Abstract:
OBJECTIVE:To explore general practitioners (GPs') beliefs about the causes and solutions to obesity, to compare them to those held by a lay sample and to assess the role of beliefs about causes in explaining beliefs about solutions. METHODS:Questionnaires regarding the causes and solutions to obesity were completed by GPs (n=73) and a lay sample (n=311). RESULTS:GPs generally believe that obesity is caused by psychological and behavioural factors and are ambivalent about the effectiveness of the majority of available solutions. When compared to a lay population, GPs show a greater endorsement of behavioural, structural, social and psychological causes of obesity whereas the lay population prefer a more biological model of causality. The present study also provides some evidence for the origins of such beliefs about solutions and indicates consistency between GPs' beliefs about solutions and causes. For example, GPs endorse a medical solution if they believe obesity is caused by biological factors and endorse policy change as a solution if they believe it is caused by social factors. The lay sample did not show such consistency in their beliefs. CONCLUSIONS:GPs believe that obesity does not belong within the medical domain. They hold a coherent model in terms of beliefs about causes and solutions which may limit their perspective on what constitutes a suitable solution to this ever common problem. PRACTICE IMPLICATIONS:If GPs are to take responsibility for the management of obesity they should be encouraged either to change their beliefs or to consider whether solutions need always address causality.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Ogden J,Flanagan Zdoi
10.1016/j.pec.2007.11.022subject
Has Abstractpub_date
2008-04-01 00:00:00pages
72-8issue
1eissn
0738-3991issn
1873-5134pii
S0738-3991(07)00476-4journal_volume
71pub_type
杂志文章abstract:OBJECTIVES:To investigate nursing staff attitudes towards involvement and role in end-of-life decisions (ELDs) and the relationships with sociodemographic and work-related characteristics. METHODS:Survey study among nationally representative Dutch research sample consisting of care professionals. Nursing staff working...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2013.09.018
更新日期:2014-01-01 00:00:00
abstract::The perception of the diagnosis of infertility and the openness of patients about infertility was investigated among 108 infertile couples. Husbands and wives answered a structured questionnaire. The perception of diagnosis was in 38% of the cases different from the medical diagnosis. Patients perceived the diagnosis ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(95)00852-7
更新日期:1996-08-01 00:00:00
abstract::While evidence exists regarding the effectiveness of many health education interventions, few of these evidence-based programs have been systematically or widely disseminated. This paper reports on the dissemination of one such intervention, the 6-week peer-led Chronic Disease Self-Management Program, throughout a lar...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2004.10.002
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:In the Netherlands HIV nursing consultants have participated in HIV-care since 1985; their profession has changed with developments in HIV-treatment over time. The study goal was to gather information about their role in HIV-care and to provide an useful example to other (HIV-)care settings over the world. M...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2009.11.016
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:Communication inequality has been offered as one potential mechanism through which social determinants influence multiple health behaviors. The purpose of this study was to examine the underlying mechanisms between communication inequality and health behaviors. METHODS:Data from a nationally representative c...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.05.018
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:1) to assess patients' descriptions of concerns, and 2) to inform a conceptual framework in which the impact of the nature of concerns on doctor-patient communication is specified. METHODS:Six focus groups were conducted with 39 cancer patients and survivors. In these focus groups participants were asked to ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.02.002
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVE:Professional appearance is easily modifiable, and might alter the effects of a clinical encounter. We aimed to determine whether professional attire influences a patient's perception of treatment credibility. METHODS:We performed a single-blind randomized controlled study on 128 patients with acute non-speci...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2016.08.009
更新日期:2017-01-01 00:00:00
abstract::Information needs, satisfaction with information and information sources of women referred for surgical biopsy in mammography screening were explored. Forty-five Finnish women (23 benign and 22 malignant finding) replied to a mailed questionnaire containing fixed-choice and open-ended questions 10 weeks after biopsy. ...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/s0738-3991(99)00118-4
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to review and evaluate the evidence related to psychometric properties of the European Heart Failure Self-Care Behaviour Scale (EHFScBS) that was developed and tested to measure health maintenance behaviours of heart failure (HF) patients and translated into several languages. METHO...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2017.02.005
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:Contraceptive decision support tools (DSTs) have been suggested as a way to provide patient-centered contraceptive care, but little is known about the role they play in women's decision-making. The aim of this study is to understand patients' perceptions of the value of a contraceptive DST. METHODS:We conduc...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.08.022
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:To investigate the effectiveness of a TTM-based motivational counselling approach by trained practice nurses to promote physical activity of low back pain patients in a German primary care setting. METHODS:Data were collected in a cluster-randomized controlled trial with three study arms via questionnaires a...
journal_title:Patient education and counseling
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.pec.2007.09.018
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of a self-regulation (SR) weight reduction intervention on weight, body mass index (BMI), glycosylated hemoglobin (HbA1c) (primary outcomes), exercise, nutrition and quality of life (secondary outcomes). METHODS:A pilot intervention (n=53) based on SR-principles consisted of a motiva...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2008.09.027
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:This integrative literature review investigates the factors influencing patient education in Shared Medical Appointments. METHODS:Following template analysis method, we used key concepts of the Social Cognitive Theory (SCT) and Social Constructivism as a priori themes. After detailed analysis of the included...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2020.03.006
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:To compare and contrast the duration and content of physician-patient interaction for patients presenting to an emergency department with problems of low acuity in 1990 and 2005 treated by different grades of physician. METHODS:Observational study with data collection in May-July 1990 and May-July 2005. Pati...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2008.02.005
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:To describe a new tool designed to capture patients' perception of their low back pain (LBP) episodes-the patient perception scale (PPS) and test its ability to predict episode outcomes. METHODS:Thirty-two family physicians recruited 526 low back pain patients during an office visit. Physicians completed a s...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/j.pec.2007.03.015
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:Self-disclosure is recognized as an important aspect of peer support, but little is known about its use by peers. This study aimed to qualitatively understand peer self-disclosure in the context of depression care delivery to older adults. METHODS:69 audio-recordings of peer-client meetings were coded for se...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2019.02.006
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:To examine whether, and if so, how psychosocial topics are discussed between parents and pediatricians. METHODS:Thirty well-child visits at eight pediatricians' practices in southwest Germany were video recorded. Conversations were analyzed. RESULTS:Although psychosocial topics were frequently touched upon,...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2014.07.032
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:It was hypothesized that parents exposed to a communication skills intervention would participate (e.g., ask questions, express concerns) in a pre-surgical consultation more than parents in the control group. METHODS:Sixty-five parents of prospective pediatric surgery patients were randomly assigned to eithe...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2013.03.015
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:The present study aimed to contribute to the design of effective health education information. Based on cognitive-psychological theory, pictures were expected to improve understanding of two existing textual instructions for using asthma devices (inhaler chamber and peak flow meter). From an analysis of the a...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2005.12.003
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:The research findings reported here describe the importance and various functions of physician listening according to patients. METHODS:Fifty-eight patients of the McGill University Health Centre were interviewed using a qualitative, interpretive design approach. RESULTS:Patients explained why listening was...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2011.01.028
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVES:To examine the effect of one standardized patient question on the length, number and type of new topics pharmacists addressed. To explore how community pharmacists counsel secret shoppers on two types of over-the-counter (OTC) medications-ibuprofen (IB) and emergency contraceptives (EC). METHODS:25 pharmaci...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.07.012
更新日期:2016-09-01 00:00:00
abstract::Prostate cancer has become a public health problem worldwide with considerable social and economic consequences. Many men have extraprostatic spread at diagnosis, and treatment usually involves hormonal manipulation therapy, which can challenge the stereotypical male image. It is often assumed that merely the provisio...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/j.pec.2003.07.005
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVE:To investigate the association between the quality of the family physician-patient relationship and frequent attendance of primary and specialist health care. METHODS:Cross-sectional survey of a representative German population sample (N=2.266). Family physician-patient relationship was assessed with the Pat...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.02.009
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVES:We characterized patients' comprehension, memory, and impressions of risk communication messages in a patient decision aid (PtDA), Mammopad, and clarified perceived importance of numeric risk information in medical decision making. METHODS:Participants were 75 women in their forties with average risk factor...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2016.02.013
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:To test whether an intervention consisting of four patient-centered consultations improves glycemic control and self-management skills in patients with poorly regulated type 2 diabetes (T2DM), compared to a control group receiving usual care. METHODS:Unblinded parallel randomized controlled trial including 9...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2019.06.014
更新日期:2019-12-01 00:00:00
abstract:OBJECTIVE:To explore whether negative emotions expressed by adolescent cancer survivors during follow-up consultations were associated with potential late effects (persisting disease or treatment-related health problems). METHODS:We video-recorded 66 follow-up consultations between 10 pediatricians and 66 adolescent s...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2017.06.008
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:Although peer coaching can help patients manage chronic conditions, few studies have evaluated the effects of peer coaching on coaches, and no studies have systematically examined these effects in the context of chronic pain coaching. METHODS:Peer coach outcomes were assessed as part of a randomized trial of...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2020.02.007
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:Poor prognosis is difficult to impart, particularly across a cultural divide. This study compared prognostic communication with immigrants (with and without interpreters) versus native-born patients in audio-taped oncology consultations. METHODS:Ten oncologists, 78 patients (31 Australian-born, 47 immigrants...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.03.006
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:Within the framework of a randomized, active treatment controlled trial, we used a mediation analysis to understand the mechanisms by which an intervention that uses confrontation with spirometry for smoking cessation achieves its effects. METHODS:Participants were 228 smokers from the general population wit...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2008.11.017
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:We describe and compare the perceptions of professional and family member interpreters concerning their roles and tasks as interpreters in primary care clinical encounters. METHODS:Encounters between physicians (19) and patients (24) accompanied by a professional (6) or a family (9) interpreter were videotap...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2007.09.015
更新日期:2008-01-01 00:00:00