Understanding Primary Care Providers' Experience with Lifestyle Behavior Change Recommendations and Programs to Prevent Chronic Disease

被引:4
作者
Miller, Megan [1 ]
Locke, Amy [2 ]
Fuller, Arwen [1 ]
Jensen, Jessica King [1 ]
机构
[1] Univ Utah, Coll Hlth, Dept Hlth & Kinesiol, 250 S 1850 E, Salt Lake City, UT 84112 USA
[2] Univ Utah, Sch Med, Dept Family & Prevent Med, Salt Lake City, UT 84112 USA
关键词
lifestyle medicine; chronic disease prevention; qualitative interviews; clinicians; NUTRITION EDUCATION; PHYSICIANS; BARRIERS; IMPLEMENTATION;
D O I
10.1177/15598276221120640
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Prescribing lifestyle behavior change is a recommended strategy for both primary and secondary prevention of disease. Programs that support and encourage lifestyle behavior change are available to patients but are underutilized. The purpose of this study was to understand primary care providers (PCPs) experiences and barriers they experience with referring patients to lifestyle behavior change programs at one academic health care system. In-depth semi-structured interviews were conducted with 7 academic PCPs between November 2020 and January 2021. Qualitative analysis identified major themes. Four themes emerged: (1) guideline awareness and adherence, (2) barriers to lifestyle behavior change recommendations, (3) provider role with respect to lifestyle behavior change recommendations, and (4) suggestions to improve utilization of behavior change support. Specific strategies for improvement include revising referral process, educating providers about programs already offered, lifestyle change consistently into their practice.
引用
收藏
页码:779 / 784
页数:6
相关论文
共 24 条
[1]   Nutrition Education in US Medical Schools: Latest Update of a National Survey [J].
Adams, Kelly M. ;
Kohlmeier, Martin ;
Zeisel, Steven H. .
ACADEMIC MEDICINE, 2010, 85 (09) :1537-1542
[2]   Attitudes, norms and controls influencing lifestyle risk factor management in general practice [J].
Ampt, Amanda J. ;
Amoroso, Cheryl ;
Harris, Mark F. ;
McKenzie, Suzanne H. ;
Rose, Vanessa K. ;
Taggart, Jane R. .
BMC FAMILY PRACTICE, 2009, 10
[3]  
Arnett DK, 2019, CIRCULATION, V140, pE596, DOI [10.1161/CIR.0000000000000678, 10.1161/CIR.0000000000000677, 10.1016/j.jacc.2019.03.009, 10.1016/j.jacc.2019.03.010]
[4]  
Barnes Patricia M, 2012, NCHS Data Brief, P1
[5]   Prevention and health promotion in clinical practice:: the views of general practitioners in Europe [J].
Brotons, C ;
Björkelund, C ;
Bulc, M ;
Ciurana, R ;
Godycki-Cwirko, M ;
Jurgova, E ;
Kloppe, P ;
Lionis, C ;
Mierzecki, A ;
Piñeiro, R ;
Pullerits, L ;
Sammut, MR ;
Sheehan, M ;
Tataradze, R ;
Thireos, EA ;
Vuchak, J .
PREVENTIVE MEDICINE, 2005, 40 (05) :595-601
[6]  
Clarke Camille A, 2016, J Grad Med Educ, V8, P665, DOI 10.4300/JGME-D-15-00804.1
[7]   Physicians' attitudes towards prevention: importance of intervention-specific barriers and physicians' health habits [J].
Cornuz, J ;
Ghali, WA ;
Di Carlantonio, D ;
Pecoud, A ;
Paccaud, F .
FAMILY PRACTICE, 2000, 17 (06) :535-540
[8]   Proportion and Number of Cancer Cases and Deaths Attributable to Potentially Modifiable Risk Factors in the United States [J].
Islami, Farhad ;
Sauer, Ann Goding ;
Miller, Kimberly D. ;
Siegel, Rebecca L. ;
Fedewa, Stacey A. ;
Jacobs, Eric J. ;
McCullough, Marjorie L. ;
Patel, Alpa V. ;
Ma, Jiemin ;
Soerjomataram, Isabelle ;
Flanders, W. Dana ;
Brawley, Otis W. ;
Gapstur, Susan M. ;
Jemal, Ahmedin .
CA-A CANCER JOURNAL FOR CLINICIANS, 2018, 68 (01) :31-54
[9]  
Jacobs W, 2017, COGENT SOC SCI, V3, DOI 10.1080/23311886.2017.1302785
[10]   Implementation of clinical practice guidelines on lifestyle interventions in Swedish primary healthcare - a two-year follow up [J].
Kardakis, Therese ;
Jerden, Lars ;
Nystrom, Monica E. ;
Weinehall, Lars ;
Johansson, Helene .
BMC HEALTH SERVICES RESEARCH, 2018, 18