Lifestyle counseling in primary care in the United States and Sweden: a comparison of patients' expectations and experiences

Global Health Action
Lars JerdénLars Weinehall

Abstract

Despite various guidelines, shortcomings in lifestyle counseling in primary care have been demonstrated. Comparisons between countries may provide insight on how to improve such counseling. To the best of our knowledge, studies comparing patients' views of lifestyle counseling beween the United States (US) and European countries have not been reported. To quantify and compare patients' perspectives in the US and Sweden on primary care providers' counseling on weight, eating habits, physical activity, smoking, and alcohol consumption. In a cross-sectional study, 629 patients from Sweden and the US completed a telephone interview about their experiences after a visit to a physician in primary care. The survey focused on patients' perception of the importance of healthy lifestyle habits, their need to change, their desire to receive support from primary care, and the support they had actually received. Data were analyzed using chi-square or Fisher's exact test. For three of the four lifestyle habits, the proportion saying they needed to change was higher in the US. The exception was for alcohol, where Swedish subjects indicated a greater need to change. Among those stating a need to change, the proportion saying that they would li...Continue Reading

References

Mar 8, 2005·Preventive Medicine·Carlos BrotonsUNKNOWN EUROPREV network
Feb 27, 2014·JAMA : the Journal of the American Medical Association·Cynthia L OgdenKatherine M Flegal
Nov 13, 2015·MMWR. Morbidity and Mortality Weekly Report·Ahmed JamalBrian A King

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Citations

Oct 3, 2020·Nutrition & Metabolism·Elaine HillesheimLorraine Brennan
Nov 20, 2019·International Journal of Environmental Research and Public Health·Małgorzata ZnykDorota Kaleta
Aug 7, 2019·Health Services Research and Managerial Epidemiology·Julie SorensenLars Weinehall
Jul 2, 2021·Preventive Medicine Reports·B KrachlerC Lindén

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