ArticleGlobal health action2018
Lifestyle counseling in primary care in the United States and Sweden: a comparison of patients' expectations and experiences.
Article in Global health action, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 19 citations in OpenAlex.
- Lifestyle Habits Associated with Weight Regain After Intentional Loss in Primary Care Patients Participating in a Randomized Trial.Journal of general internal medicine · 2020Trial
- Patient-Reported Receipt of Satisfactory Healthy Lifestyle Guidance and Associated Factors Among Outpatients in China: A Nationwide Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2026Article
- U.S. and Swedish primary care physicians' views on promoting healthy lifestyles: a qualitative study.BMC primary care · 2026Article
- Article
- A Proposed Framework to Aid Primary Care Clinicians in Promoting Cardiovascular Health.Journal of general internal medicine · 2025Article
- Prevalence and correlates of health care utilization for non-communicable diseases in Bangladesh.BMC health services research · 2025Article
- Health care professionals' experiences of supporting persons with metabolic risk factors to increase their physical activity level - a qualitative study in primary care.Scandinavian journal of primary health care · 2023Article
- Refining a primary care shared decision-making aid for lifestyle change: a mixed-methods study.BJGP open · 2022Article
- Medical licensing examinations in both Sweden and the US favor pharmacology over lifestyle.Preventive medicine reports · 2021Article
- Identifying patterns and predictors of lifestyle modification in electronic health record documentation using statistical and machine learning methods.Preventive medicine · 2020Article
- Conversations about alcohol in healthcare - cross-sectional surveys in the Netherlands and Sweden.BMC public health · 2020Article
- Optimisation of a metabotype approach to deliver targeted dietary advice.Nutrition & metabolism · 2020Article
- Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner.International journal of environmental research and public health · 2019Article
- Health-Care Administrator Perspectives on Prevention Guidelines and Healthy Lifestyle Counseling in a Primary Care Setting in New York State.Health services research and managerial epidemiologyArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite various guidelines, shortcomings in lifestyle counseling in primary care have been demonstrated. Comparisons between countries may provide insight on how to improve such counseling. To the best of our knowledge, studies comparing patients' views of lifestyle counseling beween the United States (US) and European countries have not been reported.
objectivesTo quantify and compare patients' perspectives in the US and Sweden on primary care providers' counseling on weight, eating habits, physical activity, smoking, and alcohol consumption.
methodsIn a cross-sectional study, 629 patients from Sweden and the US completed a telephone interview about their experiences after a visit to a physician in primary care. The survey focused on patients' perception of the importance of healthy lifestyle habits, their need to change, their desire to receive support from primary care, and the support they had actually received. Data were analyzed using chi-square or Fisher's exact test.
resultsFor three of the four lifestyle habits, the proportion saying they needed to change was higher in the US. The exception was for alcohol, where Swedish subjects indicated a greater need to change. Among those stating a need to change, the proportion saying that they would like to have support from primary care was generally above 80% in both countries. The proportion of US patients reporting that their primary care provider had initiated a discussion of lifestyle modification was, with the exception of alcohol, roughly double the level reported by the Swedish patients.
conclusionsThis study demonstrates high and quite similar patient expectations concerning lifestyle counseling in both countries, but more frequent initiation of discussions of most lifestyle issues in US primary care. Further studies, e.g. qualitative interviews with physicians, and medical record reviews, are required to better understand what can explain the differences between countries indicated by the study.
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Registered trials
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.