Evidence-Based Nursing Primary health care http://ebn.bmj.com Evidence-Based Nursing RSS feed -- recent Primary health care articles Evidence-Based Nursing 1367-6539 Evidence-Based Nursing http://hwmaint.ebn.bmj.com/homepage/EBN_95x60.gif http://ebn.bmj.com <![CDATA[Primary care interventions for obesity: behavioural support, whether delivered remotely or in person, facilitates greater weight loss over 2 years than self-directed weight loss]]> http://ebn.bmj.com/cgi/content/short/15/3/89?rss=1 Implications for practice and research

  • Generalist nurses (eg, practice nurses) can contribute to the social support element of weight loss interventions to improve participation and adherence.

  • Coaching patients within weight loss interventions (in person or remotely by email or phone) requires further specialist training in motivational interviewing and weight management.

  • Establishing which elements (within a complex programme) are effective in specific contexts would be useful to refine nursing practice in weight management.

    • Context

    Obesity prevalence trends are a public health concern in many parts of the world. Excess body fat is linked to adverse health outcomes.1 Evidence-based guidelines recommend multi-component interventions that include behavioural and lifestyle change.2 3 Primary care nursing is a key site for provision of and referral on to weight loss interventions. However, while the efficacy of lifestyle and behavioural interventions...]]> 2012-07-04T21:25:59-07:00 info:doi/10.1136/ebnurs-2012-100530 hwp:master-id:ebnurs;ebnurs-2012-100530 Royal College of Nursing 2012-07-04 Primary health care 15 3 89 90 <![CDATA[Vitamin E increases prostate cancer risk in middle-aged men relative to placebo: no significant association observed with selenium, either alone or in combination with vitamin E]]> http://ebn.bmj.com/cgi/content/short/15/3/90?rss=1 Implications for practice and research

  • Clinicians should inform patients that vitamin E significantly increased the risk of prostate cancer among healthy men, and should be avoided.

  • Extended follow-up of common doses of vitamins and supplements may reveal new and critically significant findings.

    •  Context

    The lifetime risk for prostate cancer in the USA is currently estimated to be 16%. The objective of this study was to determine the long-term effect of vitamin E and selenium on the risk of prostate cancer in healthy men who had participated in the original selenium and vitamin E Cancer Prevention Trial (SELECT). For the follow up study, a total of 35 533 men from 427 study sites in the USA, Canada and Puerto Rico were included in randomised trials between 2001 and 2004.

     Methods

    This follow-up study included 34 887 men who were randomly assigned...]]> 2012-07-04T21:25:59-07:00 info:doi/10.1136/ebnurs-2012-100551 hwp:master-id:ebnurs;ebnurs-2012-100551 Royal College of Nursing 2012-07-04 Primary health care 15 3 90 91