Primary health care: What role for occupational health?

Eating behavior in relation to calories and fat consumption in patients with type 2 diabetes mellitus = Eetgedrag in relatie tot calorie- en vetinname bij patiënten met diabetes mellitus type 2

Occupational health and general practice: From opportunities lost to opportunities capitalised?

Western populations are in the middle of the epidemiological transition of chronic diseases. Care of patients with chronic disease is directed at optimising life expectancy and quality of life. Daily and social functioning, including paid work are part of the treatment objectives. Yet, advice for and support in work related coping with chronic...

Eating behaviour and adherence to diet in patients with Type 2 diabetes mellitus

Aims: To assess restrained, emotional and external eating behaviour in patients newly diagnosed with Type 2 diabetes compared with the general population, and to assess the relationship of eating behaviour to changes in fat and energy. Methods: We assessed emotional, external, and restrained eating behaviour and measured fat and energy intake in...

Potentials and pitfalls for nutrition counselling in general practice

This paper was based on collaborative research efforts from Wageningen University and the University Medical Centre St Radboud in The Netherlands and describes the rationale for web-based nutrition counselling applications in general practice as well as some of the frequently used models and theories (predominantly the Stages of Change Model)....

Self-management in osteoarthritis of hip or knee: A randomized clinical trial in a primary healthcare setting

Objective. To assess in a primary healthcare setting the efficacy of a self-management program in middle-aged patients with osteoarthritis (OA). Methods. This was a 2-group randomized controlled trial, with 273 patients aged 40 to 60 years with OA of the hip(s) and/or knee(s). The experimental intervention was compared with care-as-usual....

Assessment of readiness to change in patients with osteoarthritis. Development and application of a new questionnaire

Objective: To develop a self-report measure for assessment of the stage of change in patients with osteoarthritis, in order to identify patients who would benefit from a self-management programme. Methods: According to the 'stages of change' model a questionnaire was developed with three groups of items corresponding to the precontemplation...

Role of social support in lifestyle-focused weight management interventions

Social support is important to achieve beneficial changes in risk factors for disease, such as overweight and obesity. This paper presents the theoretical and practical framework for social support, and the mechanisms by which social support affects body weight. The theoretical and practical framework is supported with a literature review...

Web-based targeted nutrition counselling and social support for patients at increased cardiovascular risk in general practice: Randomized controlled trial

Background: Using the Internet may prove useful in providing nutrition counselling and social support for patients with chronic diseases. Objective: We evaluated the impact of Web-based nutrition counselling and social support on social support measures, anthropometry, blood pressure, and serum cholesterol in patients at increased cardiovascular...