Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2012
Counselling patients about behaviour change: the challenge of talking about diet.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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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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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
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review and thematic synthesis of qualitative studies exploring GPs' and nurses' perspectives on discussing weight with patients with overweight and obesity in primary care.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- Challenges of a community based pragmatic, randomised controlled trial of weight loss maintenance.BMC research notes · 2015Trial
- Training practitioners to deliver opportunistic multiple behaviour change counselling in primary care: a cluster randomised trial.BMJ (Clinical research ed.) · 2013Trial
- Preoperative communication between anaesthetists and patients with obesity regarding perioperative risks and weight management: a structured narrative review.Perioperative medicine (London, England) · 2020Review
- Physical activity counselling in Ireland: a survey of doctors' knowledge, attitudes and self-reported practice.BMJ open sport & exercise medicine · 2019Article
- Development of a brief, reliable and valid diet assessment tool for impaired glucose tolerance and diabetes: the UK Diabetes and Diet Questionnaire.Public health nutrition · 2017Article
- Statin prescription initiation and lifestyle behaviour: a primary care cohort study.BMC family practice · 2016Article
- Improving the health of the public: What is the role of health psychologists?Journal of health psychology · 2016Article
- Eligibility for interventions, co-occurrence and risk factors for unhealthy behaviours in patients consulting for routine primary care: results from the Pre-Empt study.BMC family practice · 2015Article
- American Society of Clinical Oncology position statement on obesity and cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2014Article
- Health-related quality of life and sense of coherence among people with obesity: Important factors for health management.SAGE open medicine · 2014Article
- QOF should be more about disease and risk factors prevention.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- Obesity and chronic disease in younger people: an unfolding crisis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundAs obesity levels increase, opportunistic behaviour change counselling from primary care clinicians in consultations about healthy eating is ever more important. However, little is known about the approaches clinicians take with patients.
aimTo describe the content of simulated consultations on healthy eating in primary care, and compare this with the content of smoking cessation consultations. DESIGN AND
settingQualitative study of 23 audiotaped simulated healthy eating and smoking cessation consultations between an actor and primary care clinicians (GPs and nurses) within a randomised controlled trial looking at behaviour change counselling.
methodConsultations were audiotaped and transcribed verbatim, then analysed inductively using thematic analysis. A thematic framework was developed by all authors and applied to the data. The content of healthy eating consultations was contrasted with that given for smoking cessation.
resultsThere was a lack of consistency and clarity when clinicians discussed healthy eating compared with smoking; in smoking cessation consultations, the content was clearer to both the clinician and patient. There was a lack of specificity about what dietary changes should be made, how changes could be achieved, and how progress could be monitored. Barriers to change were addressed in more depth within the smoking cessation consultations than within the healthy eating encounters.
conclusionAt present, dietary counselling by clinicians in primary care does not typically contain consistent, clear suggestions for specific change, how these could be achieved, and how progress would be monitored. This may contribute to limited uptake and efficacy of dietary counselling in primary care.
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