ArticleBMC family practice2008
Lifestyle counseling in hypertension-related visits--analysis of video-taped general practice visits.
Article in BMC family practice, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Electronic tools to assist with identification and counseling for overweight patients: a randomized controlled trial.Journal of general internal medicine · 2012Trial
- Article
- Lifestyle advice for hypertension or diabetes: trend analysis from 2002 to 2017 in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Facilitators of and Barriers to Lifestyle Support and eHealth Solutions: Interview Study Among Health Care Professionals Working in Cardiac Care.Journal of medical Internet research · 2021Article
- Identifying patterns and predictors of lifestyle modification in electronic health record documentation using statistical and machine learning methods.Preventive medicine · 2020Article
- Natural language processing of lifestyle modification documentation.Health informatics journal · 2020Article
- Factors affecting hypertensive patients' compliance with healthy lifestyle.Patient preference and adherence · 2019Article
- Setting goal and implementation intentions in consultations between practice nurses and patients with overweight or obesity in general practice.Public health nutrition · 2015Article
- Effect of Group Mindfulness-Based Stress-Reduction Program and Conscious Yoga on Lifestyle, Coping Strategies, and Systolic and Diastolic Blood Pressures in Patients with Hypertension.The journal of Tehran Heart Center · 2015Article
- Documented lifestyle education among young adults with incident hypertension.Journal of general internal medicine · 2015Article
- Quality of weight-loss counseling by Dutch practice nurses in primary care: an observational study.European journal of clinical nutrition · 2015Observational
- Examining the content of weight, nutrition and physical activity advices provided by Dutch practice nurses in primary care: analysis of videotaped consultations.European journal of clinical nutrition · 2014Observational
- Undiagnosed hypertension among young adults with regular primary care use.Journal of hypertension · 2014Article
- Barriers to lifestyle risk factor assessment and management in hypertension: a qualitative study of Australian general practitioners.Journal of human hypertension · 2013Article
- Barriers, facilitators and attitudes influencing health promotion activities in general practice: an explorative pilot study.BMC family practice · 2013Article
- Discussing patient's lifestyle choices in the consulting room: analysis of GP-patient consultations between 1975 and 2008.BMC family practice · 2010Article
- Missed opportunities? Improving the care of patients with high blood pressure.American journal of hypertension · 2009Article
- Collaboration and Negotiation: The Key to Therapeutic Lifestyle Change.American journal of lifestyle medicineReview
- Patient and Physician Race and the Allocation of Time and Patient Engagement Efforts to Mental Health Discussions in Primary Care: An Observational Study of Audiorecorded Periodic Health Examinations.The Journal of ambulatory care managementObservational
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe general practitioner (GP) can play an important role in promoting a healthy lifestyle, which is especially relevant in people with an elevated risk of cardiovascular diseases due to hypertension. Therefore, the aim of this study was to determine the frequency and content of lifestyle counseling about weight loss, nutrition, physical activity, and smoking by GPs in hypertension-related visits. A distinction was made between the assessment of lifestyle (gathering information or measuring weight or waist circumference) and giving lifestyle advice (giving a specific advice to change the patient's behavior or referring the patient to other sources of information or other health professionals).
methodsFor this study, we observed 212 video recordings of hypertension-related visits collected within the Second Dutch National Survey of General Practice in 2000/2001.
resultsThe mean duration of visits was 9.8 minutes (range 2.5 to 30 minutes). In 40% of the visits lifestyle was discussed (n = 84), but in 81% of these visits this discussion lasted shorter than a quarter of the visit. An assessment of lifestyle was made in 77 visits (36%), most commonly regarding body weight and nutrition. In most cases the patient initiated the discussion about nutrition and physical activity, whereas the assessment of weight and smoking status was mostly initiated by the GP. In 35 visits (17%) the GP gave lifestyle advice, but in only one fifth of these visits the patient's motivation or perceived barriers for changing behavior were assessed. Supporting factors were not discussed at all.
conclusionIn 40% of the hypertension-related visits lifestyle topics were discussed. However, both the frequency and quality of lifestyle advice can be improved.
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