title: An integrated method of therapeutic lifestyle change for older adults with dyslipidaemia.
abstract: OBJECTIVE
  To evaluate the effect of therapeutic lifestyle change with a non-pharmacological intervention method in older adults with dyslipidaemia.
  
  
  METHODS
  Stratified randomized trial.
  
  
  METHODS
  Participants with dyslipidaemia (n = 214) aged ≥60 years were randomized to the conventional guide group, the educational course (EC) group, the telephone call (PC) group or the PC + EC group for 24 weeks. Total cholesterol, triglyceride, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol and the knowledge, attitude and practice score for serum lipids were measured at baseline (T1), mid-intervention (week 12, T2) and post-intervention (week 24, T3).
  
  
  RESULTS
  Except the conventional guide group (n = 62), the PC group (n = 56), the EC group (n = 49) and the PC + EC group (n = 47) showed significant intra-group differences in serum total cholesterol, low-density lipoprotein cholesterol, triglyceride, high-density lipoprotein cholesterol and knowledge, attitude and practice score after the intervention. The improvements were most prominent and sustained over time in the PC + EC group at post-intervention.
  
  
  CONCLUSIONS
  The PC + EC method is more efficient for improving serum lipids and enhancing health awareness than any single programme in older adults with dyslipidaemia. This overlapped therapeutic lifestyle change method may serve as a cost-effective adjunct and ensure the continuity of high-quality health services for patients with dyslipidaemia.
authors.affiliation: School of Nursing, Fujian Medical University, 1 Xue Yuan Road, University Town, Fuzhou 350108, China; Department of Nursing, Fujian Provincial Hospital, No. 134 Dong St, Fuzhou 350001, Fujian, China.
authors.forename: J-Y
authors.initials: JY
authors.lastname: Zhao
authors.affiliation: School of Nursing, Fujian Medical University, 1 Xue Yuan Road, University Town, Fuzhou 350108, China; Department of Nursing, Fujian Provincial Hospital, No. 134 Dong St, Fuzhou 350001, Fujian, China. Electronic address: leehong99@126.com.
authors.forename: H
authors.initials: H
authors.lastname: Li
authors.affiliation: Department of Nursing, Fujian Provincial Hospital, No. 134 Dong St, Fuzhou 350001, Fujian, China.
authors.forename: S
authors.initials: S
authors.lastname: Jin
authors.affiliation: Department of Nursing, Fujian Provincial Hospital, No. 134 Dong St, Fuzhou 350001, Fujian, China.
authors.forename: X-H
authors.initials: XH
authors.lastname: Chen
authors.affiliation: Department of Nursing, Fujian Provincial Hospital, No. 134 Dong St, Fuzhou 350001, Fujian, China.
authors.forename: L-L
authors.initials: LL
authors.lastname: Chen
mesh_terms: D000368:Aged; D002784:Cholesterol / Q000097:blood; D008076:Cholesterol, HDL / Q000097:blood; D008078:Cholesterol, LDL / Q000097:blood; D050171:Dyslipidemias / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014280:Triglycerides / Q000097:blood
chemical_list: D008076:Cholesterol, HDL; D008078:Cholesterol, LDL; D014280:Triglycerides; D002784:Cholesterol
keywords: Dyslipidaemia; Educational course; Older people; Telephone call; Therapeutic lifestyle change