BACKGROUND We describe the study design, procedures, and development of the risk counseling protocol used in a randomized controlled trial to evaluate the impact of genetic testing for diabetes mellitus (DM) on psychological, health behavior, and clinical outcomes. METHODS/DESIGN Eligible patients are aged 21 to 65 years with body mass index (BMI) ≥27 kg/m(2) and no prior diagnosis of DM. At ...

OBJECTIVES To assess pediatrician goals and practice in preventive counseling, and to use social learning theory to examine physician attitudes about preventive health issues, time, and reimbursement to explain physician counseling behavior. DESIGN Random sample survey of American Academy of Pediatrics fellows. PARTICIPANTS A total of 1620 pediatricians were surveyed with a return rate of 7...

Motivational Interviewing (MI), a counseling style initially used to treat addictions, increasingly has been used in health care and public health settings. This manuscript provides an overview of MI, including its theoretical origins and core clinical strategies. We also address similarities and differences with Self-Determination Theory. MI has been defined as person-centered method of guidin...

We used the Comprehensive Prevention Knowledge and Applications Survey Instrument to study health promotion and disease prevention activities of a national sample of 777 family physicians. The study demonstrated active counseling in some areas, such as smoking cessation, but lesser efforts in other aspects, including counseling about smokeless tobacco cessation, seat belt use, sunlight exposure...

BACKGROUND The National Guidelines on Infant and Young Child Feeding introduced in 2006 recommended the initiation of breastfeeding immediately after birth, preferably within one hour; exclusive breastfeeding for the first six months; appropriate and adequate complementary feeding from six months of age while continuing breastfeeding; and continued breastfeeding up to the age of two years or be...

BACKGROUND Sedentary behavior (SB) has been associated with chronic diseases. University students are a high-risk population for excessive SB. The purpose of this pilot study was to determine if a Health Action Process Approach (HAPA) based intervention, specifically action and coping planning, would increase student break frequency and decrease duration. METHODS Fifty-two university students...

human immunodeficiency virus (hiv) is a public health challenge facing both developing and developed nations. although injecting drug use is even the main route of hiv transmission in iran, sexual route is rising gradually. vulnerable women have been considered as important bridging population for driving hiv epidemics. to increase the access to vulnerable women, in 2007, 5 pilot centers were e...