ArticleBMC family practice2010
Primary care nurses struggle with lifestyle counseling in diabetes care: a qualitative analysis.
Article in BMC family practice, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 2 of them syntheses that pooled it.
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Who cites it
62 citing papers in PubMed, 2 syntheses or guidelines pooled it, 178 citations in OpenAlex.
- Factors influencing the implementation of general practice nurse-delivered models of care for chronic conditions: a mixed-methods systematic review to inform models of care for chronic sleep disorders.BMC primary care · 2026Pooled it
- To what extent do primary care practice nurses act as case managers lifestyle counselling regarding weight management? A systematic review.BMC family practice · 2014Pooled it
- Active participation of patients with type 2 diabetes in consultations with their primary care practice nurses - what helps and what hinders: a qualitative study.BMC health services research · 2019Trial
- Protocol of a cluster randomized trial to investigate the impact of a type 2 diabetes risk prediction model on change in physical activity in primary care.BMC endocrine disorders · 2018Trial
- Minimal improvement of nurses' motivational interviewing skills in routine diabetes care one year after training: a cluster randomized trial.BMC family practice · 2013Trial
- Trial
- Nurses' experiences with cardiovascular risk communication and lifestyle counselling during preventive dialogues in primary care: a qualitative interview study.BMC primary care · 2026Article
- Establishing Psychometric Properties of the Modified Barriers Experienced in Providing Healthcare Instrument.Healthcare (Basel, Switzerland) · 2026Article
- Implementing Lifestyle Counselling Into Secondary Type 2 Diabetes Care: Perspectives From Diabetes Nurses.Nursing open · 2025Article
- Article
- Referral pathway and competency profiles of primary care physiotherapists and kinesiologists for physical activity interventions for diabetes: a modified Delphi study.BMC primary care · 2024Article
- A randomized pragmatic feasibility trial to promote student perspective-taking on client physical activity level: a collaborative project.Pilot and feasibility studies · 2024Article
- Article
- Human cues in eHealth to promote lifestyle change: An experimental field study to examine adherence to self-help interventions.Internet interventions · 2024Article
- Development and quality assessment of the psychometric properties of the Self-Efficacy in Lifestyle Counselling scale (SELC 20 + 20) using Rasch analysis.Health and quality of life outcomes · 2024Article
- Article
- Nurse-led lifestyle counseling in Polish primary care: the effect of current health status and perceived barriers.Frontiers in public health · 2024Article
- A Digital Lifestyle Coach (E-Supporter 1.0) to Support People With Type 2 Diabetes: Participatory Development Study.JMIR human factors · 2023Article
- "Less is more": A design thinking approach to the development of the agenda-setting conversation cards for people with type 2 diabetes.PEC innovation · 2022Article
- Lifestyle support preferences of patients with cardiovascular diseases: What lifestyle support might work best for whom?PEC innovation · 2022Article
2 more citing papers are in PubMed but not listed here.
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient outcomes are poorly affected by lifestyle advice in general practice. Promoting lifestyle behavior change require that nurses shift from simple advice giving to a more counseling-based approach. The current study examines which barriers nurses encounter in lifestyle counseling to patients with type 2 diabetes. Based on this information we will develop an implementation strategy to improve lifestyle behavior change in general practice.
methodIn a qualitative semi-structured study, twelve in-depth interviews took place with nurses in Dutch general practices involved in diabetes care. Specific barriers in counseling patients with type 2 diabetes about diet, physical activity, and smoking cessation were addressed. The nurses were invited to reflect on barriers at the patient and practice levels, but mainly on their own roles as counselors. All interviews were audio-recorded and transcribed. The data were analyzed with the aid of a predetermined framework.
resultsNurses felt most barriers on the level of the patient; patients had limited knowledge of a healthy lifestyle and limited insight into their own behavior, and they lacked the motivation to modify their lifestyles or the discipline to maintain an improved lifestyle. Furthermore, nurses reported lack of counseling skills and insufficient time as barriers in effective lifestyle counseling.
conclusionsThe traditional health education approach is still predominant in primary care of patients with type 2 diabetes. An implementation strategy based on motivational interviewing can help to overcome 'jumping ahead of the patient' and promotes skills in lifestyle behavioral change. We will train our nurses in agenda setting to structure the consultation based on prioritizing the behavior change and will help them to develop social maps that contain information on local exercise programs.
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