Abstract:
OBJECTIVE:To study the effectiveness of a comprehensive diabetes programme in general practice that integrates patient-centred lifestyle counselling into structured diabetes care. Design and setting. Cluster randomised trial in general practices. INTERVENTION:Nurse-led structured diabetes care with a protocol, record keeping, reminders, and feedback, plus training in motivational interviewing and agenda setting. SUBJECTS:Primary care nurses in 58 general practices and their 940 type 2 diabetes patients with an HbA1c concentration above 7%, and a body mass index (BMI) above 25 kg/m². Main outcome measures. HbA1c, diet, and physical activity (medical records and patient questionnaires). RESULTS:Multilevel linear and logistic regression analyses adjusted for baseline outcomes showed that despite active nurse participation in the intervention, the comprehensive programme was no more effective than usual care after 14 months, as shown by HbA1c levels (difference between groups = 0.13; CI 20.8-0.35) and diet (fat (difference between groups = 0.19; CI 20.82-1.21); vegetables (difference between groups = 0.10; CI-0.21-0.41); fruit (difference between groups = 20.02; CI 20.26-0.22)), and physical activity (difference between groups = 21.15; CI 212.26-9.97), or any of the other measures of clinical parameters, patient's readiness to change, or quality of life. CONCLUSION:A comprehensive programme that integrated lifestyle counselling based on motivational interviewing principles integrated into structured diabetes care did not alter HbA1c or the lifestyle related to diet and physical activity. We thus question the impact of motivational interviewing in terms of its ability to improve routine diabetes care in general practice.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Jansink R,Braspenning J,Keizer E,van der Weijden T,Elwyn G,Grol Rdoi
10.3109/02813432.2013.797178subject
Has Abstractpub_date
2013-06-01 00:00:00pages
119-27issue
2eissn
0281-3432issn
1502-7724journal_volume
31pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To analyse the patterns of antibiotic prescription in the treatment of acute pharyngitis among a group of general practitioners (GPs). DESIGN:From the records of their patients, 11 specialists in general practice have collected post hoc data on their patients and on acute pharyngitis in the period from Octob...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,多中心研究
doi:10.1080/02813430050202523
更新日期:2000-03-01 00:00:00
abstract::Objective: It is generally expected that the growth of the older population will lead to an increase in the use of health care services. The aim was to examine the changes in the number of visits made to general practitioners (GP) by the older age groups, and whether such changes were associated with changes in mortal...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1684426
更新日期:2019-12-01 00:00:00
abstract::The general practitioners dealing with cancer has other parameters than statistics of incidence and prevalence. In 400 consecutive interviews with patients in general practice when asked if the consultation was brought about because of fear or thoughts of cancer, eight % answered "yes" and 11% "partly". When asked if ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438409017697
更新日期:1984-02-01 00:00:00
abstract:BACKGROUND:Self-rated health (SRH) measures one's current general health and is a widely used health indicator. Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships are suspected to influence SRH, but studies in primary health care settings are sparse. OBJECTIVE:To examine the asso...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2018.1499590
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To increase our knowledge about the diagnostic process in physiotherapy and to identify possible differential frames of reference. DESIGN:Video-recordings and semi-structured interviews of the participants. SETTING:Natural working settings, i.e. private institutes and patients' homes. PARTICIPANTS:Manual, ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439408997056
更新日期:1994-03-01 00:00:00
abstract:OBJECTIVE:On the basis of emerging research evidence, this review aims to discuss the importance of the context surrounding the doctor-patient encounter for the success of treatment. DESIGN AND SETTING:Discussion paper based on placebo-nocebo and pain studies conducted in the western world. MAIN OUTCOME MEASURES:Lite...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,评审
doi:10.1080/02813432.2016.1249065
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVE:To examine whether a Current Health scale produces reliable and valid measures of self perceived health status. DESIGN:Examination of reliability, based on internal consistency (Cronbach's alpha coefficient). Examination of validity focusing on convergent and discriminant validity. SUBJECTS:2263 male and fe...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439508996730
更新日期:1995-03-01 00:00:00
abstract::The Swedish trial in old patients with hypertension was initiated by the Swedish League against Hypertension. It will be conducted as a prospective multicentre study in Swedish primary health care, and will comprise approximately 2 000 patients on active treatment and 2 000 on placebo to be studied for three years. Th...
journal_title:Scandinavian journal of primary health care
pub_type: 临床试验,杂志文章
doi:10.3109/02813438609014824
更新日期:1986-09-01 00:00:00
abstract:OBJECTIVE:The objective was to study primary healthcare patients' understanding of their diagnosis of heart failure (HF), using patients treated for diabetes mellitus (DM) as a comparative group. DESIGN:A cross-sectional community based study. SETTING:Karlskrona community situated on the Swedish south-east coast with...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430500428919
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVE:To compare the likelihood of being a frequent attender (FA) to general practice among native Norwegians and immigrants, and to study socioeconomic and morbidity factors associated with being a FA for natives and immigrants. DESIGN, SETTING AND SUBJECTS:Linked register data for all inhabitants in Norway with ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2014.982368
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:To find out whether family or working conditions is most important for mood in different ages in women. DESIGN:Prospective study. SETTING:Göteborg, Sweden, population about 430,000. SUBJECTS:Representative samples of a general population of women, born in 1930 (n = 276), 1942 (n = 93) and 1954 (n = 61), ex...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430410006486
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVE:Feasibility of comparing risk profiles by questionnaire of participants and nonparticipants in a cervical screening programme: does asking information on sexual behaviour by means of a questionnaire lead to high non-response? is the non-response selective (related to participation in the screening) and if so ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439409003700
更新日期:1994-09-01 00:00:00
abstract::Introduction: Little is known about the indications general practitioners (GPs) perceive as relevant for performing gynaecological examinations (GEs), how GPs master the GE and associated procedures, and how they handle the sensitive nature of GEs. Methods: In 2015, 70 medical students at the University of Bergen dist...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1619829
更新日期:2019-06-01 00:00:00
abstract::Some general ideas of the evaluation of the work of the physician applicable also to primary care physicians are taken up in this article. The presentation is not trying to be a complete review of the topic. It tries, however, to direct attention to the importance of the subject from the point of view of the practisin...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438309038480
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:To assess the effect of workplace-oriented dietary intervention on serum lipids. DESIGN:A cohort study. Screening for blood lipids and subsequent dietary intervention performed at a ferro-alloy factory where all the workers have at least one meal per working day served by the factory kitchen. SETTING:Employ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439409003682
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVE:It is logical that tailoring implementation strategies to address identified determinants of adherence to clinical practice guidelines should improve adherence. This study aimed to identify and prioritize determinants of adherence to six recommendations for elderly patients with depression. DESIGN AND SETTIN...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2014.984961
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:To determine which treatment strategy offers the most cost-effective option in managing acute sinusitis. DESIGN:The modelling procedure included five clinical strategies, varying from "wait and see for a week", to "prescribing antibiotics selectively" to "prescribing antibiotics immediately" and to "performi...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134301300034729
更新日期:2001-03-01 00:00:00
abstract::Self-assessed well-being has been shown to be related to earlier medical events and to be a predictor of mortality. 50-year-old men and women (n = 314) in Kungsör were invited to an examination for traditional risk factors for cardiovascular diseases and different aspects of self-assessed well-being. The differences b...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439008994950
更新日期:1990-09-01 00:00:00
abstract:OBJECTIVE:To explore the health economic consequences of menstrual disorders in Denmark. DESIGN:Analysis of the total costs of menstrual disorders in women, and a cost effectiveness analysis of menstrual disorders in women. SETTING:The analysis is based on retrospective 1991 data from the Danish National Patient Regi...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439508996752
更新日期:1995-06-01 00:00:00
abstract:OBJECTIVE:To explore the associations between decreased pulse oximetry values (SpO2) and clinical, laboratory, and demographic variables in general practice patients diagnosed with asthma or chronic obstructive pulmonary disease (COPD), including those with both COPD and asthma in combination. DESIGN/SETTING:A cross-s...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2015.1117283
更新日期:2015-01-01 00:00:00
abstract::Longitudinal analyses of heavy users of prescription drugs were carried out in a geographically defined population in mideastern Sweden. During the period 1976-1983 the individual stability in heavy use of prescription drugs was analysed in heavy users identified in 1975. Mortality of heavy and nonheavy users during t...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438909087232
更新日期:1989-10-01 00:00:00
abstract::In a multipractice prevalence study of uncomplicated urinary tract infection (UTI) in primary health care (PHC), with 355 episodes in 302 individuals during one month, 93% of the episodes occurred in females and Escherichia coli was the dominating causative organism (77%). Most episodes of UTI (84%) were acute and ass...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438709014000
更新日期:1987-09-01 00:00:00
abstract:OBJECTIVE:Patient-provider relationships with primary care and need for hospitalisations are related within the complex networks comprising healthcare. Our objective was to analyse mean days hospitalised, using registration status (active or passive listing) with a provider and number of consultations as proxies of pat...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2018.1499514
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To study the distribution of prenatal and postnatal risk factors for sudden infant death syndrome (SIDS). DESIGN:A questionnaire-based survey for SIDS risk factors; family interviews were performed among the parents of SIDS victims and symptom-free infants. SETTING:The survey was conducted in paediatric pri...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134301316982414
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:Sputum colour plays an important role in the disease concepts for acute cough, both in the patients' and the doctors' view. However, it is unclear whether the sputum colour can be used for diagnosis of a bacterial infection. DESIGN:Cross-sectional study. SETTING:A total of 42 GP practices in Dusseldorf, Ger...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430902759663
更新日期:2009-01-01 00:00:00
abstract::Objective: The main objective of this study was to investigate the psychometric properties of the Zung Self-Rating Depression Scale (SDS) and evaluate screening parameters capability of the SDS with the Beck Depression Inventory (BDI-21) among the elderly population. Design: A population-based study Setting: Community...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1639923
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:This study aimed at evaluating the diagnostic accuracy of a consumer model acoustic reflectometer in the hands of parents in the detection of middle-ear fluid among children. DESIGN:Prospective diagnostic study according to STARD guidelines. Acoustic reflectometry recorded by the parents was compared with ot...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430903072165
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To develop a valid and reliable assessment tool able to measure quality of communication, patient safety and efficiency in out-of-hours (OOH) telephone triage conducted by both general practitioners (GP) and nurses. DESIGN:The Dutch KERNset tool was translated into Danish and supplemented with items from oth...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1568712
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:To assess physicians' current adherence to the Norwegian clinical guidelines for the treatment of hypertension. DESIGN:Descriptive, retrospective registration of information from patient records of one specified year. In addition, mailed questionnaire to examine the representativeness of the participating do...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439709018503
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVE:To investigate daytime sleepiness and napping in relation to nocturnal sleep, health, and medication. DESIGN:An epidemiological survey using a questionnaire. SETTING:The county of Jämtland in northern Sweden. SUBJECTS:3669 randomly selected women aged 40-64 years, with a similar number of women in each 5-y...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134398750003278
更新日期:1998-06-01 00:00:00