, replicable, and generalizable behavioral counseling interventions; improved reporting of study methods and results; consensus measures for key behavioral outcomes; and use of existing data sets to link behavior change and clinical outcomes.
Public health. Hygiene-occupational medicine Public health. Hygiene General aspects Miscellaneous Prevention and actions Biological and medical sciences Medical sciences

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