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DisclaimerThe University of Gloucestershire has obtained warranties from all depositors as to their title in the material deposited and as to their right to deposit such material.The University of Gloucestershire makes no representation or warranties of commercial utility, title, or fitness for a particular purpose or any other warranty, express or implied in respect of any material deposited.The University of Gloucestershire makes no representation that the use of the materials will not infringe any patent, copyright, trademark or other property or proprietary rights.The University of Gloucestershire accepts no liability for any infringement of intellectual property rights in any material deposited but will remove such material from public view pending investigation in the event of an allegation of any such infringement.
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European Journal for Person Centered Healthcare 2015 Vol 3 Issue 3 pp 288-294
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ARTICLEEvaluation of a tactic to engage hard-to-reach patients during the exercise referral process: a longitudinal qualitative study General practitioners (GPs) have been reluctant to promote physical activity with overweight and obese patients due to concerns about damaging the GP -patient relationship, a central component of person-centered healthcare. A longitudinal qualitative study was conducted to evaluate a small group of health professionals (HPs) and their patients' perspectives of the referral process for exercise in a Primary Care setting. Methods: Twelve patients aged 55-74 and their 6 referring HPs, including 5 GPs and 1 Practice Nurse participated in the study. Semi-structured interviews took place on 2 occasions over an 8 month period in a Primary Care Health Centre. Transcripts of recorded interviews were coded and thematically analysed using a grounded theory approach. Results: HPs and patients identified difficulties associated with broaching the subject of obesity. HPs identified that tensions could arise when discussing weight management and exercise. Patients indicated that they disliked the way in which their HP had introduced the subject of obesity and the need for physical activity. The patients later acknowledged, however, that the consultat...