ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1999
Who is targeted for lifestyle advice? A cross-sectional survey in two general practices.
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 10 papers.
What it found
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Who cites it
10 citing papers in PubMed, 24 citations in OpenAlex.
- Randomised controlled factorial trial of dietary advice for patients with a single high blood pressure reading in primary care.BMJ (Clinical research ed.) · 2004Trial
- Revealing the impact of social circumstances on the selection of cancer therapy through natural language processing of social work notes.JAMIA open · 2024Article
- Patients with osteoarthritis are least likely to receive lifestyle advice compared with patients with diabetes and hypertension: A national health survey study from Denmark.Osteoarthritis and cartilage open · 2020Article
- The Validity of a New Structured Assessment of Gastrointestinal Symptoms Scale (SAGIS) for Evaluating Symptoms in the Clinical Setting.Digestive diseases and sciences · 2017Article
- Article
- Attitudes of Slovenian family practice patients toward changing unhealthy lifestyle and the role of family physicians: cross-sectional study.Croatian medical journal · 2011Article
- Non-clinical influences on clinical decision-making: a major challenge to evidence-based practice.Journal of the Royal Society of Medicine · 2010Review
- Patient recall of receiving lifestyle advice for overweight and hypertension from their General Practitioner.BMC family practice · 2010Article
- Explaining the variation in the management of lifestyle risk factors in primary health care: a multilevel cross sectional study.BMC public health · 2009Article
- Psychosocial, lifestyle, and health status variables in predicting high attendance among adults.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundRecent health promotion guidelines reimbursed primary health care teams for targeting lifestyle advice to patients at risk of cardiovascular disease. However, it is unclear whether primary health care teams do target advice, who is targeted, and whether the advice is acted upon.
aimTo assess which factors predict the targeting and recall of lifestyle advice.
methodA total of 370 patients with, and 192 without, a computer record of risk factors for cardiovascular disease (hypertension, diabetes, ischaemic heart disease/myocardial infarction/angina, a body mass index > or = 30) from two contrasting Wessex practices were sent a postal questionnaire about medical conditions, recall of lifestyle advice, current lifestyle, and their perceptions about the health of their lifestyle.
resultsSeventy-seven per cent of patients responded. There was good agreement between listed risk factors and patients reporting a risk factor (kappa = 0.60), which was similar for both sexes and better in older age groups. Recall of lifestyle advice was not significantly affected by practice, but was more likely in patients with listed risk factors (adjusted odds ratio [OR] = 4.62, 95% confidence intervals [CI] = 2.89-7.37) and in men (OR = 1.64, 95% CI = 1.07-2.52), and less likely in older age groups (age < or = 64 years = 1.00; 65-74 years = 0.47, 95% CI = 0.27-0.81; 75+ years = 0.34, 95% CI = 0.20-0.60). Of patients with listed risk factors, 27% could not recall having received any advice, and recall varied with medical condition. Only 40% of patients with reported high blood pressure recalled being given advice about salt. Those who recalled advice were more likely to report a healthier current lifestyle. Of those with unhealthy lifestyles, 30-50% were unaware that their lifestyle was unhealthy.
conclusionLifestyle advice is not recalled for some important risk factors, and some patients are unaware of their unhealthy lifestyle. Although advice is being preferentially targeted to those with risk factors, women and older patients recall advice less. Research is needed to assess the cost-effectiveness of advice for both sexes and different ages.
Indexed as
Identifiers
10885085PMC1313532W27293959What OpenQuestion holds
Registered trials
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.