Health Promotion: Physicians’ Beliefs, Attitudes, and Practices

Valente, Carmine M.; Sobal, Jeffery; Muncie, Herbert L.; Levine, David M.; Antlitz, Albert M.

doi:10.1016/s0749-3797(18)31353-9

Cited by 162 publications

(36 citation statements)

References 8 publications

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“…However, studies demonstrate that GPs are not confident in utilizing such strategies. In a US study, 65% of physicians did not express high levels of confidence in dealing with behaviour change (Wechsler et al, 1983), while only 3-18% believe they are successful in helping patients with behaviour change (Wechsler et al, 1983;Valente et al, 1986). In our study, despite the majority of GPs reporting they assess the patients' readiness to change their diet, almost half were unaware of 'stage of change' behaviour theory.…”

Section: S142contrasting

confidence: 69%

The effectiveness of nutrition counselling by Australian General Practitioners

Nicholas

Pond

Roberts³

2005

Eur J Clin Nutr

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Objective: To determine whether General Practitioners (GPs) consider or provide nutrition counselling for hypertension, diabetes, lipid disorders, ischaemic heart disease (IHD), overweight or obesity, and whether GPs include assessment of the patient's usual diet, assessment of the patient's readiness to change their diet, provision and discussion of nutrition leaflets when counselling. Design: A self-completed questionnaire. Setting: New South Wales, Australia. Subjects: A total of 399 GPs were surveyed using a division mailing list. Methods: Questionnaires were distributed in May 2004 with two reminders provided at four-weekly intervals. Results: Of the 399 GPs, 28 no longer practiced at the address while nine were on extended leave. Of the remaining 362, 50% responded, 5% declining to participate, while 163 (45%) completed the questionnaire. GPs were less likely to strongly agree to consider nutrition for hypertension (37%), IHD (61%) and overweight (68%), than diabetes (86%), lipid disorders (82%) and obesity (83%). They were also less likely to strongly agree to provide nutrition for hypertension (22%), IHD (46%) and overweight (45%), than diabetes (79%), lipid disorders (71%) and obesity (68%). In total, 97% of GPs provided some nutrition counselling, with 66% 'often' assessing the patients diet and 59% 'often' assessing the patient's readiness to change their diet. In total, 45% were unaware of stage of change behaviour theory. A total of 85% used nutrition leaflets and 59% 'often' discussed these with their patients.Conclusions: Determining what are the barriers to nutrition counselling for hypertension, IHD and overweight is urgently needed. Educating GPs on stage of change behaviour theory could increase the efficacy of the counselling provided.

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Section: S142contrasting

confidence: 69%

The effectiveness of nutrition counselling by Australian General Practitioners

Nicholas

Pond

Roberts³

2005

Eur J Clin Nutr

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“…Of the demographic characteristics we assessed, only age (increasing) was significantly related to improved practice. This association of increased age with higher performance is in contrast to some previous findings 38,48 and in agreement with others. 45 Perhaps older providers' experience increases their concern and their willingness to talk with patients/clients about difficult behavioral issues.…”

Section: Discussionsupporting

confidence: 90%

Smoking cessation counseling with pregnant and postpartum women: a survey of community health center providers

Zapka

Pbert²,

Stoddard³

et al. 2000

Am J Public Health

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Objectives. This study assessed providers' performance of smoking cessation counseling steps with low-income pregnant and postpartum women receiving care at community health centers.Methods. WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) program staff, obstetric clinicians, and pediatric clinicians at 6 community health centers were asked to complete surveys. Smoking intervention practices (performance), knowledge and attitudes, and organizational facilitators were measured. Factors associated with performance were explored with analysis of variance and regression analysis.Results. Performance scores differed significantly by clinic and provider type. Providers in obstetric clinics had the highest scores and those in pediatric clinics had the lowest scores. Nurse practitioners and nutritionists had higher scores than other providers. Clinic type, greater smoking-related knowledge, older age, and perception of smoking cessation as a priority were independently related to better counseling performance.Conclusions. Mean performance scores demonstrated room for improvement in all groups. Low scores for performance of steps beyond assessment and advice indicate a need for emphasis on the assistance and follow-up steps of national guidelines. Providers' own commitment to helping mothers stop smoking was important. (Am J

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“…In our study, the proportion of patients with an unhealthy lifestyle, who reported receiving advice from their physician to change their behaviour has ranged from 24 to 66%. Some studies [17][18][19] have found that doubts by physicians about the effectiveness of counselling play a major role. One can assume that, the educative role of the pharmacists regarding the four major lifestyle modifications is of great importance.…”

Section: Awareness Of the Usefulness Of Lifestyle Changesmentioning

confidence: 99%

Appraisal of the knowledge of hypertensive patients and assessment of the role of the pharmacists in the management of hypertension: results of a regional survey

Ragot

Sosner

Bouche³

et al. 2005

J Hum Hypertens

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The objectives of the study were to appraise the knowledge which the patients have about their hypertension, and to assess the knowledge and involvement of pharmacists in the management of the hypertensive patient. All the pharmacies in the Poitou-Charentes area were invited both to participate in a training session about arterial hypertension and asked to fill in a pharmacist's questionnaire. Furthermore, each participant was required to submit a patient's questionnaire to 20 consecutive hypertensives. A total of 104 pharmacies and 1015 hypertensive patients participated in the survey. In all, 88% of the patients (n ¼ 893) were aware of their blood pressure (BP) figures, but 68% (349/515) considered themselves wrongly, to be normalized; 39% (n ¼ 350) only had BP figures o140/90 mmHg. They said they had been poorly informed about recommended lifestyle changes. In all, 18% (n ¼ 185) were equipped with an automatic device. A total of 77% (n ¼ 779) were able to give the names of their drugs without the help of the pharmacist. Treatment-related unwanted effects were reported by 8% of the patients (n ¼ 79). Only 18% (n ¼ 29) of the pharmacists were able to provide a correct definition of hypertension. Most of them thought hypertension was well controlled in the general population and considered that both tolerance of and compliance with antihypertensive treatment were satisfactory. They could most often (80%, n ¼ 135) supply a SBPM device, but 58 (36%) only were able to provide relevant advice regarding the recommended procedures. In conclusion, The BP goals and the lifestyle modifications are poorly known by the hypertensives. Pharmacists' knowledge is frequently wrong and should be improved by appropriate training programmes.

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Health Promotion: Physicians’ Beliefs, Attitudes, and Practices

Cited by 162 publications

References 8 publications

The effectiveness of nutrition counselling by Australian General Practitioners

The effectiveness of nutrition counselling by Australian General Practitioners

Smoking cessation counseling with pregnant and postpartum women: a survey of community health center providers

Appraisal of the knowledge of hypertensive patients and assessment of the role of the pharmacists in the management of hypertension: results of a regional survey

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