title: Lifestyle modification counseling in patients with gastroesophageal reflux disease.
abstract: The purpose of this study was to determine the rate of documented counseling on lifestyle modifications in patients presenting to the primary care setting with a diagnosis of gastroesophageal reflux disease. Retrospective chart review was conducted for 502 active patients with a primary or secondary diagnosis of gastroesophageal reflux disease from two internal medicine clinics at the University of Kansas School of Medicine-Wichita. Charts were reviewed for documented counseling on four specific lifestyle modifications: (a) smoking and alcohol cessation, (b) dietary changes, (c) head of bed elevation, and (e) postprandial avoidance of recumbency. Only 12% of patients in this sample received documented counseling on lifestyle modifications. Of those patients receiving documented counseling, 71% were counseled on dietary changes, 41% smoking or alcohol cessation, 28% head of bed elevation, and 21% postprandial avoidance of recumbency. Documentation indicated that patients with gastroesophageal reflux disease are not adequately counseled regarding recommended lifestyle modifications.
authors.affiliation: Department of Internal Medicine, University of Kansas School of Medicine, Wichita, KS 67214, USA. wsalyers@kumc.edu
authors.forename: William J
authors.initials: WJ
authors.lastname: Salyers
authors.forename: Ali
authors.initials: A
authors.lastname: Mansour
authors.forename: Boutros
authors.initials: B
authors.lastname: El-Haddad
authors.forename: Amanda L
authors.initials: AL
authors.lastname: Golbeck
authors.forename: K James
authors.initials: KJ
authors.lastname: Kallail
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000009:adverse effects; D001513:Beds; D003376:Counseling / Q000458:organization & administration*; D004282:Documentation; D005247:Feeding Behavior; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000517:prevention & control*; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D008499:Medical Records; D008875:Middle Aged; D024802:Nurse's Role; D010353:Patient Education as Topic / Q000458:organization & administration*; D011320:Primary Health Care; D012189:Retrospective Studies; D016540:Smoking Cessation; D016683:Supine Position