J Korean Med Sci.  2012 Nov;27(11):1285-1291. 10.3346/jkms.2012.27.11.1285.

Effect of Aditional Brief Counselling after Periodic Health Examination on Motivation for Health Behavior Change

• Son KY
• Lee CM
• Cho B
• Lym YL
• Oh SW
• Chung W
• Lee JS
• Park D
• Kim HS

• KMID: 2157936
• DOI: http://doi.org/10.3346/jkms.2012.27.11.1285

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.

Keyword

Mass Screening; Health Behavior; Motivation; Counseling; Aged

MeSH Terms

Adult
Aged
*Counseling
Demography
Female
*Health Behavior
Health Promotion
Humans
Male
Odds Ratio

Figure

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  Fig. 1 Age-adjusted proportion of positive changers in the basic and additional program groups. *Adjusted for age, sex, hypertension, hypercholesterolemia, physical activity level, baseline stage of change (age was adjusted only in total).

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