Perceptions of receiving behaviour change interventions from GPs during routine consultations: A qualitative study

Keyworth, Chris; Epton, Tracy; Goldthorpe, Joanna; Calam, Rachel; Armitage, Christopher J.

doi:10.1371/journal.pone.0233399

Cited by 33 publications

(42 citation statements)

References 27 publications

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“…The findings of a qualitative study that behaviour change interventions were perceived by patients as appropriate and helpful during routine GP consultations, particularly where behaviour change could have a positive effect on long-term conditions. This aligns with the way in which our participants highlighted the vital role of the GP in introducing and endorsing the pathway in this study to their patients [ 18 ]. A review of the role of psychological factors in prehabilitation for surgical interventions recommends that interventions are developed with an understanding of patient needs and preferences and potential barriers to engagement to produce person-centred approaches [ 19 ].…”

Section: Discussionsupporting

confidence: 83%

Commissioner, clinician, and patient experiences of a pre‐surgical health optimisation programme – a qualitative study

McLaughlin

Palmer

Redwood

et al. 2021

BMC Health Serv Res

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Background Health optimisation programmes are an increasingly popular policy intervention that aim to support patients to lose weight or stop smoking ahead of surgery. There is little evidence about their impact and the experience of their use. The aim of this study was to investigate the experiences and perspectives of commissioners, clinicians and patients involved in a locality’s health optimisation programme in the United Kingdom. The programme alters access to elective orthopaedic surgery for patients who smoke or are obese (body mass index ≥ 30 kg/m2), diverting them to a 12-week programme of behavioural change interventions prior to assessment for surgical referral. Methods A thematic analysis of semi-structured interviews (n = 20) with National Health Service and Local Authority commissioners and planners, healthcare professionals, and patients using the pathway. Results Health optimisation was broadly acceptable to professionals and patients in our sample and offered a chance to trigger both short term pre-surgical weight loss/smoking cessation and longer-term sustained changes to lifestyle intentions post-surgery. Communicating the nature and purpose of the programme to patients was challenging and consequently the quality of the explanation received and understanding gained by patients was generally low. Insight into the successful implementation of health optimisation for the hip and knee pathway, but failure in roll-out to other surgical specialities, suggests placement of health optimisation interventions into the ‘usual waiting time’ for surgical referral may be of greatest acceptability to professionals and patients. Conclusions Patients and professionals supported the continuation of health optimisation in this context and recognised likely health and wellbeing benefits for a majority of patients. However, the clinicians’ communication to patients about health optimisation needs to improve to prepare patients and optimise their engagement.

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Section: Discussionsupporting

confidence: 83%

Commissioner, clinician, and patient experiences of a pre‐surgical health optimisation programme – a qualitative study

McLaughlin

Palmer

Redwood

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

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“…A recent qualitative study suggests behaviour change interventions are perceived by patients as appropriate and helpful during routine GP consultations, particularly where it would benefit long-term condition management. 14 Some research has examined patients' willingness to receive opportunistic behaviour change interventions within specific health contexts (eg behaviour change advice during cancer screening appointments 15 ), but have not considered consultations for conditions that may have little to do (at least from the perspective of the patient) with the target health behaviour. It is important to understand the views of patients' perceptions of the delivery of behaviour change interventions during GP appointments for two reasons.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Despite the conflicting evidence in relation to GPs' perceptions about the value of behaviour change activities during routine practice, more research is needed focussed on patient perspectives. A recent qualitative study suggests behaviour change interventions are perceived by patients as appropriate and helpful during routine GP consultations, particularly where it would benefit long‐term condition management 14 . Some research has examined patients' willingness to receive opportunistic behaviour change interventions within specific health contexts (eg behaviour change advice during cancer screening appointments 15 ), but have not considered consultations for conditions that may have little to do (at least from the perspective of the patient) with the target health behaviour.…”

Section: Introductionmentioning

confidence: 99%

Patients' experiences of behaviour change interventions delivered by general practitioners during routine consultations: A nationally representative survey

Keyworth

Epton

Goldthorpe

et al. 2021

Health Expectations

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Background Consistent with the ‘Making Every Contact Count’ UK public health policy, general practitioners (GPs) are expected to provide patients with behaviour change interventions opportunistically. However, there is a belief widely held among GPs that patients neither want or need such interventions. We aimed to understand the following: (a) the characteristics of people attending GP appointments, (b) patients' needs for health behaviour change, (c) perceptions of appropriateness and helpfulness of interventions, and (d) factors associated with recall of receipt of interventions. Methods Cross‐sectional nationally representative online survey of UK adults who had attended GP clinics in the preceding four weeks (n = 3028). Data were analysed using descriptive statistics and binary logistic regression. Results 94.5% (n = 2862) of patients breached at least one health behaviour guideline, and 55.1% reported never having had a conversation with their GP about health behaviours. The majority of patients perceived intervention as appropriate (range 84.2%‐87.4% across behaviours) and helpful (range 82.8%‐85.9% across behaviours). Being male (OR = 1.412, 95% CI 1.217, 1.639), having a long‐term condition (OR = 1.514, 95% CI 1.287, 1.782) and a higher number of repeat GP visits (OR = 1.016, 95% CI 1.010, 1.023) were among factors associated with recall of receipt of interventions. Conclusions Patients perceived behaviour change intervention during routine GP consultations as appropriate and helpful, yet there are variations in the likelihood of receiving interventions according to sociodemographic factors. GPs could adopt a more proactive approach to behaviour change in patient consultations with the broad approval of patients. Patient or public contribution The questionnaire was piloted among a convenience sample prior to distribution.

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“…(7) Patients perceive receiving a brief health behaviour change intervention as appropriate and helpful, especially in long term conditions, with the doctor-patient relationship the foundation of the conversation. (8) In this commentary we discuss how the increased reliance on remote consulting, exacerbated by COVID-19, may impact on the opportunity for brief conversations in general practice globally; and outline implications for clinical practice and policy, and suggestions for future research.…”

Section: Introductionmentioning

confidence: 99%

The impact of remote consultations on brief conversations in general practice

et al. 2022

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Perceptions of receiving behaviour change interventions from GPs during routine consultations: A qualitative study

Cited by 33 publications

References 27 publications

Commissioner, clinician, and patient experiences of a pre‐surgical health optimisation programme – a qualitative study

Commissioner, clinician, and patient experiences of a pre‐surgical health optimisation programme – a qualitative study

Patients' experiences of behaviour change interventions delivered by general practitioners during routine consultations: A nationally representative survey

The impact of remote consultations on brief conversations in general practice

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