ArticleBMC family practice2020
'Motivational work': a qualitative study of preventive health dialogues in general practice.
Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Stakeholders' perceptions and experiences of factors influencing the commissioning, delivery, and uptake of general health checks: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2025Pooled it
- Nurses' experiences with cardiovascular risk communication and lifestyle counselling during preventive dialogues in primary care: a qualitative interview study.BMC primary care · 2026Article
- Digital solutions for decision support in general practice - a rapid review focused on systems developed for the universal healthcare setting in Denmark.BMC primary care · 2023Review
- Exploring targeted preventive health check interventions - a realist synthesis.BMC public health · 2023Review
- Health care professionals' experiences and perceptions of health promotion through the health dialogue intervention in the scania region, Sweden: a qualitative interview study.BMC primary care · 2023Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe aim of this article is to explore preventive health dialogues in general practice in the context of a pilot study of a Danish primary preventive intervention 'TOF' (a Danish acronym for 'Early Detection and Prevention') carried out in 2016. The intervention consisted of 1) a stratification of patients into one of four groups, 2) a digital support system for both general practitioners and patients, 3) an individual digital health profile for each patient, and 4) targeted preventive services in either general practice or a municipal health center.
methodsThe empirical material in this study was obtained through 10 observations of preventive health dialogues conducted in general practices and 18 semi-structured interviews with patients and general practitioners. We used the concept of 'motivational work' as an analytical lens for understanding preventive health dialogues in general practice from the perspectives of both general practitioners and patients.
resultsWhile the health dialogues in TOF sought to reveal patients' motivations, understandings, and priorities related to health behavior, we find that the dialogues were treatment-oriented and structured around biomedical facts, numeric standards, and risk factor guidance. Overall, we find that numeric standards and quantification of motivation lessens the dialogue and interaction between General Practitioner and patient and that contextual factors relating to the intervention framework, such as a digital support system, the general practitioners' perceptions of their professional position as well as the patients' understanding of prevention -in an interplay-diminished the motivational work carried out in the health dialogues.
conclusionThe findings show that the influence of different kinds of context adds to the complexity of prevention in the clinical encounter which help to explain why motivational work is difficult in general practice.
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