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Resources in vulnerable young adults: self-assessments during preventive consultation with their general practitioner in Denmark

Inequality in health is increasing. People with many problems often lack energy to improve well-being and reduce their problems. This study analyses how psycho-socially challenged younger (20- to 44-year-old) patients described their own resources to reach lifestyle goals or alter life circumstances...

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Autores principales: Freund, Kirsten Schierup, Guassora, Ann Dorrit, Hegelund, Trine, Hvas, Lotte, Lous, Jørgen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7585525/
https://www.ncbi.nlm.nih.gov/pubmed/31750922
http://dx.doi.org/10.1093/heapro/daz114
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author Freund, Kirsten Schierup
Guassora, Ann Dorrit
Hegelund, Trine
Hvas, Lotte
Lous, Jørgen
author_facet Freund, Kirsten Schierup
Guassora, Ann Dorrit
Hegelund, Trine
Hvas, Lotte
Lous, Jørgen
author_sort Freund, Kirsten Schierup
collection PubMed
description Inequality in health is increasing. People with many problems often lack energy to improve well-being and reduce their problems. This study analyses how psycho-socially challenged younger (20- to 44-year-old) patients described their own resources to reach lifestyle goals or alter life circumstances. Within the context of a randomized controlled trial, Danish participants had two structured preventive person-centred consultations with their general practitioner. Consultations focused on well-being, salutogenesis, resources, barriers and support of autonomy. Using the qualitative method: Systematic Text Condensation, we made thematic cross-analysis of patients’ goal-specific resource statements described at the first consultation. Of the 209 patients, 191 (91%) chose one or two goals for a better life next year; nearly all (179) could recall and describe which resources they would use to reach their goal. We categorized resource statements into (i) personal constitution as ‘willpower’ and ‘tenacity’; (ii) network, e.g. family; (iii) personal experience with identical or similar problems. Some patients needed to free up resources by handling psychological problems before being able to focus on lifestyle goals. The study demonstrates that patients with particular psycho-social problems could describe essential resources in a structured, salutogenic, preventive consultation with their general practitioner. Reflecting intrinsic and extrinsic motivation, these resources reflected dimensions of essential health theories like sense of coherence, self-efficacy and self-determination theory. Increased awareness of these resources seems essential for vulnerable patients by improving psychological well-being and optimism, thereby facilitating health-related changes. This may be an important step to reducing inequality in health.
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spelling pubmed-75855252020-10-29 Resources in vulnerable young adults: self-assessments during preventive consultation with their general practitioner in Denmark Freund, Kirsten Schierup Guassora, Ann Dorrit Hegelund, Trine Hvas, Lotte Lous, Jørgen Health Promot Int Original Articles Inequality in health is increasing. People with many problems often lack energy to improve well-being and reduce their problems. This study analyses how psycho-socially challenged younger (20- to 44-year-old) patients described their own resources to reach lifestyle goals or alter life circumstances. Within the context of a randomized controlled trial, Danish participants had two structured preventive person-centred consultations with their general practitioner. Consultations focused on well-being, salutogenesis, resources, barriers and support of autonomy. Using the qualitative method: Systematic Text Condensation, we made thematic cross-analysis of patients’ goal-specific resource statements described at the first consultation. Of the 209 patients, 191 (91%) chose one or two goals for a better life next year; nearly all (179) could recall and describe which resources they would use to reach their goal. We categorized resource statements into (i) personal constitution as ‘willpower’ and ‘tenacity’; (ii) network, e.g. family; (iii) personal experience with identical or similar problems. Some patients needed to free up resources by handling psychological problems before being able to focus on lifestyle goals. The study demonstrates that patients with particular psycho-social problems could describe essential resources in a structured, salutogenic, preventive consultation with their general practitioner. Reflecting intrinsic and extrinsic motivation, these resources reflected dimensions of essential health theories like sense of coherence, self-efficacy and self-determination theory. Increased awareness of these resources seems essential for vulnerable patients by improving psychological well-being and optimism, thereby facilitating health-related changes. This may be an important step to reducing inequality in health. Oxford University Press 2019-11-21 /pmc/articles/PMC7585525/ /pubmed/31750922 http://dx.doi.org/10.1093/heapro/daz114 Text en © The Author(s) 2019. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contactjournals.permissions@oup.com
spellingShingle Original Articles
Freund, Kirsten Schierup
Guassora, Ann Dorrit
Hegelund, Trine
Hvas, Lotte
Lous, Jørgen
Resources in vulnerable young adults: self-assessments during preventive consultation with their general practitioner in Denmark
title Resources in vulnerable young adults: self-assessments during preventive consultation with their general practitioner in Denmark
title_full Resources in vulnerable young adults: self-assessments during preventive consultation with their general practitioner in Denmark
title_fullStr Resources in vulnerable young adults: self-assessments during preventive consultation with their general practitioner in Denmark
title_full_unstemmed Resources in vulnerable young adults: self-assessments during preventive consultation with their general practitioner in Denmark
title_short Resources in vulnerable young adults: self-assessments during preventive consultation with their general practitioner in Denmark
title_sort resources in vulnerable young adults: self-assessments during preventive consultation with their general practitioner in denmark
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7585525/
https://www.ncbi.nlm.nih.gov/pubmed/31750922
http://dx.doi.org/10.1093/heapro/daz114
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