ArticleBMC family practice2013
Barriers, facilitators and attitudes influencing health promotion activities in general practice: an explorative pilot study.
Article in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 3 of them syntheses that pooled it.
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Who cites it
66 citing papers in PubMed, 3 syntheses or guidelines pooled it, 144 citations in OpenAlex.
- Effectiveness and acceptability of conversational agents for sexual health promotion: a systematic review and meta-analysis.Sexual health · 2022Pooled it
- Views of commissioners, managers and healthcare professionals on the NHS Health Check programme: a systematic review.BMJ open · 2017Pooled 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
- Trial
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- How the Plants for Joints multidisciplinary lifestyle intervention achieved its effects: a mixed methods process evaluation.BMC public health · 2024Trial
- Encouraging Self-Management in Cardiovascular Disease Prevention.Deutsches Arzteblatt international · 2018Trial
- Use of action planning to increase provision of smoking cessation care by general practitioners: role of plan specificity and enactment.Implementation science : IS · 2014Trial
- U.S. and Swedish primary care physicians' views on promoting healthy lifestyles: a qualitative study.BMC primary care · 2026Article
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- Evaluating the efficacy of digital media platforms in disseminating public health information: A global review with implications for South Africa.African journal of primary health care & family medicine · 2026Review
- Insights into Singapore's national strategy for primary care reform: physician attitudes, facilitators and barriers to healthier SG.BMC health services research · 2025Article
- Factors influencing health promotion behavior on puerperal sepsis among postpartum mothers.BMC pregnancy and childbirth · 2025Article
- Knowledge, attitude, and practice of chronic insomnia management among general practitioners in China: a cross-sectional survey.BMC primary care · 2024Article
- Article
- An mHealth Application in German Health Care System: Importance of User Participation in the Development Process.Journal of medical systems · 2024Article
- Health promotion roles shaped by professional identity: an ethnographic study in the Netherlands.Health promotion international · 2024Article
- General practitioners' experiences of providing lifestyle advice to patients with depression: A qualitative focus group study.PloS one · 2024Article
- Motivational interviewing for prevention in Swiss family medicine: Opportunities and challenges.Preventive medicine reports · 2023Article
- The delivery of Ask-Advise-Connect for smoking cessation in Dutch general practice during the COVID-19 pandemic: results of a pre-post implementation study.BMC health services research · 2023Article
6 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe number of chronically ill patients increases every year. This is partly due to an unhealthy lifestyle. However, the frequency and quality of (evidence-based) health promotion activities conducted by Dutch general practitioners (GPs) and practice nurses (PNs) are limited. The aim of this pilot study was to explore which lifestyle interventions Dutch GPs and PNs carry out in primary care, which barriers and facilitators can be identified and what main topics are with respect to attitudes towards health promoting activities. These topic areas will be identified for a future, larger scale study.
methodThis qualitative study consisted of 25 semi-structured interviews with sixteen GPs and nine PNs. ATLAS.ti was used to analyse the transcripts of the interviews.
resultsAll GPs and PNs said they discuss lifestyle with their patients. Next to this, GPs and PNs counsel patients, and/or refer them to other disciplines. Only few said they refer patients to specific lifestyle programs or interventions in their own practice or in the neighbourhood. Several barriers and facilitators were identified. The main topics as barriers are: a lack of patients' motivation to make lifestyle changes, insufficient reimbursement, a lack of proven effectiveness of interventions and a lack of overview of health promoting programs in their neighbourhood. The most cited facilitators are availability of a PN, collaboration with other disciplines and availability of interventions in their own practice. With respect to attitudes, six different types of GPs were identified reflecting the main topics that relate to attitudes, varying from 'ignorer' to 'nurturer'. The topics relating to PNs attitudes towards health promotion activities, were almost unanimously positive.
conclusionGPs and PNs all say they discuss lifestyle issues with their patients, but the health promotion activities that are organized in their practice vary. Main topics that hinder or facilitate implementation are identified, including those that relate to attitudes of GPs and PNs.
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