Evaluation of a training programme for primary care providers to offer brief behaviour change counselling on risk factors for non-communicable diseases in South Africa

Patient Education and Counseling
Zelra MalanKatherine Everett-Murphy

Abstract

To evaluate the effect on clinical practice of training primary care providers (PCPs) in an approach to brief behaviour change counselling (BBCC), integrating the 5As (ask, alert, assess, assist, arrange) with a guiding style derived from motivational interviewing in the South African context. BBCC was focused on the four risky behaviours (unhealthy eating, tobacco smoking, physical inactivity, harmful alcohol use) for non-communicable diseases. It was a before-and-after design, recording BBCC skills at baseline, directly after training and 6-weeks later. We evaluated each recording for adherence to the guiding style and delivery of the 5As using the Motivational Interviewing Treatment Integrity 3.1.1. tool, and a tool based on the 5As training design. 123 recordings were collected from 41 PCPs. Results showed a significant improvement in adoption of the guiding style (e.g. global score at baseline 2.0 (2.0-2.6) and in clinical practice 3.0 (2.7-3.3) p<0.001) and completion of the 5A steps (e.g. assist score at baseline 1.26 (1.12-1.4) and in clinical practice 1.75 (1.61-1.89) p<0.001). Training PCPs in this approach to BBCC is effective at changing their clinical practice in the short term. The training programme should be int...Continue Reading

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Aug 8, 2015·African Journal of Primary Health Care & Family Medicine·Zelra MalanKatherine Everett-Murphy
Aug 8, 2015·African Journal of Primary Health Care & Family Medicine·Zelra MalanKathy Everett-Murphy

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Citations

Aug 27, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Ahmed Rashid
Feb 6, 2017·African Journal of Primary Health Care & Family Medicine·Vangile B MkhatshwaLangalibalele H Mabuza
Jun 28, 2018·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Michael B MadsonJami M Gauthier
Dec 24, 2020·African Journal of Primary Health Care & Family Medicine·Jani FoucheZelra Malan

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