ArticleMedGenMed : Medscape general medicine2007
Lifestyle discussions during doctor-older patient interactions: the role of time in the medical encounter.
Article in MedGenMed : Medscape general medicine, 2007. 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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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
10 citing papers in PubMed.
- Study protocol: Exploring the use of Family Health Histories in the African American community to reduce health disparities in Flint, Michigan.Research square · 2024Article
- Clinical guidelines for the use of lifestyle-based mental health care in major depressive disorder: World Federation of Societies for Biological Psychiatry (WFSBP) and Australasian Society of Lifestyle Medicine (ASLM) taskforce.The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry · 2023Article
- N-of-1 trials to facilitate evidence-based deprescribing: Rationale and case study.British journal of clinical pharmacology · 2022Review
- Association of healthy lifestyle and all-cause mortality according to medication burden.Journal of the American Geriatrics Society · 2022Article
- Designing Lifestyle Interventions for Common Mental Disorders: What Can We Learn from Diabetes Prevention Programs?Nutrients · 2021Review
- Enhancing Doctors' Competencies in Communication With and Activation of Older Patients: The Promoting Active Aging (PRACTA) Computer-Based Intervention Study.Journal of medical Internet research · 2017Article
- Using the iPod Touch for Patient Health Behavior Assessment and Health Promotion in Primary Care.JMIR mHealth and uHealth · 2014Article
- Mental health and the relationship between health promotion counseling and health outcomes in chronic conditions: cross-sectional population-based study.Canadian family physician Medecin de famille canadien · 2014Article
- Factors Associated with Women's Chronic Disease Management: Associations of Healthcare Frustrations, Physician Support, and Self-Care Needs.Journal of aging research · 2013Article
- Associations between health care factors and self-reported health status among individuals with diabetes: results from a community assessment.Journal of community health · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
contextAlthough physician influence can be especially powerful with older adults, relatively little is known about how primary care physicians (PCPs) interact with their patients regarding lifestyle issues.
objectiveTo document the length of time that PCPs discuss lifestyle issues with their older patients and to examine patient, physician, and contextual correlates.
designDescriptive and multivariate analysis of videotapes of physician-patient encounters.
settingMedical encounters from 3 primary care ambulatory settings. PATIENTS: There were 116 ongoing medical encounters with patients aged 65 years or older.
main outcome measuresTotal time spent in physical activity (PA) discussions and total time spent discussing PA, nutrition, and smoking during the medical encounter.
resultsVery little time was spent in lifestyle discussions. On average, PA was discussed for less than a minute (58.28 seconds) and nutrition for slightly less than 90 seconds (83.11 seconds). Only about 10% of the average 17-minute, 22-second encounter was spent on physical activity, nutrition, or smoking topics. Physician supportiveness score (beta = 8.92, P <or= .001) and the number of topics discussed (beta = 106.39, P <or= .001) were significantly correlated with the length of all lifestyle discussion. Lifestyle discussions were also more likely to occur during longer visits.
conclusionThere is a critical need for additional training of primary care providers on how to discuss lifestyle issues in the most time-efficient but effective manner to achieve positive behavior change associated with improved health outcomes. There is also a need for the institutionalization of policies to encourage more lifestyle discussions.
Indexed as
Identifiers
18311398PMC2234310What 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.