ArticleAnnals of family medicine2016
Supporting Patient Behavior Change: Approaches Used by Primary Care Clinicians Whose Patients Have an Increase in Activation Levels.
Article in Annals of family medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness, feasibility, and acceptability of behaviour change tools used by family doctors: a global systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Pooled it
- Patient cardiovascular risk self-management: results from a randomized trial of motivational interviewing delivered by practice nurses.Family practice · 2019Trial
- Theoretical and Pragmatic Adaptation of the 5As Model to Patient-Centered Hypertension Counselling.Journal of health care for the poor and underserved · 2018Trial
- Initial participant perspectives about participating in an online, semi-supervised, cirrhosis-specific nutrition and exercise intervention.British journal of health psychology · 2025Article
- ConverSense: An Automated Approach to Assess Patient-Provider Interactions using Social Signals.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2024Article
- Adopting the Information-knowledge-attitude-practice Model for Transforming Health Behaviors in Medical Practice.Oman medical journal · 2024Article
- The use of positive deviance approach to improve health service delivery and quality of care: a scoping review.BMC health services research · 2024Article
- Evidence-Based Eating Patterns and Behavior Changes to Limit Excessive Gestational Weight Gain: A Scoping Review.International journal of environmental research and public health · 2023Article
- Identifying contributors to disparities in patient access of online medical records: examining the role of clinician encouragement.JAMIA open · 2023Article
- Assessing the Efficacy of a 28-Day Comprehensive Online Prostate Cancer Patient Empowerment Program (PC-PEP) in Facilitating Engagement of Prostate Cancer Patients in Their Survivorship Care: A Qualitative Study.Current oncology (Toronto, Ont.) · 2023Article
- Lifestyle aspects in a contemporary middle-European cohort of patients undergoing androgen deprivation therapy for advanced prostate cancer: data from the non-interventional LEAN study.The British journal of nutrition · 2023Observational
- The Patient Activation Measure (PAM) and the pandemic: Predictors of patient activation among Australian health consumers during the COVID-19 pandemic.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Article
- Prevalence of overweight and obesity amongst patients with diabetes and their non-diabetic family members in Senwabarwana, Limpopo province, South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Article
- Implementing a mHealth intervention to increase colorectal cancer screening among high-risk cancer survivors treated with radiotherapy in the Childhood Cancer Survivor Study (CCSS).BMC health services research · 2022Article
- Article
- Self-management in chronic lung disease: what is missing?Breathe (Sheffield, England) · 2022Review
- The Wahls Behavior Change Model for Complex Chronic Diseases: A Clinician's Guide.Degenerative neurological and neuromuscular disease · 2022Article
- How is patient activation related to healthcare service utilisation? Evidence from electronic patient records in England.BMC health services research · 2021Article
- Behavioral and psychological impact of genome sequencing: a pilot randomized trial of primary care and cardiology patients.NPJ genomic medicine · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe aimed to identify the strategies used to support patient behavior change by clinicians whose patients had an increase in patient activation.
methodsThis mixed methods study was conducted in collaboration with Fairview Health Services, a Pioneer Accountable Care Organization. We aggregated data on the change in patient activation measure (PAM) score for 7,144 patients to the primary care clinician level. We conducted in-depth interviews with 10 clinicians whose patients' score increases were among the highest and 10 whose patients' score changes were among the lowest. Transcripts of the interviews were analyzed to identify key strategies that differentiated the clinicians whose patients had top PAM change scores.
resultsClinicians whose patients had relatively large activation increases reported using 5 key strategies to support patient behavior change (mean = 3.9 strategies): emphasizing patient ownership; partnering with patients; identifying small steps; scheduling frequent follow-up visits to cheer successes, problem solve, or both; and showing caring and concern for patients. Clinicians whose patients had lesser change in activation were far less likely to describe using these approaches (mean = 1.3 strategies). Most clinicians, regardless of group, reported developing their own approach to support patient behavior change. Those whose patients showed high activation change reported spending more time with patients on counseling and education than did those whose patients showed less improvement in activation.
conclusionsClinicians vary in the strategies they use to promote behavior change and in the time spent with patients on such activities. The 5 key strategies used by clinicians with high patient activation change are promising approaches to supporting patient behavior change that should be tested in a larger sample of clinicians to validate their effectiveness.
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