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Effectiveness of motivational interviewing in patients with dyslipidemia: a randomized cluster trial

Overview of attention for article published in BMC Primary Care, October 2015
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  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (78th percentile)
  • Good Attention Score compared to outputs of the same age and source (76th percentile)

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Title
Effectiveness of motivational interviewing in patients with dyslipidemia: a randomized cluster trial
Published in
BMC Primary Care, October 2015
DOI 10.1186/s12875-015-0370-2
Pubmed ID
Authors

Julia Bóveda-Fontán, Nieves Barragán-Brun, Manuel Campiñez-Navarro, Luís Ángel Pérula-de Torres, Josep M. Bosch-Fontcuberta, Remedios Martín-Álvarez, Juan Carlos Arbonies-Ortiz, Jesús Manuel Novo-Rodríguez, Margarita Criado-Larumbe, Jose Angel Fernández-García, Enrique Martín-Rioboó, Collaborative Group Estudio Dislip-EM (see list in Annex)

Abstract

It is known that making people change their habits is challenging. It is crucial to identify the most effective approach that general practitioners (GPs) should use to help their patients change unhealthy habits. The objective this study was to assess the efficacy of a multifactorial intervention based on Motivational Interviewing performed by general practitioners to enhance lipid levels in patients with dyslipidemia, as compared to standard care. A multicenter, controlled, randomized, cluster, two-parallel arm trial with a 12-month follow-up conducted in 25 community health centers of the Spanish. 38 GPs and 227 primary care patients with uncontrolled dyslipidemia were included in the trial. GPs performed an intervention based either on Motivational Interviewing (MI) or standard practice. Lipid levels were measured, and the control degree was analyzed based on the criteria of clinical guidelines. 107 were assigned to the Experimental Group (EG) and 120 to the Control Group (CG). An overall improvement was achieved in total cholesterol levels (Mean Difference -MD- = -19.60; 95 % CI: -15.33 at -23.87 mg/dl; p < 0.001), LDL-cholesterol levels (MD = -13.78; 95 % CI: -9.77 at -17.79 mg/dl; p < 0.001) and triglycerides (MD = -19.14; CI 95 %: -11.29 at -26.99 mg/dl; p < 0.001). No differences were found between the two groups. However, when we assessed the degree of lipid control by combining cholesterol <200 mg/dl and LDL-cholesterol < 130 mg/dl parameters, it was observed that a higher percentage of patients achieved target figures in the EG versus CG (13.1 % vs. 5.0 %; adjusted OR = 5.77, 95 % CI: 1.67-19.91). A Motivational Interviewing-based approach conducted by Primary Care physicians aimed at patients with dyslipidemia, achieved a significant reduction in all lipid parameters, cardiovascular risk, weight reduction and the adherence to the Mediterranean diet, similar to that obtained with the usual intervention and superior in the proportion of patients achieving combined lipid control goals and the level of physical exercise. the trial is registered in ClinicalTrials.gov ( NCT01282190 ; January 21, 2011).

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X Demographics

The data shown below were collected from the profiles of 8 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 150 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 <1%
Unknown 149 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 22 15%
Researcher 19 13%
Student > Bachelor 18 12%
Student > Postgraduate 13 9%
Student > Doctoral Student 12 8%
Other 22 15%
Unknown 44 29%
Readers by discipline Count As %
Medicine and Dentistry 33 22%
Nursing and Health Professions 27 18%
Psychology 14 9%
Sports and Recreations 7 5%
Social Sciences 4 3%
Other 14 9%
Unknown 51 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 November 2015.
All research outputs
#5,132,421
of 25,374,917 outputs
Outputs from BMC Primary Care
#706
of 2,359 outputs
Outputs of similar age
#64,076
of 294,729 outputs
Outputs of similar age from BMC Primary Care
#11
of 47 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. Compared to these this one has done well and is in the 79th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,359 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one has gotten more attention than average, scoring higher than 70% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 294,729 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 78% of its contemporaries.
We're also able to compare this research output to 47 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 76% of its contemporaries.