Behavioral counseling research and evidence-based practice recommendations: U.S. Preventive Services Task Force perspectives

Susan J. Curry, David C. Grossman, Evelyn P. Whitlock, Adelita Cantu

Research output: Contribution to journalArticle

20 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)407-413
Number of pages7
JournalAnnals of internal medicine
Volume160
Issue number6
StatePublished - Mar 18 2014

ASJC Scopus subject areas

  • Internal Medicine

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