The effectiveness of nutrition counselling by Australian General Practitioners

Nicholas, Lisa; Pond, Dimity; Roberts, David C.

doi:10.1038/sj.ejcn.1602187

Cited by 16 publications

(21 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overweight/obesity, diabetes mellitus and hypercholesterolaemia were the most important nutrition-related topics in general practice, in accordance with other studies (van Dusseldorp et al, 1988;Maiburg et al, 2004;Nicolas et al, 2005). However, a study in 11 European countries showed that more than half of the family doctors were sceptical of helping patients to achieve or maintain normal weight (Brotons et al, 2005).…”

Section: Daily Topic In General Practicesupporting

confidence: 69%

Nutrition communication styles of family doctors: results of quantitative research

et al. 2005

View full text Add to dashboard Cite

Objective: To assess the nutrition communication styles of Dutch family doctors and in particular to assess its psychosocial and sociodemographic correlates. Design: A cross-sectional study in which a representative sample of 600 Dutch family doctors completed a questionnaire. Setting: The survey was conducted in October and November 2004 in the Netherlands. Subjects: A total of 267 family doctors completed the questionnaire (response rate 45%). Methods: Principal component factor analyses with varimax rotation were performed to construct factors. Cronbach's a was used as an index of reliability. Our hypothetical model for nutrition communication style was tested using multiple regression analysis, combining the forward and backward procedures under the condition of the same results. Results: Many family doctors felt at ease with a motivational nutrition communication style. The main predictor for motivational nutrition communication style was task perception of prevention (26%). Some individual and environmental correlates had an additional influence (explained variance 49%). Other styles showed explained variances up to 57%. The motivational style was the best predictor for actual nutrition communication behaviour (35%), while the confrontational style was the best predictor for actual nutrition communication behaviour towards overweight (34%). Conclusions: In contemporary busy practice, family doctors seem to rely on their predominant nutrition communication style to deal with standard situations efficiently: for the majority, this proved to be the motivational nutrition communication style. Moreover, family doctors used a combination of styles. This study suggests that family doctors behave like chameleons, by adapting their style to the specific circumstances, like context, time and patient. If family doctors communicate about nutrition in general, they select any of the five nutrition communication styles. If they communicate about overweight, they pick either the confrontational or motivational style. Sponsorship: Dutch Dairy Association. (Street, 2002). When doctors used an informational communication style, patients expressed more overall satisfaction (Roter et al, 1997). Affiliative communication styles were related positively to patients' satisfaction, whereas dominant communication styles had a negative relationship with satisfaction (Klein Buller & Buller, 1987). Research on doctor-patient communication reveals that the majority of doctors used only one communication style in most of their consultations (Roter et al, 1997). This leaves the question whether doctors used only one communication style or a combination of communication styles. European Journal of Clinical Nutrition*Correspondence: SME van Dillen, Communication Management, PO Box 8130, 6700 EW Wageningen, The Netherlands. E-mail: sonja.vandillen@wur.nl Guarantor: S van Dillen. Contributors: All authors were participants of the project group of the project called 'Nutrition Education through Health Professionals'. They were all involved i...

show abstract

Section: Daily Topic In General Practicesupporting

confidence: 69%

Nutrition communication styles of family doctors: results of quantitative research

et al. 2005

View full text Add to dashboard Cite

show abstract

“…Most British GPs (83%) rated their nutritional knowledge as average, but the majority of GPs (76%) also believed their knowledge was fairly up-to-date [36]. In addition, two thirds of Australian GPs believed they had the knowledge to provide nutrition counselling [29]. Our study among Dutch GPs showed that 67% perceived their own nutrition expertise as fair, while 25% perceived this as good [21].…”

Section: Gps' Attitudes Towards Nutrition Com-municationmentioning

confidence: 81%

“…The main complaints for which advice was given by Australian GPs were heart disease, hyperlipidemia, obesity, and diabetes [42]. The majority of Australian GPs reported that they strongly agree to provide nutrition counselling for diabetes (79%), lipid disorders (71%), and obesity (68%), but the same could not be said for hypertension (22%), ischaemic heart disease (46%), and overweight (45%) [29]. Our study among Dutch GPs showed that nutrition was most often discussed in case of patients' complaints, like overweight/obesity (73%), diabetes (72%), hypercholesterolaemia (68%), irritable bowel syndrome (45%), and coronary heart disease (44%) [21].…”

Section: Patients' Complaints Leading To Nutri-tion Communicationmentioning

confidence: 93%

“…With respect to GPs' actual nutrition communication behaviour, several studies were found ( Table 1). The first series of studies concern the percentage of GPs who self-reported that they had provided nutrition information to their patients [11,[23][24][25][26][27][28][29][30]. The second series of studies concern the percentage of patients who selfreported that they had received nutrition communication from their GPs [31][32][33][34][35][36][37].…”

Section: Gps' Actual Nutrition Communication Behaviourmentioning

confidence: 99%

See 1 more Smart Citation

Nutrition Communication in General Practice

Dillen¹,

Hiddink²,

Koelen³

et al. 2006

CNF

View full text Add to dashboard Cite

General practitioners (GPs) are frequently confronted with patients who suffer from obesity or other nutritionrelated diseases, such as diabetes and coronary heart disease. There is increasing evidence that nutrition communication is effective in changing nutrition behaviour. Moreover, it is widely argued that GPs are ideally placed to provide nutrition information.The aim of this review is to provide an overview of the state of the art regarding nutrition communication in general practice.First, an overview of the occurrence of nutrition communication in general practice is provided. Next, it is established that patients' perceptions regarding nutrition communication are positive. Although there are many opportunities for nutrition communication in general practice, these opportunities are often not taken up. Even though GPs' perceptions regarding nutrition communication were positive, they also perceive barriers, like lack of time and patient non-compliance.For more effective nutrition communication between GPs and patients, GPs' perceived barriers should be overcome and GPs' self-efficacy should be strengthened. Moreover, we recommend that GPs adapt their nutrition communication style, dependent of the specific circumstances.

show abstract

“…This highlights the importance of studies assessing what GP actually do in their busy practice. Some studies have assessed the nutrition guidance practices of GP by means of self-reports (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21) . A limited number of self-report surveys about their physical activity guidance practices have also been conducted (8,(15)(16)(17)(22)(23)(24)(25)(26)(27)(28) .…”

mentioning

confidence: 99%

Determinants of Dutch general practitioners’ nutrition and physical activity guidance practices

Dillen

Hiddink

Woerkum

2012

Public Health Nutr.

View full text Add to dashboard Cite

Objective: General practitioners (GP) are uniquely placed to guide their patients on nutrition and physical activity. The aims of the present study were to assess: (i) the extent to which GP guide on nutrition and physical activity; (ii) the determinants that cause GP to give guidance on nutrition and physical activity; and (iii) the extent to which these guidance practices have the same determinants. Design: Cross-sectional study, mail questionnaire. Setting: Dutch general practice. Subjects: Four hundred and seventy-two GP in practice for 5-30 years. Results: Our study showed that the majority of GP had similar practices for both nutrition and physical activity guidance. Fair associations were found between nutrition and physical activity guidance practices. More than half of the explained variance in the models of physical activity guidance practices was improved by the inclusion of nutrition guidance practices in the models. Moreover, GP reported higher frequencies of physical activity guidance practices than nutrition guidance practices. Nutrition guidance practices predicted the same physical activity guidance practices. Conclusions: The majority of GP had similar practices for nutrition and physical activity guidance. GP were more inclined to guide their patients on physical activity than on nutrition. Self-efficacy was found to be a determinant in most models for guidance practices. Guidance practices proved to be a mix of prevention and treatment components. Consequently, we advise raising the selfefficacy of GP by training in medical school and in continuing medical education. We also recommend the combination of both nutrition and physical activity guidance in general practice.

show abstract

The effectiveness of nutrition counselling by Australian General Practitioners

Cited by 16 publications

References 18 publications

Nutrition communication styles of family doctors: results of quantitative research

Nutrition communication styles of family doctors: results of quantitative research

Nutrition Communication in General Practice

Determinants of Dutch general practitioners’ nutrition and physical activity guidance practices

Contact Info

Product

Resources

About