ArticleHealth policy (Amsterdam, Netherlands)2007
Clinician reflections on promotion of healthy behaviors in primary care practice.
Article in Health policy (Amsterdam, Netherlands), 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Behavior change counseling curricula for medical trainees: a systematic review.Academic medicine : journal of the Association of American Medical Colleges · 2012Pooled it
- Appreciative Inquiry for quality improvement in primary care practices.Quality management in health careTrial
- "I do not have time. Is there a handout I can use?": combining physicians' needs and behavior change theory to put physical activity evidence into practice.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017Article
- Evaluation of integrated psychological services in a university-based primary care clinic.Journal of clinical psychology in medical settings · 2014Article
- Factors associated with consulting a dietitian for diabetes management: a cross-sectional study.BMC health services research · 2013Article
- An evolving perspective on physical activity counselling by medical professionals.BMC family practice · 2012Article
- Initiation of health behavior discussions during primary care outpatient visits.Patient education and counseling · 2009Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectiveRecommendations to use integrated models for health behavior change abound, however, the translation to practice has been poor. We used stimulated reflections of primary care physicians and nurse practitioners to generate insights about current practices and opportunities for changing how health behavior advice is addressed.
methodTwenty-one community practicing primary care clinicians invited to a nationally sponsored practice-based research network conference on promotion of healthy behaviors were asked to record aspects of health behaviors they addressed during a day of outpatient visits. In response to eight questions, clinicians reflected insights which were then analyzed by a multidisciplinary team to identify over-arching themes.
resultsHealth behavior discussions are initiated and carried out predominantly by the clinician. These discussions occur primarily during health care maintenance visits or visits in which presenting complaints or chronic illnesses can be linked to health behaviors. Clinicians' reflections on viable opportunities for change include different modes of patient education materials such as web-based materials. Suprisingly infrequent were solutions outside of the clinical encounter or strategies that engage other staff or other community partners.
conclusionImplementation of the integrated care model as an opportunity to enhance health promotion seems far from the current realities and future vision of even motivated network-based clinicians.
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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.