Evidence map›Paper›PMID 24736190›Full record

ArticlePatient education and counseling2014

The content of diet and physical activity consultations with older adults in primary care.

Shoshana H Bardach, Nancy E Schoenberg

Abstract read
In one paragraph

Article in Patient education and counseling, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Physical Activity Promotion: A Systematic Review of The Perceptions of Healthcare Professionals.International journal of environmental research and public health · 2020
    Pooled it
  2. Guideline
  3. Trial
  4. Discussions about physical activity in general practice: analysis of video-recorded consultations.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Exercise specialists should be members of our health care team.Canadian family physician Medecin de famille canadien · 2018
    Article
  11. Canadian family physician Medecin de famille canadien · 2018
    Article
  12. Article
  13. Article
  14. Article
  15. Obesity, pelvic inflammatory disease, falls prevention, and domestic violence.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Shoshana H BardachLexington Veterans Affairs Medical Center, Lexington, USA. Electronic address: shoshana.bardach@va.gov.
Nancy E SchoenbergDepartment of Behavioral Science, University of Kentucky, Lexington, USA.

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
Kentucky Center for Clinical and Translational ScienceTL1TR000115 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$518k
Kentucky Center for Clinical and Translational ScienceTL1RR033172 · NCRR · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2011 to 2011
$161k
NCATS NIH HHS TL1 TR000115NCATS NIH HHS UL1 TR000117NCRR NIH HHS TL1 RR033172
6 · The paper itself

Abstract

objectiveDespite numerous benefits of consuming a healthy diet and receiving regular physical activity, engagement in these behaviors is suboptimal. Since primary care visits are influential in promoting healthy behaviors, we sought to describe whether and how diet and physical activity are discussed during older adults' primary care visits.

methods115 adults aged 65 and older consented to have their routine primary care visits recorded. Audio-recorded visits were transcribed and diet and physical activity content was coded and analyzed.

resultsDiet and physical activity were discussed in the majority of visits. When these discussions occurred, they lasted an average of a minute and a half. Encouragement and broad discussion of benefits of improved diet and physical activity levels were the common type of exchange. Discussions rarely involved patient behavioral self-assessments, patient questions, or providers' recommendations.

conclusionsThe majority of patient visits include discussion of diet and physical activity, but these discussions are often brief and rarely include recommendations. PRACTICE IMPLICATIONS: Providers may want to consider ways to expand their lifestyle behavior discussions to increase patient involvement and provide more detailed, actionable recommendations for behavior change. Additionally, given time constraints, a wider array of approaches to lifestyle counseling may be necessary.

Indexed as

CounselingDietExerciseReferral and ConsultationAgedAged, 80 and overFemaleHealth BehaviorHumansMaleOffice VisitsPatient ParticipationPhysician-Patient RelationsPractice Patterns, Physicians'Primary Health CareQualitative ResearchCounselingHealth promotionOlder adultsQualitative

Identifiers

PMID24736190
PMCPMC4058830

What OpenQuestion holds

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Registered trials

None linked

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.