ArticlePatient education and counseling2009
Initiation of health behavior discussions during primary care outpatient visits.
Article in Patient education and counseling, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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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.
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Who cites it
15 citing papers in PubMed, 28 citations in OpenAlex.
- Promoting smoking cessation in pregnancy with Video Doctor plus provider cueing: a randomized trial.Acta obstetricia et gynecologica Scandinavica · 2010Trial
- Characterizing obesity: A qualitative study.Obesity pillars · 2025Article
- A qualitative study on the factors influencing oral health care for young children in Belgium.BMC public health · 2025Article
- Discussing Weight in Real World GP Consultations: A Video Recording Analysis Study.Obesity science & practice · 2025Article
- Discussing diet, nutrition, and body weight after treatment for gynecological cancer: a conversation analytic study of outpatient consultations.Journal of cancer survivorship : research and practice · 2024Article
- Preventiometer, a Novel Wellness Assessment Device, Used With Healthy Volunteers: A Phase 2 Study.Global advances in health and medicine · 2021Article
- Discussing lifestyle behaviors: perspectives and experiences of general practitioners.Health psychology and behavioral medicine · 2019Article
- Emerging Adults' Discussion of Substance Use and Sexual Behavior with Providers.Journal of health communication · 2019Article
- Initiating discussions about weight in a non-weight-specific setting: What can we learn about the interactional consequences of different communication practices from an examination of clinical consultations?British journal of health psychology · 2018Article
- Nutrition Counselling Practices among General Practitioners in Croatia.International journal of environmental research and public health · 2017Article
- The content of diet and physical activity consultations with older adults in primary care.Patient education and counseling · 2014Article
- Qualified exercise professionals: best practice for work with clinical populations.Canadian family physician Medecin de famille canadien · 2013Review
- An instrument to assess the needs of patients with type 2 diabetes mellitus for health-promotion activities.The patient · 2011Article
- Development and implementation of a health behavioral counseling curriculum for physician assistant cancer education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2010Article
- Development of an instrument to document the 5A's for smoking cessation.American journal of preventive medicine · 2009Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveDespite the importance of health promotion, rates of health behavior advice remain low and little is known about how advice is integrated into routine primary care. This study examines how health behavior topics of diet, physical activity and smoking are initiated during outpatient visits.
methodsAudio recording of 187 adults visit to five purposefully selected physicians. An iterative analysis involved listening to and discussing cases to identify emergent patterns of initiation of health behavior talk and advice that followed.
resultsPhysicians initiated 65% of discussions and used two overarching strategies (1) Structured: a routine to ask about health behavior and (2) Opportunistic: use of a trigger to make a transition to talk about health behavior. Opportunistic strategies identified a greater proportion of patients at risk (50% vs. 34%) and led to a greater rate of advice (100% vs. 75%). Patients initiated one-third of health behavior discussions and were more likely to receive advice if they explicitly indicated readiness to change.
conclusionsOpportunistic strategies show promise for a higher yield of identifying patients at risk and leading to advice. PRACTICE IMPLICATIONS: Encouraging patients to be explicit about their readiness to change is likely to increase physician advice and assistance.
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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.