ArticleBMC family practice2013
Do practitioners and friends support patients with coronary heart disease in lifestyle change? a qualitative 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 18 papers, 2 of them syntheses that pooled it.
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The trial behind it
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.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Social network interventions to support cardiac rehabilitation and secondary prevention in the management of people with heart disease.The Cochrane database of systematic reviews · 2023Pooled it
- Pooled it
- Effects of Positive Event Recording on Rehabilitation Outcomes in Elderly Patients with Coronary Heart Disease and Anxiety.Clinical interventions in aging · 2026Trial
- CPAP increases physical activity in obstructive sleep apnea with cardiovascular disease.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Trial
- Trial
- Facilitators and barriers to modifying dietary and hygiene behaviours as adjuvant treatment in patients with depression in primary care: a qualitative study.BMC psychiatry · 2018Trial
- Using postal questionnaires to evaluate physical activity and diet behaviour change: case study exploring implications of valid responder characteristics in interpreting intervention outcomes.BMC research notes · 2014Trial
- Cardiometabolic Patient-Related Factors Influencing the Adherence to Lifestyle Changes and Overall Treatment: A Review of the Recent Literature.Life (Basel, Switzerland) · 2023Review
- Awareness of non-communicable diseases in women: a cross-sectional study.Archives of gynecology and obstetrics · 2022Article
- Lifestyle behaviours in patients with established cardiovascular diseases: a European observational study.BMC family practice · 2019Observational
- Development of interventions for an intelligent and individualized mobile health care system to promote healthy diet and physical activity: using an intervention mapping framework.BMC public health · 2019Article
- Patients' experiences of physical activity on prescription with access to counsellors in routine care: a qualitative study in Sweden.BMC public health · 2019Article
- Shared decision-making (SHARE-D) for healthy behaviour change: a feasibility study in general practice.BJGP open · 2018Article
- A qualitative analysis exploring preferred methods of peer support to encourage adherence to a Mediterranean diet in a Northern European population at high risk of cardiovascular disease.BMC public health · 2018Article
- Exploring the adaptive experiences of children with parents of myocardial infarction: A Qualitative Study.Electronic physician · 2017Article
- Exercising alcohol patients don't lack motivation but struggle with structures, emotions and social context - a qualitative dropout study.BMC family practice · 2017Article
- The Role of Family in a Dietary Risk Reduction Intervention for Cardiovascular Disease.Healthcare (Basel, Switzerland) · 2016Article
- A qualitative study of CVD management and dietary changes: problems of 'too much' and 'contradictory' information.BMC family practice · 2014Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundHealthy lifestyles help to prevent coronary heart disease (CHD) but outcomes from secondary prevention interventions which support lifestyle change have been disappointing. This study is a novel, in-depth exploration of patient factors affecting lifestyle behaviour change within an intervention designed to improve secondary prevention for patients with CHD in primary care using personalised tailored support. We aimed to explore patients' perceptions of factors affecting lifestyle change within a trial of this intervention (the SPHERE Study), using semi-structured, one-to-one interviews, with patients in general practice.
methodsInterviews (45) were conducted in purposively selected general practices (15) which had participated in the SPHERE Study. Individuals, with CHD, were selected to include those who succeeded in improving physical activity levels and dietary fibre intake and those who did not. We explored motivations, barriers to lifestyle change and information utilised by patients. Data collection and analysis, using a thematic framework and the constant comparative method, were iterative, continuing until data saturation was achieved.
resultsWe identified novel barriers to lifestyle change: such disincentives included strong negative influences of social networks, linked to cultural norms which encouraged consumption of 'delicious' but unhealthy food and discouraged engagement in physical activity. Findings illustrated how personalised support within an ongoing trusted patient-professional relationship was valued. Previously known barriers and facilitators relating to support, beliefs and information were confirmed.
conclusionsIntervention development in supporting lifestyle change in secondary prevention needs to more effectively address patients' difficulties in overcoming negative social influences and maintaining interest in living healthily.
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