ArticleBMJ (Clinical research ed.)1992
Lifestyle advice in general practice: rates recalled by patients.
Article in BMJ (Clinical research ed.), 1992. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Prevalence of physical activity counseling in primary care: A systematic review and meta-analysis.Health promotion perspectives · 2023Pooled it
- Dietary advice given by a dietitian versus other health professional or self-help resources to reduce blood cholesterol.The Cochrane database of systematic reviews · 2001Pooled it
- Effectiveness of training health professionals to provide smoking cessation interventions: systematic review of randomised controlled trials.Quality in health care : QHC · 1994Pooled it
- A Randomized Controlled Trial of IVR-Based Alcohol Brief Intervention to Promote Patient-Provider Communication in Primary Care.Journal of general internal medicine · 2016Trial
- Quit in general practice: a cluster randomised trial of enhanced in-practice support for smoking cessation.BMC family practice · 2010Trial
- Randomised controlled factorial trial of dietary advice for patients with a single high blood pressure reading in primary care.BMJ (Clinical research ed.) · 2004Trial
- A cluster randomised trial to evaluate a nutrition training programme.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003Trial
- Nutritional counselling in general practice: a cost effective analysis.Journal of epidemiology and community health · 1999Trial
- Coronary Microvascular Dysfunction and Vasospastic Angina-Pathophysiology, Diagnosis and Management Strategies.Journal of clinical medicine · 2025Review
- Lifestyle Behaviors According to the Duration of Hypertension: Korea National Health and Nutrition Examination Survey 2016-2018.Journal of Korean medical science · 2022Article
- The Hawthorne effect in direct observation research with physicians and patients.Journal of evaluation in clinical practice · 2017Article
- An explorative qualitative study on acceptability of physical activity assessment instruments among primary care professionals in southern Sydney.BMC family practice · 2016Article
- Patient-health care professional gender or race/ethnicity concordance and its association with weight-related advice in the United States.Patient education and counseling · 2016Article
- Feasibility of automated pre-screening for lifestyle and behavioral health risk factors in primary care.BMC family practice · 2015Article
- Behavioral economic insights into physician tobacco treatment decision-making.Annals of the American Thoracic Society · 2015Article
- Do family physicians advise younger people on cardiovascular disease prevention? A cross-sectional study from Slovenia.BMC family practice · 2013Article
- Patient recall of receiving lifestyle advice for overweight and hypertension from their General Practitioner.BMC family practice · 2010Article
- Association between Participation in Outpatient Cardiac Rehabilitation and Self-Reported Receipt of Lifestyle Advice from a Healthcare Provider: Results of a Population-Based Cross-Sectional Survey.Rehabilitation research and practice · 2010Article
- Lifestyle counseling in hypertension-related visits--analysis of video-taped general practice visits.BMC family practice · 2008Article
- Communication about behavioral health risks: a study of videotaped encounters in 2 internal medicine practices.Journal of general internal medicine · 2006Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo document how often patients with varying cardiovascular risk levels reported receiving lifestyle advice from general practice.
designCross sectional descriptive survey by postal questionnaire.
setting5 general practices in Bedfordshire. SUBJECTS: 4941 people aged 35-64 years who had consulted a general practitioner at least once during the 12 months before completing the questionnaire and who subsequently attended for a health check as part of the OXCHECK trial.
main outcome measuresReport of having received advice from a general practitioner or practice nurse about smoking, alcohol consumption, exercise, or diet during the 12 months before completing the questionnaire. Cardiovascular risk assessed by a nurse during structured health check.
resultsThe overall reported rate of advice was 27% for smoking, 4.5% for exercise, 12% for diet, and 3% for alcohol consumption. Those with unhealthy behaviour profile or at increased cardiovascular risk received more advice--for example, 47% of smokers with a history of cardiovascular disease received advice on smoking. Among those at increased risk, men were more likely than women to receive advice about exercise (11% v 4%, p = 0.04) and alcohol consumption (10% v 4%, p = 0.007), while women received more advice about weight (17% v 23%, p < 0.001). The rate of receiving advice was unaffected by age, marital status, or social class.
conclusionThe low rate of lifestyle advice reported by patients implies that more preventive advice could be provided in primary care.
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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.