title: The process of changing health risk behaviors: an Oregon rural clinic experience.
abstract: OBJECTIVE
  A counseling intervention was conducted by nurse practitioners (NPs) at a rural clinic in Oregon. The intervention was designed to help individuals change health risk behaviors. Three focus groups were conducted to aid in understanding the barriers to changing health behaviors and to identify resources that rural individuals needed to succeed in behavior change.
  
  
  METHODS
  Quantitative data were collected using appraisal forms that were specific to five behaviors. Qualitative data were from written comments submitted by focus group participants in answer to questions sent prior to each meeting and from written summaries of focus group meetings submitted by the focus group leader.
  
  
  CONCLUSIONS
  Most participants were not successful in changing their health behaviors. The issues raised in the focus group discussions provide an overview of the barriers to health behavior change as perceived by a group of adults in a rural environment. Both individual lack of will and the rural community environment were barriers to adopting new health behaviors.
  
  
  CONCLUSIONS
  NPs in rural health care clinics could provide important support for individuals attempting to adopt new health behaviors. Specific suggestions from focus group participants included discussing risky behaviors more often, forming support groups that do not charge a fee, and developing a peer-mentoring program.
authors.affiliation: Oregon Health and Science University in La Grande, Oregon, USA.
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: Bowden
authors.forename: Muriel P
authors.initials: MP
authors.lastname: Shaul
authors.forename: Jill A
authors.initials: JA
authors.lastname: Bennett
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D003376:Counseling / Q000458:organization & administration*; D005260:Female; D017144:Focus Groups; D006304:Health Status; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009722:Nurse Practitioners / Q000458:organization & administration*; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009922:Oregon; D011320:Primary Health Care / Q000458:organization & administration; D015397:Program Evaluation; D036301:Qualitative Research; D040242:Risk Reduction Behavior; D019035:Rural Health Services / Q000458:organization & administration*