Older Patients’ Recall of Lifestyle Discussions in Primary Care

Bardach, Shoshana H.; Schoenberg, Nancy E.; Howell, Britteny M.

doi:10.1177/0733464815574095

Cited by 6 publications

(11 citation statements)

References 37 publications

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“…(n = 32) were conducted (in whole or part) in North American populations (Supplementary Table S1). 16,22,[24][25][26][27]31,33,35,38,39,[42][43][44][45][46]48,50,52,53,56,57,62,63,66,68,[71][72][73][74]77,78…”

Section: How This Fits Inmentioning

confidence: 99%

Delivering brief physical activity interventions in primary care: a systematic review

et al. 2021

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BackgroundPhysical activity (PA) brief interventions (BIs) involving screening and/or advice are recommended in primary care but frequency of delivery is unknown.AimTo examine the extent to which PA BIs are delivered in primary care, and explore factors associated with delivery, receipt, and patient receptivity.Design and settingA mixed-methods systematic review of studies conducted worldwide, with a narrative synthesis of results.MethodCINAHL, EMBASE, MEDLINE, and APA PsycINFO index databases were searched for qualitative and quantitative studies, dating from January 2012 to June 2020, that reported the level of delivery and/or receipt of PA BIs in primary care, and/or factors affecting delivery, receipt, and patient receptivity. Quality was assessed using the Mixed Methods Appraisal Tool. Attitudes towards and barriers to delivery were coded into the Theoretical Domains Framework and the Capability, Opportunity, and Motivation Behaviour model.ResultsAfter screening a total of 13 066 records, 66 articles were included in the review. The extent of PA screening and advice in primary care varied widely (2.4%–100% and 0.6%–100%, respectively). PA advice was delivered more often to patients with a higher body mass index, lower PA levels, and/or more comorbidities. Barriers — including a lack of time and training/guidelines — remain, despite recommendations from the World Health Organization and National Institute for Health and Care Excellence that PA advice should be provided in primary care. Few studies explored patients’ receptivity to advice.ConclusionPA BIs are not delivered frequently or consistently in primary care. Addressing barriers to delivery through system-level changes and training programmes could improve and increase the advice given. Understanding when patients are receptive to PA interventions could enhance health professionals’ confidence in their delivery.

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Section: How This Fits Inmentioning

confidence: 99%

Delivering brief physical activity interventions in primary care: a systematic review

et al. 2021

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“…Em média, seis em cada dez profissionais relataram realizar aconselhamento para AF na ABS. Esta revisão não se propôs a analisar a taxa de concordância entre os relatos de aconselhamento dos profissionais com usuários, até porque diversos fatores estão envolvidos, como a percepção do profissional, recordação do usuário 68 , e aspectos contextuais que distinguem o oferecer do receber aconselhamento; porém a diferença apresentada parece concordar com os resultados de um estudo 27 que, ao pesquisar profissionais e usuários concomitantemente, apontou baixa taxa de concordância entre usuários e médicos.…”

Section: Discussionunclassified

Prevalência de aconselhamento para atividade física na Atenção Básica à Saúde: uma revisão sistemática

Moraes

Souza

Araujo

et al. 2019

Rev Bras Ativ Fís Saúde

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O aconselhamento tem se mostrado promissor para mudança de comportamento. Este estudo teve como objetivo realizar uma revisão sistemática sobre a prevalência de aconselhamento para a prática de atividade física oferecido pelos pro ssionais de saúde e recebido pelos usuários no contexto da Atenção Básica à Saúde. Foram revisadas as bases de periódicos PsycINFO, EBSCOhost, PubMed, ScienceDirect, Web of Science, LILACS e SciELO. O risco de viés foi avaliado em todos os artigos. Foram incluídos na revisão 44 artigos, destes, 21 investigaram aconselhamento fornecido por profissionais de saúde e 23 analisaram aconselhamento recebido por usuários. A prevalência de aconselhamento variou de 11,8% a 95,0% entre os profissionais (60,2 ± 22,7%) e 4,5% a 61,6% entre usuários (36,6 ± 14,2%). Médicos são os profissionais mais investigados. Usuários com fatores de risco para as doenças crônicas são os que mais relatam receber aconselhamento. O aconselhamento ainda é incipiente na Atenção Básica à Saúde, especialmente pela baixa percepção de aconselhamento recebido pelos usuários. Existe a necessidade de padronizar métodos para avaliar o aconselhamento para prática de atividade física, especialmente no tempo, no tipo e na forma de aconselhar.

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“…Despite studies indicating that counseling interventions are effective for promoting behavioral change in weight management, 44 - 46 dialogue about healthy lifestyle choices for exercise and nutrition rarely occurs between healthcare professionals and their patients. 47 , 48 If the KT tool is used, healthcare professionals may be more sensitive to the needs of women dealing with body weight management issues and may result in more tailored approaches to achieving a body shape that women find “looking good” and “feeling better” and is concomitantly defined by their healthcare professionals as healthy weight.…”

Section: Discussionmentioning

confidence: 99%

Middle-aged women’s decisions about body weight management

et al. 2015

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ObjectiveThis study aims to assess middle-aged women’s needs when making body weight management decisions and to evaluate a knowledge translation tool for addressing their needs.MethodsA mixed-methods study used an interview-guided theory-based survey of professional women aged 40 to 65 years. The tool summarized evidence to address their needs and enabled women to monitor actions taken. Acceptability and usability were reported descriptively.ResultsSixty female participants had a mean body mass index of 28.0 kg/m2 (range, 17.0-44.9 kg/m2), and half were premenopausal. Common options for losing (82%) or maintaining (18%) weight included increasing physical activity (60%), eating healthier (57%), and getting support (40%). Decision-making involved getting information on options (52%), soliciting others’ decisions/advice (20%), and being self-motivated (20%). Preferred information sources included written information (97%), counseling (90%), and social networking websites (43%). Five professionals (dietitian, personal trainer, occupational therapist, and two physicians) had similar responses. Of 53 women sent the tool, 27 provided acceptability feedback. They rated it as good to excellent for information on menopause (96%), body weight changes (85%), and managing body weight (85%). Most would tell others about it (81%). After 4 weeks of use, 25 women reported that the wording made sense (96%) and that the tool had clear instructions (92%) and was easy to use across time (88%). The amount of information was rated as just right (64%), but the tool had limited space for responding (72%).ConclusionsWhen making decisions about body weight management, women’s needs were “getting information” and “getting support.” The knowledge translation tool was acceptable and usable, but further evaluation is required.

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Older Patients’ Recall of Lifestyle Discussions in Primary Care

Cited by 6 publications

References 37 publications

Delivering brief physical activity interventions in primary care: a systematic review

Delivering brief physical activity interventions in primary care: a systematic review

Prevalência de aconselhamento para atividade física na Atenção Básica à Saúde: uma revisão sistemática

Middle-aged women’s decisions about body weight management

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