The process and methods of health counseling by primary health care personnel in Finland: a national survey

Laitakari, Jukka; Miilunpalo, Seppo; Vuori, Ilkka

doi:10.1016/s0738-3991(96)00956-1

Cited by 27 publications

(28 citation statements)

References 11 publications

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“…Table 2 shows the relevant outcome measures, outcomes, and conclusions. Among the articles (Table 1), three were randomised controlled trials [32e34], one was a quasi-experimental study design [31], one was a prospective intervention study [33], and three were surveys [28e30], two of which reported findings from the same survey [28,29]. The source articles were published between 1995 and 2010.…”

Section: Resultsmentioning

confidence: 99%

“…The source articles were published between 1995 and 2010. Two studies were conducted in Finland [28,29], one in the Netherlands [32], one in Sweden [34], one in the United States [33], and two in Australia [30,31].…”

Section: Resultsmentioning

confidence: 99%

“…In addition, the physical therapists practicing in those clinics and delivering the education strategies were also studied (i.e., with respect to their knowledge and confidence regarding physical activity promotion) [31]. Participants in the survey studies were physical therapists; however, physicians and nurses were also studied [28,29]. The remaining study reported surveying physical therapists and physical therapy students at various stages of their training [30].…”

Section: Participantsmentioning

confidence: 99%

“…The study by Eriksson et al investigated the effects of a lifestyle intervention programme led primarily by physical therapists on cardiovascular risk factors, physical activity and quality of life, wherein they performed intake interviews, measurements, exercise prescription/supervision, and follow-up counselling sessions [34]. The two survey studies by Laitakari et al and Miilunpalo et al investigated physical therapists' role in counselling for exercise, nutrition, dieting, smoking and stress reduction [28,29].…”

Section: Role Of the Physical Therapistmentioning

confidence: 99%

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Health education strategies used by physical therapists to promote behaviour change in people with lifestyle-related conditions: A systematic review

Alexander¹,

Bambury

Mendoza³

et al. 2012

Hong Kong Physiotherapy Journal

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KEYWORDS educational strategies; health behaviour change; lifestyle-related conditions; physical therapists Abstract Epidemiological data support an increasing prevalence of lifestyle-related conditions globally. As established healthcare professionals, physical therapists are well positioned to be clinically competent in patient education to effect long-term lifestyle behaviour change, to improve health and physical therapy outcomes. A scoping systematic review was conducted to identify educational strategies used by physical therapists and their attributes to prevent, reverse and manage lifestyle-related conditions. Stringent search strategies of related databases and research mining identified eight source studies. Heterogeneity of the studies disallowed pooling of the results and meta-analysis. Attributes of commonly-reported educational strategies included: theories (e.g., transtheoretical model and 5A's approach); timing (e.g., pre-and post-assessments and follow-up); session structure (e.g., brief advice, one-on-one, group and telephone); technique (e.g., motivational prompts, individualised programmes and goal-setting); and delivery method (e.g., brochures, diaries, audiovisual or video, handouts and skills demonstrations). Educational strategies related to lifestyle-related conditions used by physical therapists and their attributes vary. Observational studies need to confirm these findings clinically. Also, the cost-effectiveness of the education strategies used by Hong Kong Physiotherapy Journal (2012) 30, 57e75 physical therapists and their attributes need to be evaluated. Such knowledge will enable physical therapists to effectively address lifestyle-related conditions as a health priority in patients, irrespective of their primary presenting problems.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Participantsmentioning

confidence: 99%

Section: Role Of the Physical Therapistmentioning

confidence: 99%

See 2 more Smart Citations

Health education strategies used by physical therapists to promote behaviour change in people with lifestyle-related conditions: A systematic review

Alexander¹,

Bambury

Mendoza³

et al. 2012

Hong Kong Physiotherapy Journal

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“…Information-giving appears to be something with which nurses are very comfortable (Burnard & Morrison, 1991;Lawson, 2002). Questionnaires to health-care personnel revealed that it was easy to provide health information and advice to patients, but devising personal behavioural change programmes was the most difficult step to take (Laitakari et al, 1997). Poskiparta et al (2001) even report from video-recorded counselling sessions that nurses gave information from leaflets, even though the patients said that they had already been given that information.…”

Section: Non-pharmacological Treatmentmentioning

confidence: 99%

Counseling Hypertensive Patients: An Observational Study of 21 Public Health Nurses

Drevenhorn¹,

Håkansson²,

Petersson³

2001

Clinical Nursing Research

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Counselling in hypertension care relating to lifestyle changes, i.e. non-pharmacological treatment regarding smoking, alcohol, weight, diet, physical activity and stress, aims to reduce complications such as stroke and myocardial infarction. Many patients have several risk factors to deal with. There are few studies of nursing in hypertension care in Sweden and this issue therefore needs to be investigated in greater detail.The aims of this thesis were to analyse the communication between patients and nurses about lifestyle changes in hypertension care at health centres and to evaluate the effects of nursing interventions. In the first study, the Nurse Practitioner Rating Form was used to explore what 21 randomised public-health nurses discussed with hypertensive patients and their communication. In the second study, variables from 100 patients were collected to explore the effectiveness of using a hypertension nursing programme at a nurse-led clinic. The third study comprised consultation training for 19 randomised nurses, at nurse-led clinics in southern Sweden, with audio-recorded consultations with 36 patients before the training and 35 after the training. The recordings were analysed using content analysis.The results reveal that non-pharmacological treatment was not provided to any great extent during visits for blood pressure measurement with public-health nurses at open hours, but a great deal of information and advice was provided. One significant correlation was, however, found. The more years the nurses had been working, the more likely it was that their health promotion was psychosocially oriented in the consultations. The patients and nurses generally met at an equal communication level in their conversations. Starting a nurse-led hypertension clinic following a hypertension nursing programme resulted in many medication adjustments when assessing the patients' treatment and blood pressure levels. The most positive changes were seen in blood pressure, blood lipids and exercise. Consultation training on the stages of change model and patient centredness resulted in the nurses acquiring a more distinct structure for their consultations and relevant information was supplied in a more individually adapted way. The number of words and turns increased in the consultations. The nurses paid attention to support more frequently, irrespective of the stage of behavioural change the patient had reached. Negotiations about reasons for and where to begin behavioural change increased in the consultations. A model for nurses counselling patients in hypertension care was suggested, applying Orem's self-care deficit theory of nursing.It is concluded that public-health nurses in normal practice at health centres did not perform counselling on non-pharmacological treatment to any great extent. Applying a hypertension nursing programme resulted in positive changes in patients' blood pressure, blood lipids and exercise. After consultation training, the nurses acquired a more distinct structure for their counsellin...

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Exercise as a supportive care strategy in men with prostate cancer receiving androgen deprivation therapy at a regional cancer centre: a survey of patients and clinicians

Elbourne

Soo

O׳Reilly

et al. 2021

Support Care Cancer

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Purpose To understand how frequently exercise is discussed and/or prescribed as a supportive care measure and the barriers and facilitators to exercise uptake for men with prostate cancer receiving androgen deprivation therapy (ADT) at a regional cancer centre. Methods An observational, cross-sectional study was conducted at a regional cancer centre in three stages: (1) Retrospective chart review of men with prostate cancer undergoing ADT to identify the frequency of discussion and/or prescription of supportive care measures; (2) prospective patient survey exploring barriers and facilitators to exercise; and (3) prospective clinician survey exploring barriers, facilitators and awareness of exercise guidelines in men with prostate cancer. Results Files of 100 men receiving ADT (mean age 73 years; mean ADT duration =12 months) in the medical oncology ( n = 50) and radiation oncology ( n = 50) clinics were reviewed. Exercise was discussed with 16% of patients and prescribed directly to 5%. Patient survey ( n = 49). 44.2% of patients reported participating in exercise at a high level. Common barriers to exercise participation included fatigue (51.0%), cancer/treatment-related weakness (46.9%) and joint stiffness (44.9%). 36.7% of patients reported interest in a supervised exercise program. Clinician survey ( n = 22). 36.4% identified one or more exercise guidelines, and 40.9% correctly identified national exercise guidelines. Clinicians reported low knowledge of referral pathways to a supervised exercise program (27.3%). Clinicians believe physiotherapists (95.5%) are most suited to exercise prescription and 72.7% stated that exercise counselling should be part of supportive care. Limited time (63.6%) and patient safety (59.1%) were the two most common barriers to discussing exercise with patients. Clinicians reported that only 21.9% of their patients asked about exercise. The most endorsed facilitators to increase exercise uptake were patient handouts (90.9%) and integration of exercise specialists into the clinical team (86.4%). Conclusion Despite a third of patient respondents indicating an interest in a supervised exercise program, only 16% of patients with prostate cancer undergoing ADT at a regional cancer centre engaged in a discussion about exercise with their treating clinicians. Physical limitations and fatigue were the greatest barriers for patients. Clinicians indicated a need for more clinician education and better integration of exercise specialists into clinical care. A tailored, integrated approach is needed to improve the uptake of exercise in men with prostate cancer. Supplementary Information The online version contains supplementary material available at 10.1007/s00520-021-06512-2.

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The process and methods of health counseling by primary health care personnel in Finland: a national survey

Cited by 27 publications

References 11 publications

Health education strategies used by physical therapists to promote behaviour change in people with lifestyle-related conditions: A systematic review

Health education strategies used by physical therapists to promote behaviour change in people with lifestyle-related conditions: A systematic review

Counseling Hypertensive Patients: An Observational Study of 21 Public Health Nurses

Exercise as a supportive care strategy in men with prostate cancer receiving androgen deprivation therapy at a regional cancer centre: a survey of patients and clinicians

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