Communication practices for delivering health behaviour change conversations in primary care: a systematic review and thematic synthesis

BMC Family Practice
C AlburyP Aveyard

Abstract

Clinical guidelines exhort clinicians to encourage patients to improve their health behaviours. However, most offer little support on how to have these conversations in practice. Clinicians fear that health behaviour change talk will create interactional difficulties and discomfort for both clinician and patient. This review aims to identify how healthcare professionals can best communicate with patients about health behaviour change (HBC). We included studies which used conversation analysis or discourse analysis to study recorded interactions between healthcare professionals and patients. We followed an aggregative thematic synthesis approach. This involved line-by-line coding of the results and discussion sections of included studies, and the inductive development and hierarchical grouping of descriptive themes. Top-level themes were organised to reflect their conversational positioning. Of the 17,562 studies identified through systematic searching, ten papers were included. Analysis resulted in 10 top-level descriptive themes grouped into three domains: initiating; carrying out; and closing health behaviour change talk. Of three methods of initiation, two facilitated further discussion, and one was associated with outright ...Continue Reading

References

Jan 1, 1987·Social Science & Medicine·S H Freeman
Jul 12, 2005·Social Science & Medicine·Sarah CollinsVikki Entwistle
Aug 7, 2007·American Journal of Health Promotion : AJHP·Stewart C AlexanderRebecca J Namenek Brouwer
Jul 12, 2008·BMC Medical Research Methodology·James Thomas, Angela Harden
Sep 4, 2008·Journal of Advanced Nursing·Emily Merrill, Jane Grassley
Aug 13, 2009·BMC Medical Research Methodology·Elaine Barnett-Page, James Thomas
Dec 25, 2010·Patient Education and Counseling·Deborah J CohenSusan A Flocke
Nov 29, 2011·International Journal of Qualitative Studies on Health and Well-being·Kirsti Malterud, Kjersti Ulriksen
Mar 14, 2012·Medical Care·Danielle M McCarthyMichael S Wolf
Jul 19, 2012·International Journal of STD & AIDS·D J ClutterbuckUNKNOWN Clinical Effectiveness Group of British Association for Sexual Health and HIV (BASHH) and British HIV Association (BHIVA)
Nov 10, 2013·Journal of Psychosocial Nursing and Mental Health Services·Lisbeth Gravdal KvarmeWinifred Oluchukwu Eboh
Mar 19, 2014·Social Science & Medicine·Patricia ThilleGrant Russell
Oct 26, 2014·BMJ Supportive & Palliative Care·Ruth ParryJane Seymour
May 2, 2018·JAMA : the Journal of the American Medical Association·Shreya Kangovi, David A Asch
Aug 15, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Charlotte AlburyPaul Aveyard

❮ Previous
Next ❯

Citations

Apr 30, 2020·BJGP Open·Sandra CosteEmile Escourrou
May 14, 2020·Patient Education and Counseling·Wendy Maltinsky, Vivien Swanson
Apr 18, 2021·Patient Education and Counseling·Kathrina Connabeer
Oct 17, 2020·Psychosomatic Medicine·Robert C SmithKatelyn Grayson-Sneed
Nov 10, 2021·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Atul PathakMichel Burnier

❮ Previous
Next ❯

Software Mentioned

Covidence
Scopus
Prisma

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.