title: Effect of additional brief counselling after periodic health examination on motivation for health behavior change [corrected].
abstract: This study was to evaluate the effect of additional brief counseling by a primary care physician on lifestyle modification of examinees after a periodic health examination. 1,000 participants of the 2007 Korean national health screening program were asked to note any variation in their health behavior after participating in the screening program. The degree of comprehensive motivation for lifestyle modification was assessed in terms of stages of health behavior change. We calculated odds ratio of positive change (enhanced stage of change) with multiple logistic regression analysis and age-adjusted proportion of positive changers. Of 989 respondents, 486 and 503 received the basic and additional programs, respectively. Additional group were more likely to be positive changer than basic group (adjusted OR 1.78; 95% CI 1.19-2.65), and this was more prominent in older age group (adjusted OR 2.38, 95% CI 1.23-4.58). The age-adjusted proportions of positive changers were 22.7% (95% CI, 17.9-28.3) and 36.2% (95% CI, 30.4-42.4) in the basic and additional groups, respectively (P < 0.001). The additional consultation led to improvements in the stage of health behavior change after the health examination. Thus, such a consultation should be considered when designing a health-screening program.
authors.affiliation: Department of Family Medicine, Seoul National University Hospital, Seoul, Korea.
authors.forename: Ki Young
authors.initials: KY
authors.lastname: Son
authors.forename: Cheol Min
authors.initials: CM
authors.lastname: Lee
authors.forename: BeLong
authors.initials: B
authors.lastname: Cho
authors.forename: Youl Lee
authors.initials: YL
authors.lastname: Lym
authors.forename: Seung Won
authors.initials: SW
authors.lastname: Oh
authors.forename: Wonjoo
authors.initials: W
authors.lastname: Chung
authors.forename: Jin-Seok
authors.initials: JS
authors.lastname: Lee
authors.forename: DuShin
authors.initials: D
authors.lastname: Park
authors.forename: Han Suk
authors.initials: HS
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D003376:Counseling; D003710:Demography; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D008297:Male; D016017:Odds Ratio