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Health improvement and prevention study (HIPS) - evaluation of an intervention to prevent vascular disease in general practice

Fanaian, Mahnaz, Laws, Rachel A., Passey, Megan, McKenzie, Suzanne, Wan, Qing, Powell-Davies, Gawaine, Lyle, David and Harris, Mark F. 2010, Health improvement and prevention study (HIPS) - evaluation of an intervention to prevent vascular disease in general practice, BMC family practice, vol. 11, Article Number : 57, pp. 1-10, doi: 10.1186/1471-2296-11-57.

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Title Health improvement and prevention study (HIPS) - evaluation of an intervention to prevent vascular disease in general practice
Author(s) Fanaian, Mahnaz
Laws, Rachel A.ORCID iD for Laws, Rachel A.
Passey, Megan
McKenzie, Suzanne
Wan, Qing
Powell-Davies, Gawaine
Lyle, David
Harris, Mark F.
Journal name BMC family practice
Volume number 11
Season Article Number : 57
Start page 1
End page 10
Total pages 10
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2010
ISSN 1471-2296
Summary Background

The Health Improvement and Prevention Study (HIPS) study aims to evaluate the capacity of general practice to identify patients at high risk for developing vascular disease and to reduce their risk of vascular disease and diabetes through behavioural interventions delivered in general practice and by the local primary care organization.


HIPS is a stratified randomized controlled trial involving 30 general practices in NSW, Australia. Practices are randomly allocated to an 'intervention' or 'control' group. General practitioners (GPs) and practice nurses (PNs) are offered training in lifestyle counselling and motivational interviewing as well as practice visits and patient educational resources. Patients enrolled in the trial present for a health check in which the GP and PN provide brief lifestyle counselling based on the 5As model (ask, assess, advise, assist, and arrange) and refer high risk patients to a diet education and physical activity program. The program consists of two individual visits with a dietician or exercise physiologist and four group sessions, after which patients are followed up by the GP or PN. In each practice 160 eligible patients aged between 40 and 64 years are invited to participate in the study, with the expectation that 40 will be eligible and willing to participate. Evaluation data collection consists of (1) a practice questionnaire, (2) GP and PN questionnaires to assess preventive care attitudes and practices, (3) patient questionnaire to assess self-reported lifestyle behaviours and readiness to change, (4) physical assessment including weight, height, body mass index (BMI), waist circumference and blood pressure, (5) a fasting blood test for glucose and lipids, (6) a clinical record audit, and (7) qualitative data collection. All measures are collected at baseline and 12 months except the patient questionnaire which is also collected at 6 months. Study outcomes before and after the intervention is compared between intervention and control groups after adjusting for baseline differences and clustering at the level of the practice.


This study will provide evidence of the effectiveness of a primary care intervention to reduce the risk of cardiovascular disease and diabetes in general practice patients. It will inform current policies and programs designed to prevent these conditions in Australian primary health care.
Language eng
DOI 10.1186/1471-2296-11-57
Field of Research 1117 Public Health And Health Services
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2010, BioMed Central
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