Attitudes toward preventive services and lifestyle: the views of primary care patients in Europe. The EUROPREVIEW patient study

Brotons, Carlos; Bulc, Mateja; Sammut, Mario R.; Sheehan, Mary; Martins, Carlos; Björkelund, Cecilia; Drenthen, A. J. M.; Duhot, Didier; Görpelioglui, Süleyman; Jurgova, Eva; Keinanen-Kiukkanniemi, Sirkka; Kotanyi, P.; Markou, Valia; Moral, Irene; Mortsiefer, Achim; Pas, Leo; Pichler, Ingrid; Sghedoni, Donatella; Tataradze, R.; Thireos, Eleftherios; Valius, Leonas; Vuchak, Jasna; Collins, Claire; Cornelis, Esther; Ciurana, Ramon; Kloppe, Pilar; Mierzecki, Artur; Nadaraia, K.A.; Godycki-Cwirko, Maciek

doi:10.1093/fampra/cmr102

Cited by 59 publications

(53 citation statements)

References 17 publications

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“…This result is in line with the conclusion from the EUROPREVIEW study, where about half of the patients reported not having had any discussion on healthy lifestyles with their general practitioners [5]. The reported desire for support among both Swedish men and women who wanted to change their habits was 80–100% (with the exception of alcohol for males), while less than 50% of both genders reported actually receiving prevention initiatives from the primary care provider.…”

Section: Discussionsupporting

confidence: 82%

“…This result is in concordance with a finding by McAvoy et al [22], where primary care physicians in the United Kingdom stated that the greatest need for improved counseling effectiveness was in the area of alcohol consumption. This same conclusion was reached in a Swedish study [23], and also in the EUROPREVIEW study [5]. …”

Section: Discussionsupporting

confidence: 81%

“…The questions were slightly modified from the EUROPREVIEW patient study [5]. This questionnaire was developed by well-known experts through a careful process, but has not been validated through cognitive testing.…”

Section: Methodsmentioning

confidence: 99%

“…smoking-cessation advice. There are also patient expectations of counseling, as demonstrated by the EUROPREVIEW study (conducted in 22 European countries) reporting that approximately half of patients with smoking, unhealthy eating habits or lack of physical activity wanted their general practioner to offer advice about the habits [5]. However, there are reports indicating shortcomings in lifestyle counseling in primary care.…”

Section: Introductionmentioning

confidence: 99%

“…86% of the doctors acknowledged that they should advise a smoker to quit, but only 61% did it [7]. Further, the EUROPREVIEW study showed that about half of the patients in primary care reported not having had any discussions on lifestyle with their GPs [5]. A study in the US also showed low frequencies of counseling concerning alcohol [8].…”

Section: Introductionmentioning

confidence: 99%

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Lifestyle counseling in primary care in the United States and Sweden: a comparison of patients’ expectations and experiences

Jerdén

Dalton

Johansson

et al. 2018

Global Health Action

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Background: Despite 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. Objectives: To 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. Methods: In 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. Results: For 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. Conclusions: This 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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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 81%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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