Cargando…

Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner

The aim of the study was to assess whether general practitioners (GPs) monitor and evaluate the health behavior of their patients in the field of a diet, physical activity, and weight control, and whether they provide appropriate counselling as part of this evaluation. Predictors of those activities...

Descripción completa

Detalles Bibliográficos
Autores principales: Znyk, Małgorzata, Polańska, Kinga, Wojtysiak, Piotr, Szulc, Michał, Bąk-Romaniszyn, Leokadia, Makowiec-Dąbrowska, Teresa, Zajdel-Całkowska, Justyna, Kaleta, Dorota
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6888170/
https://www.ncbi.nlm.nih.gov/pubmed/31739411
http://dx.doi.org/10.3390/ijerph16224475
_version_ 1783475166533124096
author Znyk, Małgorzata
Polańska, Kinga
Wojtysiak, Piotr
Szulc, Michał
Bąk-Romaniszyn, Leokadia
Makowiec-Dąbrowska, Teresa
Zajdel-Całkowska, Justyna
Kaleta, Dorota
author_facet Znyk, Małgorzata
Polańska, Kinga
Wojtysiak, Piotr
Szulc, Michał
Bąk-Romaniszyn, Leokadia
Makowiec-Dąbrowska, Teresa
Zajdel-Całkowska, Justyna
Kaleta, Dorota
author_sort Znyk, Małgorzata
collection PubMed
description The aim of the study was to assess whether general practitioners (GPs) monitor and evaluate the health behavior of their patients in the field of a diet, physical activity, and weight control, and whether they provide appropriate counselling as part of this evaluation. Predictors of those activities among physicians were also determined. The cross-sectional study was conducted in the Piotrkowski district among 200 GPs. The questionnaire covered socio-demographic data and lifestyle characteristics of the physicians, their role as healthy lifestyle providers, and whether they assess lifestyle characteristics of their patients and perform healthy lifestyle counselling. More than 60% of the GPs did not evaluate lifestyle features during their patients’ examination. In total, 56% of the GPs provided healthy lifestyle recommendations among patients who have not been diagnosed with chronic lifestyle-related diseases but who do not follow healthy recommendations, and 73% of GPs provided recommendations to patients with chronic diseases related to lifestyle. The study showed that the chance to assess lifestyle characteristics of the patients was significantly higher for the GPs who believed that they were obliged to do so (OR = 6.5; p = 0.002). The chance to recommend a healthy lifestyle among patients who have not been diagnosed with chronic lifestyle-related diseases but who do not follow healthy recommendations was 5.9 times higher among the GPs working in the public sector (p < 0.001) and 16.3 times higher for these who believed that they had sufficient knowledge to provide the advice (p = 0.02). The following predictors of providing a healthy lifestyle counselling among patients with diagnosed chronic lifestyle-related diseases were identified: conviction that a GPs is obligated to provide it (OR = 4.4; p = 0.02), sufficient knowledge (OR = 8.7; p = 0.01), and following health recommendations by themselves (OR = 3.9; p = 0.04). Conclusions: The identified predictors are crucial for the development of appropriate strategies aiming at increasing GPs’ involvement in preventive measures and consequently at improving the population’s health.
format Online
Article
Text
id pubmed-6888170
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-68881702019-12-09 Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner Znyk, Małgorzata Polańska, Kinga Wojtysiak, Piotr Szulc, Michał Bąk-Romaniszyn, Leokadia Makowiec-Dąbrowska, Teresa Zajdel-Całkowska, Justyna Kaleta, Dorota Int J Environ Res Public Health Article The aim of the study was to assess whether general practitioners (GPs) monitor and evaluate the health behavior of their patients in the field of a diet, physical activity, and weight control, and whether they provide appropriate counselling as part of this evaluation. Predictors of those activities among physicians were also determined. The cross-sectional study was conducted in the Piotrkowski district among 200 GPs. The questionnaire covered socio-demographic data and lifestyle characteristics of the physicians, their role as healthy lifestyle providers, and whether they assess lifestyle characteristics of their patients and perform healthy lifestyle counselling. More than 60% of the GPs did not evaluate lifestyle features during their patients’ examination. In total, 56% of the GPs provided healthy lifestyle recommendations among patients who have not been diagnosed with chronic lifestyle-related diseases but who do not follow healthy recommendations, and 73% of GPs provided recommendations to patients with chronic diseases related to lifestyle. The study showed that the chance to assess lifestyle characteristics of the patients was significantly higher for the GPs who believed that they were obliged to do so (OR = 6.5; p = 0.002). The chance to recommend a healthy lifestyle among patients who have not been diagnosed with chronic lifestyle-related diseases but who do not follow healthy recommendations was 5.9 times higher among the GPs working in the public sector (p < 0.001) and 16.3 times higher for these who believed that they had sufficient knowledge to provide the advice (p = 0.02). The following predictors of providing a healthy lifestyle counselling among patients with diagnosed chronic lifestyle-related diseases were identified: conviction that a GPs is obligated to provide it (OR = 4.4; p = 0.02), sufficient knowledge (OR = 8.7; p = 0.01), and following health recommendations by themselves (OR = 3.9; p = 0.04). Conclusions: The identified predictors are crucial for the development of appropriate strategies aiming at increasing GPs’ involvement in preventive measures and consequently at improving the population’s health. MDPI 2019-11-14 2019-11 /pmc/articles/PMC6888170/ /pubmed/31739411 http://dx.doi.org/10.3390/ijerph16224475 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Znyk, Małgorzata
Polańska, Kinga
Wojtysiak, Piotr
Szulc, Michał
Bąk-Romaniszyn, Leokadia
Makowiec-Dąbrowska, Teresa
Zajdel-Całkowska, Justyna
Kaleta, Dorota
Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner
title Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner
title_full Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner
title_fullStr Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner
title_full_unstemmed Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner
title_short Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner
title_sort predictors of counselling related to a healthy lifestyle carried out by a general practitioner
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6888170/
https://www.ncbi.nlm.nih.gov/pubmed/31739411
http://dx.doi.org/10.3390/ijerph16224475
work_keys_str_mv AT znykmałgorzata predictorsofcounsellingrelatedtoahealthylifestylecarriedoutbyageneralpractitioner
AT polanskakinga predictorsofcounsellingrelatedtoahealthylifestylecarriedoutbyageneralpractitioner
AT wojtysiakpiotr predictorsofcounsellingrelatedtoahealthylifestylecarriedoutbyageneralpractitioner
AT szulcmichał predictorsofcounsellingrelatedtoahealthylifestylecarriedoutbyageneralpractitioner
AT bakromaniszynleokadia predictorsofcounsellingrelatedtoahealthylifestylecarriedoutbyageneralpractitioner
AT makowiecdabrowskateresa predictorsofcounsellingrelatedtoahealthylifestylecarriedoutbyageneralpractitioner
AT zajdelcałkowskajustyna predictorsofcounsellingrelatedtoahealthylifestylecarriedoutbyageneralpractitioner
AT kaletadorota predictorsofcounsellingrelatedtoahealthylifestylecarriedoutbyageneralpractitioner