What predicts patient-reported GP management of smoking, nutrition, alcohol, physical activity and weight?

Australian Journal of Primary Health
Mark F HarrisGawaine Powell Davies

Abstract

This study aimed to describe patient-reported management of behavioural risk factors in Australian general practice. Six hundred and ninety-eight eligible patients from 30 general practices in two rural and three urban Divisions of General Practice responded to a mailed invitation to participate and completed a questionnaire. Data were analysed using univariate and multi-level multivariate methods. The prevalence of risk factors varied between 12.6% for smoking and 72.6% for at-risk diet (56.2% were overweight). Most patients were at the action or maintenance phases of their readiness to change their risky behaviours. General practitioners (GPs) provided education or advice to between one-quarter and one-third of those at risk for each risk factor; 9.2% and 9.6% of patients reported having been referred for diet or physical activity interventions. Patient body mass index was associated with increased likelihood of receiving GP advice or referral for diet and physical activity interventions. Having poor diet or physical activity levels and being more ready for change were not associated with the likelihood of GP referral. The major challenge for general practice is to ensure that effective lifestyle interventions are provided to...Continue Reading

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Citations

Aug 16, 2012·Italian Journal of Pediatrics·Franco RigonEgle Perissinotto
Nov 19, 2019·Public Health Nutrition·Jennifer CrowleyGerrit J Hiddink
Oct 23, 2020·Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors·H H K WilsonL Klein
Nov 26, 2020·BMJ Nutrition, Prevention & Health·Stephen MartinLauren Ball
May 6, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Rukshar K GobaraniJohnson George
Jul 27, 2021·BMJ Nutrition, Prevention & Health·Lauren BallKatelyn Barnes

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