Evidence map›Paper›PMID 10343420›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1999

Our Healthier Nation: are general practitioners willing and able to deliver? A survey of attitudes to and involvement in health promotion and lifestyle counselling.

B R McAvoy, E F Kaner, C A Lock, N Heather, E Gilvarry

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed.

  1. Trial
  2. More good than harm: a randomised controlled trial of the effect of education about familial risk of diabetes on psychological outcomes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2000
    Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. The role of organization of care in GPs' prevention practice.Primary health care research & development · 2021
    Article
  8. Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner.International journal of environmental research and public health · 2019
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. The relationship between socio-economic factors and responsiveness gaps in primary, preventative and health promotion services.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  14. Article
  15. Article
  16. Observational
  17. Evidence-based disparities: examining the gap between health expectations and experiences.Health expectations : an international journal of public participation in health care and health policy · 2014
    Article
  18. Article
  19. Observational
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

B R McAvoyDepartment of Primary Health Care, University of Newcastle-upon-Tyne. brian.mcavoy@newcastle.ac.uk
E F Kaner
C A Lock
N Heather
E Gilvarry

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe recent Green Paper, Our Healthier Nation, identifies professional advice on healthier living as a key component of its national contract for health. General practitioners (GPs) are ideally placed for this work. However, previous research has reported a discrepancy between patients' expectations of lifestyle advice from GPs and their receipt of such advice.

aimsTo describe GPs' current attitudes to and involvement in health promotion and lifestyle counselling, and to track changes in these areas over recent years.

methodA postal questionnaire survey of a random sample of 430 GPs, one per practice, from all general practices in Leicestershire, Derbyshire, and Nottinghamshire. GPs who had not responded after two weeks received a reminder telephone call plus two follow-up questionnaires.

resultsFour hundred and eleven GPs were eligible for the survey, which yielded a response rate of 68% (n = 279). GPs reported spending an average 16% of practice time on prevention and 79% reported educating patients about lifestyle risk 'most' or 'all of the time'. Solo GPs spent more time on prevention than GPs from group practices. Most enquiries and interventions related to smoking behaviour. GPs felt most effective in changing patients' use of prescription drugs, and the largest reported difference between current and potential effectiveness in helping patient change lifestyle behaviour, after information and training, related to reducing alcohol consumption.

conclusionsDespite an increasing workload, GPs remain positive about health promotion and lifestyle counselling. Over the past 10 years, there has been an increase in routine enquiries about lifestyle behaviour, but confidence about effectiveness in helping patients changes lifestyle behaviour remains low. More training and support concerning lifestyle intervention is required by GPs in order for them to contribute effectively to the Government's health promotion programme.

Indexed as

Health Care SurveysAdultAttitude of Health PersonnelAttitude to HealthDelivery of Health CareFamily PracticeFemaleHealth PromotionHumansLife StyleMalePhysicians, FamilyUnited Kingdom

Identifiers

PMID10343420
PMCPMC1313369

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.