Evaluating Primary Care Behavioral Counseling Interventions: Figure 1. Does Changing Individual Health Behavior Improve Health Outcomes? Analytic Framework 1

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Figure 1. Does Changing Individual Health Behavior Improve Health Outcomes?

Analytic Framework 1

After behavioral counseling intervention(s) in clinical care, a series of outcomes are given in this flow chart (numbers refer to Key Questions below the figure). For an explanation of the image, go to text description [D].

[D] Select for text description.

Analytic Framework 1—Key Questions:

Do changes in patients' health behavior improve health or reduce risk factors?
What is the relationship between duration of health behavior change and health improvement (i.e., minimum duration, minimum level of change, change/response relationship)?
What are the adverse effects of health behavior change?
Does health behavior change produce other positive outcomes (e.g., patient satisfaction, changes in other health care behaviors, improved function, decreased use of health care resources?
Is risk factor reduction or measured health improvement associated with reduced morbidity and/or mortality?
Is sustained health behavior change directly related to reduced morbidity and/or mortality?
Are behavioral counseling interventions in clinical care directly related to improved health or risk factor reduction?
Are behavioral counseling interventions in clinical care directly related to reduced morbidity and/or mortality?

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