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Advances in Preventive Medicine
Volume 2011 (2011), Article ID 215842, 5 pages
Research Article

Implementation of a Tool to Modify Behavior in a Chronic Disease Management Program

1Community Pharmacy Practice Residency Program, Creighton University, 2500 California Plaza, Omaha, NE 68178, USA
2Department of Pharmacy Practice, Creighton University, 2500 California Plaza, Omaha, NE 68178, USA

Received 22 November 2010; Accepted 13 January 2011

Academic Editor: Katrin S. Kohl

Copyright © 2011 Nicole D. Gillespie and Thomas L. Lenz. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Chronic diseases like diabetes, hypertension, and dyslipidemia continue to be a significant burden on the US health care system. As a result, many healthcare providers are implementing strategies to prevent the incidence of heart disease and other chronic conditions. Among these strategies are proper drug therapy and lifestyle modifications. Behavior change is often the rate-limiting step in the prevention and maintenance of lifestyle modifications. The purpose of this paper is to describe a tool used to guide the progression and assess the effectiveness of a cardiovascular risk reduction program. The tool uses the Transtheoretical Model of Behavior Change to determine the readiness and confidence to change specific lifestyle behaviors pertinent to cardiovascular health. The tool aids the practitioner in developing a patient-centered plan to implement and maintain lifestyle changes and can be tailored to use in any situation requiring a behavior change on the part of the patient.