Evidence map›Paper›PMID 31382938›Full record

ArticleBMC public health2019

Beliefs and attitudes towards lifestyle change and risks in primary care - a community-based study.

Pekka Mäntyselkä, Hannu Kautiainen, Juhani Miettola

Abstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

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  16. A Typology of Poles' Attitudes toward COVID-19 during the First Wave of the Pandemic.International journal of environmental research and public health · 2021
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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

3 authors.

Pekka MäntyselkäInstitute of Public Health and Clinical Nutrition (General Practice), School of Medicine, University of Eastern Finland, 70211-FIN, P.O.Box 1627, Kuopio, Finland. pekka.mantyselka@uef.fi.ORCID http://orcid.org/0000-0002-5236-1815
Hannu KautiainenPrimary Health Care Unit, Kuopio University Hospital, Kuopio, Finland.
Juhani MiettolaInstitute of Public Health and Clinical Nutrition (General Practice), School of Medicine, University of Eastern Finland, 70211-FIN, P.O.Box 1627, Kuopio, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPromoting a positive lifestyle change is a challenge for primary health care. The aim of this study was to analyze health and risk-related beliefs and attitudes in relation to lifestyle and lifestyle change in a rural community.

methodsThe study was based on a five-year follow-up data of the Lapinlahti study (N = 361). The same structured questionnaire was used at baseline and follow-up with lifestyle items. These were ranked as unhealthy (- 1), neutral (0) or healthy (+ 1). At baseline, participants took a stand on 29 statements related to beliefs and attitudes towards health and health promotion on a 5-point Likert scale. A factor analysis yielded two attitude factors (Factor 1 = underrating risks/resistant to change); (Factor 2 = helplessness/pessimism). The factors were divided into tertiles.

resultsThere was a linear positive trend (P < 0.001) in baseline lifestyle scores between the tertiles of Factor 1. A positive follow-up change of lifestyle score was found in all tertiles of Factor 1. For Factor 2, the difference between tertiles at baseline was non-significant. There was a significant positive change in all tertiles of Factor 2. Those who were underrating/ resistant but not helpless/pessimistic had the most significant positive lifestyle change. Those who were underrating/resistant and helpless/pessimistic did not improve their lifestyles.

conclusionsBeliefs and attitudes are related to lifestyle. Subjects with underrating and resistant attitudes with pessimism/helplessness seem to have a low potential for lifestyle change while those with resistant attitudes without pessimism and helplessness may have the most significant potential for lifestyle change. These findings suggest that it is possible to identify different groups of people with different needs and readiness and ability for health behavior change.

Indexed as

Health Knowledge, Attitudes, PracticeLife StyleRural PopulationAdultFemaleFollow-Up StudiesHealth BehaviorHumansMaleMiddle AgedPrimary Health CareRisk AssessmentSurveys and QuestionnairesAttitude to healthHealth promotionLifestylePrimary health careRisk reduction behavior

Identifiers

PMID31382938
PMCPMC6683394

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.