Reference | Intervention | Study type and quality | SNAPW outcomes | Health literacy outcomes |
---|---|---|---|---|
Authors: Adolfsson ET, Walker-EngstrÃm ML, Smide B, Wikblad K [36] | Patient education in type 2 diabetes-A randomized controlled 1-year follow-up study | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: Yes |
Intervention type: Group education | Quality rating: High | Nutrition: N/A | Patient skills: N/A | |
Description: Group empowerment sessions | Quality score: 2.66 | Alcohol: N/A | Self efficacy: No | |
Intensity: 4–5 sessions over 7 months | Physical activity: N/A | Stage of change: N/A | ||
Intensity score: M | Weight: No | |||
Provider: Multi-disciplinary team (GP, educator) | Patient activation: N/A | |||
Shared decision making: N/A | ||||
Other health literacy outcome: N/A | ||||
Authors: Aldana SG, Greenlaw RL, Diehl HA, Salberg A, Merrill RM, Ohmine S, et al [37] | Effects of an intensive diet and physical activity modification program on the health risks of adults | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: Yes |
Intervention type: Group education | Quality rating: High | Nutrition: Yes | Patient skills: N/A | |
Description: Group education with participants following preset dietary goals | Quality score: 3.0 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 40 h over a 4-week period | Physical activity: Yes | Stage of change: N/A | ||
Intensity score: M | Weight: Yes | Patient activation: N/A | ||
Provider: Multi-disciplinary team (GP, educator) | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Brassington GS, Atienza AA, Perczek RE, DiLorenzo TM, King AC [38] | Intervention-Related Cognitive Versus Social | Study type: Randomised Trial | Smoking: N/A | Patient knowledge: N/A |
Mediators of Exercise Adherence in the Elderly | Quality rating: Low | Nutrition: N/A | Patient skills: N/A | |
Intervention type: Telephone | Alcohol: N/A | Self efficacy: Yes | ||
Description: Telephone Counselling + exercise logs | Physical activity: Yes | Stage of change: N/A | ||
Intensity: exercise prescription, telephone exercise counseling to promote exercise adherence for 12 months, and attended 6- and 12-month assessment visits | Weight: N/A | Patient activation: N/A | ||
Intensity score: H | Quality score: 1.83 | Shared decision making: N/A | ||
Provider: Educator | Other health literacy outcome: N/A | |||
Authors: de Vries H, Kremers SP, Smeets T, Brug J, Eijmael K [53] | The effectiveness of tailored feedback and action plans in an intervention addressing multiple health behaviors | Study type: Randomised Controlled Trial | Smoking: No | Patient knowledge: N/A |
Intervention type: Written material | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: 3 iterative tailored feedback letters | Quality score: 2.0 | Alcohol: N/A | Self efficacy: Yes | |
Intensity: 3 iterative feedback letters | Physical activity: Yes | Stage of change: N/A | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Other | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Dunn AL, Marcus BH, Kampert JB, Garcia ME, Kohl HW, Blair SN [39] | Reduction in cardiovascular disease risk factors: 6-month results from Project Active | Study type: Randomised Clinical Trial | Smoking: N/A | Patient knowledge: Yes |
Intervention type: Motivational interviewing and counseling | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Cognitive & behavioural strategies + Motivational Interviewing - advised to accumulate at least 30 min of moderate intensity physical activity on most days of the week, tailored to their lifestyle | Quality score: 2.33 | Alcohol: N/A | Self efficacy: Yes | |
Intensity: small groups that met for an hour 1 night a week for the first 16 weeks, and then every other week for weeks 17 to 24, | Physical activity: Yes | Stage of change: No | ||
Intensity score: H | Weight: N/A | Patient activation: N/A | ||
Provider: Educator | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Efraimsson EÃ, Hillervik C, Ehrenberg A [40] | Effects of COPD self-care management education at a nurse-led primary health care clinic | Study type: Randomised Controlled Trial | Smoking: Yes | Patient knowledge: Yes |
Intervention type: Motivational interviewing and counseling | Quality rating: Low | Nutrition: N/A | Patient skills: N/A | |
Description: Disease education (COPD) & counseling on RF | Quality score: 1.83 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 12–20 weeks | Physical activity: Yes | Stage of change: N/A | ||
Intensity score: H | Weight: N/A | Patient activation: N/A | ||
Provider: Nurse | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Goldstein MG, Pinto BM, Marcus BH, Lynn H, Jette AM, Rakowski W, et al [32] | Physician-based physical activity counseling for middle-aged and older adults: a randomized trial | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Motivational interviewing and counseling | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Individualised motivational counseling, goal setting + PA prescription + mailed monthly materials | Quality score: 2.33 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 5 mins brief counseling with mailed monthly materials | Physical activity: No | Stage of change: No | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Doctor | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Hartman TJ, McCarthy PR, Park RJ, Schuster E, Kushi LH [54] | Results of a community-based low-literacy nutrition education program | Study type: Randomised Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Group education | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: 10 sessions and written information | Quality score: 2.5 | Alcohol: N/A | Self efficacy: No | |
Intensity: 10 sessions | Physical activity: N/A | Stage of change: N/A | ||
Intensity score: H | Weight: N/A | Patient activation: N/A | ||
Provider: Lay worker | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Kloek GC, van Lenthe FJ, van Nierop PWM, Koelen MA, Mackenbach JP [55] | Impact evaluation of a Dutch community intervention to improve health-related behaviour in deprived neighbourhoods | Study type: Quasi experimental | Smoking: No | Patient knowledge: Yes |
Intervention type: Mixed intervention | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: Group education + community development (one off special events) | Quality score: 2.16 | Alcohol: No | Self efficacy: Yes | |
Intensity: 2 year intervention | Physical activity: No | Stage of change: Yes | ||
Intensity score: H | Weight: N/A | Patient activation: N/A | ||
Provider: Other | Shared decision making: N/A | |||
Other health literacy outcome: No | ||||
Authors: Lorig KR, Ritter PL, Jacquez A [56] | Outcomes of border health Spanish/English Chronic Disease Self-management Programs | Study type: Before and After Study | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Group education | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: CDSMP | Quality score: 2.16 | Alcohol: N/A | Self efficacy: Yes | |
Intensity: 2.5 h sessions over 6 weeks - total 14 h | Physical activity: Yes | Stage of change: N/A | ||
Intensity score: H | Weight: N/A | Patient activation: N/A | ||
Provider: Lay worker | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Nies MA, Artinian NT, Schim SM, Vander Wal JS, Sherrick-Escamilla S [57] | Effects of lay health educator interventions on activity, diet, and health risks in an urban Mexican American community | Study type: Before and After Study | Smoking: N/A | Patient knowledge: No |
Intervention type: Group education | Quality rating: Low | Nutrition: No | Patient skills: N/A | |
Description: Health promotion train the trainer sessions in the community | Quality score: 1.66 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 2–6 h train the trainer sessions and 3x1h sessions for community | Physical activity: No | Stage of change: N/A | ||
Intensity score: M | Weight: N/A | Patient activation: N/A | ||
Provider: Lay worker | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Norris SL, Grothaus LC, Buchner DM, Pratt M [33] | Effectiveness of physician-based assessment and counseling for exercise in a staff model HMO | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Motivational interviewing and counseling | Quality rating: High | Nutrition: N/A | Patient skills: N/A | |
Description: One counselling session, written PA prescription and one follow up call. A subset received booster telephone calls at 2, 3 and 4 months and postcard reminders at 2, 3, 4, and 5 months. (no significant difference between groups in PA levels) | Quality score: 2.66 | Alcohol: N/A | Self efficacy: No | |
Intensity: One counselling session, written PA prescription and one follow up call | Physical activity: Yes | Stage of change: N/A | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Doctor | Shared decision making: N/A | |||
Other health literacy outcome: No | ||||
Authors: Ridgeway NA, Harvill DR, Harvill LM, Falin TM, Forester GM, Gose OD [41] | Improved control of type 2 diabetes mellitus: A practical education/behavior modification program in a primary care clinic | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: Yes |
Intervention type: Mixed intervention | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Group education mixed with individual education sessions | Quality score: 2.16 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 12 weekly group sessions, 1 individual session and 6 bi-weekly sessions | Physical activity: N/A | Stage of change: N/A | ||
Intensity score: H | Weight: Yes | Patient activation: N/A | ||
Provider: Multi-disciplinary team (Nurse, dietician, GP) | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Sadur CN, Moline N, Costa M, Michalik D, Mendlowitz D, Roller S, et al [42] | Diabetes management in a health maintenance organization: Efficacy of care management using cluster visits | Study type: Clustered Randomised Controlled Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Group education | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: Group education + 1 additional individual session | Quality score: 2.33 | Alcohol: N/A | Self efficacy: Yes | |
Intensity: 10–18 patients/month for 6 months | Physical activity: N/A | Stage of change: N/A | ||
Intensity score: H | Weight: N/A | Patient activation: N/A | ||
Provider: Multi-disciplinary team (Psychologist, educator, dietician, pharmacist) | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Van Sluijs EMF, Van Poppel MNM, Twisk JWR, Van Mechelen W [43] | Physical activity measurements affected participants’ behavior in a randomized controlled trial | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: No |
Intervention type: Motivational interviewing and counseling | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Individual physician tailored counseling + 2 phone calls (5–10mins) + follow up consultation | Quality score: 2.0 | Alcohol: N/A | Self efficacy: No | |
Intensity: 10 min initial consult, 5–10 min phone call at 2 weeks, 10 min consult at 4 weeks and phone call 8 weeks after 2nd consult | Physical activity: Yes | Stage of change: Yes | ||
Intensity score: M | Weight: N/A | Patient activation: N/A | ||
Provider: Multi-disciplinary team (GP, nurse, counselor) | Shared decision making: N/A | |||
Other health literacy outcome: No | ||||
Authors: Yajima S, Takano T, Nakamura K, Watanabe M [58] | Effectiveness of a community leaders’ programme to promote healthy lifestyles in Tokyo, Japan | Study type: Quasi experimental | Smoking: No | Patient knowledge: N/R |
Intervention type: Mixed intervention | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: Range of activities by lay community members to be health promotion leaders | Quality score: 2.0 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 2 year program | Physical activity: Yes | Stage of change: N/A | ||
Intensity score: H | Weight: N/A | Patient activation: N/R | ||
Provider: Lay worker | Shared decision making: N/A | |||
Other health literacy outcome: Yes | ||||
Authors: Boylan MJ, Renier CM, Knuths JS, Haller IV [44] | Preventing cardiovascular disease in women: an intervention-control randomized study | Study type: Randomised Trial | Smoking: No | Patient knowledge: N/A |
Intervention type: Group education | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Lifestyle intervention program including individualized review, information, classes and follow up phone calls | Quality score: 2.0 | Alcohol: N/A | Self efficacy: Yes | |
Intensity: 12 months | Physical activity: N/A | Stage of change: N/A | ||
Intensity score: H | Weight: N/A | Patient activation: N/A | ||
Provider: Educator | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Jimmy G, Martin BW [59] | Implementation and effectiveness of a primary care based physical activity counselling scheme | Study type: Randomised Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Mixed intervention | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Individual counseling & feedback on stage of change + take home leaflets + offer of referral to PA specialist (at ¼ of cost) + follow up session computer assisted tool (PA & motivation assessment) + telephone reminders (3) | Quality score: 2.33 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: Feedback, information 45 min counselling session | Physical activity: No | Stage of change: No | ||
Intensity score: M | Weight: N/A | Patient activation: N/A | ||
Provider: Doctor | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Kreuter MW, Strecher VJ [60] | Do tailored behavior change messages enhance the effectiveness of health risk appraisal? Results from a randomized trial | Study type: Randomised Controlled Trial | Smoking: No | Patient knowledge: N/A |
Intervention type: Written material | Quality rating: High | Nutrition: No | Patient skills: N/A | |
Description: individually-tailored behavior change information with health risk assessment mailed | Quality score: 2.66 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 1 off risk information sheet and 1 individually tailored behavior change info | Physical activity: No | Stage of change: No | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Computer | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Miller CK, Edwards L, Kissling G, Sanville L [45] | Evaluation of a theory-based nutrition intervention for older adults with diabetes mellitus | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: Yes |
Intervention type: Group education | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: 10 group education sessions | Quality score: 2.33 | Alcohol: N/A | Self efficacy: Yes | |
Intensity: 10 weekly group sessions | Physical activity: N/A | Stage of change: N/A | ||
Intensity score: H | Weight: N/A | Patient activation: N/A | ||
Provider: Dietician | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Oenema A, Brug J, Dijkstra A, de Weerdt I, de Vries H [61] | Efficacy and use of an internet-delivered computer-tailored lifestyle intervention, targeting saturated fat intake, physical activity and smoking cessation: a randomized controlled trial | Study type: Randomised Controlled Trial | Smoking: No | Patient knowledge: N/A |
Intervention type: Computer | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: Internet-delivered, computer-tailored lifestyle intervention | Quality score: 2.5 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 1 month | Physical activity: Yes | Stage of change: No | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: | Shared decision making: N/A | |||
Computer | Other health literacy outcome: N/A | |||
Authors: Ogden J, Hoppe R [62] | The relative effectiveness of two styles of educational package to change practice nurses’ management of obesity | Study type: Before and After Study | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Motivational interviewing and counseling | Quality rating: Medium | Nutrition: N/A | Patient skills: Yes | |
Description: Individual consultation + advice by nurse | Quality score: 2.0 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: One consultation | Physical activity: N/A | Stage of change: N/A | ||
Intensity score: L | Weight: No | Patient activation: N/A | ||
Provider: Nurse | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Simmons D, Voyle JA, Fout F, Feot S, Leakehe L [63] | Tale of two churches: Differential impact of a church-based diabetes control programme among Pacific Islands people in New Zealand | Study type: Non-Randomised Controlled Trial | Smoking: N/A | Patient knowledge: Yes |
Intervention type: Group education | Quality rating: High | Nutrition: N/A | Patient skills: N/A | |
Description: Tailored activities by language & culture relevance & cooking classes | Quality score: 2.66 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: NR | Physical activity: No | Stage of change: Yes | ||
Intensity score: NR | Weight: Yes | Patient activation: N/A | ||
Provider: Lay worker | Shared decision making: N/A | |||
Other health literacy outcome: No | ||||
Authors: Ryan A, Smith C [64] | Change for Life/Cambia tu vida: a health promotion program based on the stages of change model for African descendent and Latino adults in New Hampshire | Study type: Before and After Study | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Group education | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Group education targeting participants stage of change + culturally appropriate written resources + decision tree | Quality score: 2.33 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: six 2-h classes held weekly, followed by periodic group support meetings after the series of classes is completed | Physical activity: N/A | Stage of change: Yes | ||
Intensity score: M | Weight: N/A | Patient activation: N/A | ||
Provider: Multi-disciplinary team (Researcher, lay worker) | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Steptoe A, Rink E, Kerry S [65] | Psychosocial predictors of changes in physical activity in overweight sedentary adults following counseling in primary care | Study type: Randomised Controlled Trial | Smoking: No | Patient knowledge: N/A |
Intervention type: Motivational interviewing and counseling | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Individual brief counseling by a nurse (1–3 sessions) | Quality score: 2.33 | Alcohol: N/A | Self efficacy: Yes | |
Intensity: 1–3 sessions | Physical activity: Yes | Stage of change: Yes | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Nurse | Shared decision making: N/A | |||
Other health literacy outcome: No | ||||
Authors: Toobert DJ, Glasgow RE, Strycker LA, Barrera M, Ritzwoller DP, Weidner G [46] | Long-term effects of the Mediterranean lifestyle program: a randomized clinical trial for postmenopausal women with type 2 diabetes (Provisional abstract) | Study type: Randomised Controlled Trial | Smoking: No | Patient knowledge: N/A |
Intervention type: Group education | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: 2.5 day non residential education + weekly meetings for 6 months with small group support | Quality score: 2.33 | Alcohol: N/A | Self efficacy: Yes | |
Intensity: 2.5 day non residential education + weekly meetings for 6 months with small group support | Physical activity: Yes | Stage of change: N/A | ||
Intensity score: H | Weight: N/A | Patient activation: N/A | ||
Provider: Multi-disciplinary team (Dietician, exercise physiologist, educator, lay worker) | Shared decision making: N/A | |||
Other health literacy outcome: Yes | ||||
Authors: Hoffman AM, Redding CA, Goldberg D, Añel D, Prochaska JO, Meyer PM, et al [66] | Computer expert systems for African-American smokers in physicians offices: A feasibility study | Study type: Randomised Trial | Smoking: Yes | Patient knowledge: N/A |
Intervention type: Mixed intervention | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Computer feedback with nurse + stage based RF manual + 3–6 min audio-tapes + stress management exercise instructions | Quality score: 2.0 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: Interactive computer sessions (number uncertain) and brief audiotapes | Physical activity: N/A | Stage of change: Yes | ||
Intensity score: M | Weight: N/A | Patient activation: N/A | ||
Provider: Computer | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Wolf RL, Lepore SJ, Vandergrift JL, Basch CE, Yaroch AL [67] | Tailored telephone education to promote awareness and adoption of fruit and vegetable recommendations among urban and mostly | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: Yes |
Intervention type: Telephone | Quality rating: High | Nutrition: N/A | Patient skills: N/A | |
Description: Telephone individual education & mailed brochure | Quality score: 2.66 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 2 calls and mailed brochure | Physical activity: N/A | Stage of change: Yes | ||
Intensity score: M | Weight: N/A | Patient activation: N/A | ||
Provider: Other | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Swerissen H, Belfrage J, Weeks A, Jordan L, Walker C, Furler J, et al [68] | A Randomized Controlled Trial of Financial Incentives for Smoking Cessation | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Group education | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Language specific SM Program + audiocassette + program booklet | Quality score: 2.0 | Alcohol: N/A | Self efficacy: Yes | |
Intensity: 6 weekly 2.5 h sessions. 20 h training for peer leaders | Physical activity: Yes | Stage of change: N/A | ||
Intensity score: H | Weight: N/A | Patient activation: N/A | ||
Provider: Lay worker | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Campbell J, Aday RH [69] | Improving dietary behavior: the effectiveness of tailored messages in primary care settings | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Written material | Quality rating: High | Nutrition: Yes | Patient skills: N/A | |
Description: Computer generated tailored nutrition newsletters & profile feedback related to stage of change | Quality score: 3.0 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: one-time, mailed nutrition information packet | Physical activity: N/A | Stage of change: Yes | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Computer | Shared decision making: N/A | |||
Other health literacy outcome: Yes | ||||
Authors: Collins R, Lee RE, Albright CL, King AC [47] | Ready to be Physically Active? The Effects of a Course Preparing Low-Income Multiethnic Women to be more Physically Active | Study type: Before and After Study | Smoking: N/A | Patient knowledge: Yes |
Intervention type: Group education | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Group Education + culturally sensitive curriculum | Quality score: 2.16 | Alcohol: N/A | Self efficacy: No | |
Intensity: 10 mth intervention | Physical activity: Yes | Stage of change: Yes | ||
Intensity score: H | Weight: N/A | Patient activation: N/A | ||
Provider: Educator | Shared decision making: N/A | |||
Other health literacy outcome: Yes | ||||
Authors: Gladys Block PW, Rochelle Mandel, Diane Metz, Mary L Fujii, Nancy Feldman, and Barbara Sutherland [70] | A Randomized Trial of the Little by Little CD-ROM: Demonstrated Effectiveness in Increasing Fruit and Vegetable Intake in a Low-income Population | Study type: Randomised Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Computer | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: Self Guided interactive computer program + goal setting + handouts | Quality score: 2.33 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: CD ROM and 2 reminder phone calls | Physical activity: N/A | Stage of change: Yes | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Computer | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Koffman DM BT, Mosca L, Redberg R, Schmid T, Wattigney WA [71] | An evaluation of Choose to Move 1999: an American Heart Association physical activity program for women. | Study type: Before and After Study | Smoking: N/A | Patient knowledge: Yes |
Intervention type: Written material | Quality rating: Low | Nutrition: Yes | Patient skills: N/A | |
Description: written materials + Postcards + Email + Newsletter | Quality score: 1.5 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 12-week, mail-mediated lifestyle intervention program | Physical activity: Yes | Stage of change: N/A | ||
Intensity score: M | Weight: N/A | Patient activation: N/A | ||
Provider: Other | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Marcus BH BB, Pinto BM, Forsyth LH, Roberts MB, Traficante RM [72] | Efficacy of an individualized, motivationally-tailored physical activity intervention | Study type: Randomised Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Written material | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Tailored counseling messages using “computer expert system” + motivationally matched manuals + feedback on progress were mailed to subjects | Quality score: 2.16 | Alcohol: N/A | Self efficacy: Yes | |
Intensity: NR | Physical activity: Yes | Stage of change: Yes | ||
Intensity score: M | Weight: N/A | Patient activation: N/A | ||
Provider: Other | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Prochaska JO, Velicer WF, Redding C, Rossi JS, Goldstein M, DePue J, et al [73] | Stage-based expert systems to guide a population of primary care patients to quit smoking, eat healthier, prevent skin cancer, and receive regular mammograms | Study type: Randomised Controlled Trial | Smoking: Yes | Patient knowledge: N/A |
Intervention type: Written material | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: Mailed computer generated profile reports (stage of change, use of change processes, pros & cons of changing) + self help manual + strategies on how to progress stages | Quality score: 2.33 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 3 reports mailed for each risk factor | Physical activity: N/A | Stage of change: Yes | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Computer | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Prochaska JO, Velicer WF, Rossi JS, Redding CA, Greene GW, Rossi SR, et al [74] | Multiple Risk Expert Systems Interventions: Impact of Simultaneous Stage-Matched Expert System Interventions for Smoking, High-Fat Diet, and Sun Exposure in a Population of Parents | Study type: Randomised Controlled Trial | Smoking: Yes | Patient knowledge: N/A |
Intervention type: Written material | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: Mailed computer generated profile reports (stage of change, use of change processes, pros & cons of changing) + self help manual + strategies on how to progress stages | Quality score: 2.16 | Alcohol: N/A | Self efficacy: N/A | |
reports for each of their relevant behaviors at 0, 6, and 12 months as well as a multiple behavior manual. | Physical activity: N/A | Stage of change: Yes | ||
Intensity: Received 3 reports per year | Weight: N/A | Patient activation: N/A | ||
Intensity score: L | Shared decision making: N/A | |||
Provider: Computer | Other health literacy outcome: N/A | |||
Authors: Beresford SA SJC, A R Kristal, D Lazovich, Z Feng and E H Wagner [34] | A dietary intervention in primary care practice: the Eating Patterns Study. | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Written material | Quality rating: High | Nutrition: Yes | Patient skills: No | |
Description: Self help materials | Quality score: 2.66 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: Low intensity – time not stated | Physical activity: N/A | Stage of change: No | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Doctor | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Marcus B H Emmons KM, Simkin-Silverman L R, Linnan L A, Taylor E R, Bock B C, Roberts M B, Rossi J S, Abrams D B [75] | Evaluation of motivationally tailored vs standard self-help physical activity interventions at the workplace | Study type: Randomised Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Written material | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Repeated mailing (3 times) Self-help manuals + motivational messages related to stage of change | Quality score: 2.0 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 3 lots of written material | Physical activity: No | Stage of change: Yes | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Other | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Graham-Clarke P, Oldenburg B [76] | The effectiveness of a general-practice-based physical activity intervention on patient physical activity status | Study type: Randomised Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Motivational interviewing and counseling | Quality rating: High | Nutrition: N/A | Patient skills: N/A | |
Description: Lifestyle counseling - Fresh Start Program by Heart Foundation | Quality score: 2.66 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: NR | Physical activity: No | Stage of change: Yes | ||
Intensity score: NR | Weight: N/A | Patient activation: N/A | ||
Provider: Doctor | Shared decision making: N/A | |||
Other health literacy outcome: No | ||||
Authors: O’Loughlin, Jennifer Paradis, Gilles Meshefedjian, Garbis Kishchuk, Natalie [77] | Evaluation of an 8-Week Mailed Healthy-Weight Intervention | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: Unsure |
Intervention type: Written material | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: 8-Week Mailed Healthy-Weight Intervention | Quality score: 2.33 | Alcohol: N/A | Self efficacy: No | |
Intensity: 18 pamphlets mailed over 8 weeks | Physical activity: Unsure | Stage of change: No | ||
Intensity score: M | Weight: No | Patient activation: No | ||
Provider: Other | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Winkleby MA, Howard-Pitney B, Albright CA, Bruce B, Kraemer HC, Fortmann SP [48] | Predicting achievement of a low-fat diet: a nutrition intervention for adults with low literacy skills | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: Yes |
Intervention type: Mixed intervention | Quality rating: High | Nutrition: Yes | Patient skills: N/A | |
Description: Group education (Stanford Nutrition Action Program) + multiple mail/telephone follow up calls | Quality score: 2.66 | Alcohol: N/A | Self efficacy: Yes | |
Intensity: six or seven 60-min sessions classes | Physical activity: N/A | Stage of change: N/A | ||
Intensity score: H | Weight: No | Patient activation: N/A | ||
Provider: Educator | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Agurs-Collins, TD, Kumanyika, SK, Ten Have, TR, Adams-Campbell, LL [49] | A randomised controlled trial of weight reduction and exercise for diabetes management in older African-American subjects. | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: Unsure |
Intervention type: Mixed intervention | Quality rating: Medium | Nutrition: No | Patient skills: N/A | |
Description: 6 group sessions, 1 individualised counseling + diary | Quality score: 2.16 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 12 weekly group sessions, 1 individual session and 6 bi-weekly group sessions | Physical activity: No | Stage of change: Unsure Not reported | ||
Intensity score: H | Weight: Yes | Patient activation: N/A | ||
Provider: Multi-disciplinary team (Dietician, exercise physiologist) | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Butler, CC, Rollnick, S, Cohen, D et al, [78] | Motivational consulting versus brief advice for smokers in general practice: a randomized trial | Study type: Randomised Trial | Smoking: Yes | Patient knowledge: N/A |
Intervention type: Motivational interviewing and counseling | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Motivational Counselling + patient setting targets | Quality score: 2.0 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: NR | Physical activity: N/A | Stage of change: Yes | ||
Intensity score: NR | Weight: N/A | Patient activation: N/A | ||
Provider: Doctor | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Calfas, KJ, Sallis, JF, Oldenburg, B et al, [35] | Mediators of change in physical activity following an intervention in primary care: PACE | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Motivational interviewing and counseling | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Motivational counseling + patient setting goals + activity log + examples of activities | Quality score: 2.33 | Alcohol: N/A | Self efficacy: No | |
Intensity: Brief intervention | Physical activity: Yes | Stage of change: Yes | ||
\Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: | Shared decision making: N/A | |||
Doctor | Other health literacy outcome: No | |||
Authors: Delichatsios, HK, Hunt, MK, Lobb, R et al, [50] | EatSmart: efficacy of a multifaceted preventive nutrition intervention in clinical practice | Study type: Clustered | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Mixed intervention | Randomised Controlled Trial | Nutrition: Yes | Patient skills: N/A | |
Description: Tailored recommendations & stage matched booklets by mail + Motivational Counseling + personalized letter + physician endorsement + option of referral to counselor | Quality rating: Medium | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 1 mailed information, verbal endorsement by provider and 2 motivational sessions with phone counsellor. Dietitian consult offered | Quality score: 2.33 | Physical activity: N/A | Stage of change: Yes | |
Intensity score: M | Weight: N/A | Patient activation: N/A | ||
Provider: Multi-disciplinary team (GP, counselor) | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Fries,E, Edinboro, P, McClish, D, Manion, L, Bowen, D, Beresford, SAA, Ripley, J [79] | Randomized trial of a low-intensity dietary intervention in rural residents: the Rural Physician Cancer Prevention Project. | Study type: Randomised Trial | Smoking: N/A | Patient knowledge: No |
Intervention type: Mixed intervention | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: A series of tailored feedback, brief telephone counseling + booklets | Quality score: 2.16 | Alcohol: N/A | Self efficacy: No | |
Intensity: Feedback, 1 phone call and 4 booklets mailed weekly | Physical activity: N/A | Stage of change: N/A | ||
Intensity score: M | Weight: N/A | Patient activation: N/A | ||
Provider: Doctor | Shared decision making: N/A | |||
Other health literacy outcome: No | ||||
Authors: Lancaster, T, Dobbie, W, Vos, K et al [51] | Randomized trial of nurse-assisted strategies for smoking cessation in primary care | Study type: Randomised Trial | Smoking: No | Patient knowledge: N/A |
Intervention type: Motivational interviewing and counseling | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Brief advice by a doctor followed by extended counseling from a nurse | Quality score: 2.16 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: 6 weeks | Physical activity: N/A | Stage of change: No | ||
Intensity score: M | Weight: N/A | Patient activation: N/A | ||
Provider: Nurse | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Little, P, Dorward, M, Gralton, S, Hammerton, L, Pillinger, J, White, P et al. [80] | A randomised controlled trial of three pragmatic approaches to initiate increased physical activity in sedentary patients with risk factors for cardiovascular disease. | Study type: Randomised Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Mixed intervention | Quality rating: High | Nutrition: N/A | Patient skills: N/A | |
Description: Exercise Prescription provide by GP + counseling by practice nurses and booklet | Quality score: 2.83 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: Brief intervention with GP, 1 counseling session with nurse and material | Physical activity: Yes | Stage of change: Yes | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Multi-disciplinary team (GP, nurse) | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Naylor, PJ, Simmonds, G, Riddoch, C et al. [81] | Comparison of stage-matched and unmatched interventions to promote exercise behaviour in the primary care setting | Study type: Randomised Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Mixed intervention | Quality rating: Low | Nutrition: N/A | Patient skills: N/A | |
Description: General advice and written materials or counseling and 4 staged booklets or 4 staged booklets and action planner for all groups | Quality score: 1.66 | Alcohol: N/A | Self efficacy: No | |
Intensity: Single contact interventions | Physical activity: No | Stage of change: Yes | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Nurse | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Siero, FW, Broer, J, Bemelmans, WJ, Meyboom-de Jong, BM [52] | Impact of group nutrition education and surplus value of Prochaska-based stage-matched information on health-related cognitions and on Mediterranean nutrition behavior. | Study type: Randomised Controlled Trial | Smoking: N/A | Patient knowledge: N/A |
Intervention type: Group education | Quality rating: Medium | Nutrition: Yes | Patient skills: N/A | |
Description: Group education + booklets (core information) | Quality score: 2.16 | Alcohol: N/A | Self efficacy: No | |
Intensity: 3 sessions of 2 h each | Physical activity: N/A | Stage of change: Yes | ||
Intensity score: M | Weight: N/A | Patient activation: N/A | ||
Provider: Educator | Shared decision making: N/A | |||
Other health literacy outcome: Yes | ||||
Authors: Slama K, Redman S, Perkins J et al [82] | The effectiveness of two smoking cessation programmes for use in general practice: a randomised controlled trial. | Study type: Randomised Controlled Trial | Smoking: Yes | Patient knowledge: N/A |
Intervention type: Written material | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Asked if a smoker and given a brochure | Quality score: 2.0 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: Brief | Physical activity: N/A | Stage of change: N/A | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Doctor | Shared decision making: N/A | |||
Other health literacy outcome: N/A | ||||
Authors: Lennox AS, Osman LM, Reiter E, Robertson R, Friend J, McCann I, Skatun D, Donnan PT [83] | Cost effectiveness of computer tailored and non-tailored smoking cessation letters in general practice: randomised controlled. | Study type: Randomised Controlled Trial | Smoking: Yes | Patient knowledge: N/A |
Intervention type: Written material | Quality rating: Medium | Nutrition: N/A | Patient skills: N/A | |
Description: Tailored letter | Quality score: 2.16 | Alcohol: N/A | Self efficacy: N/A | |
Intensity: Brief | Physical activity: N/A | Stage of change: Yes | ||
Intensity score: L | Weight: N/A | Patient activation: N/A | ||
Provider: Computer | Shared decision making: N/A | |||
Other health literacy outcome: N/A |