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Article << Previous     |     Next >>   Contents Vol 18(2)

What predicts patient-reported GP management of smoking, nutrition, alcohol, physical activity and weight?

Mark F. Harris A E, Mahnaz Fanaian A, Upali W. Jayasinghe A, Megan Passey B, David Lyle C, Suzanne McKenzie D and Gawaine Powell Davies A

A Centre for Primary Health Care and Equity, 3rd Floor AGSM Building, University of New South Wales, Sydney, NSW 2052, Australia.
B University Centre for Rural Health – North Coast, University of Sydney, PO Box 3074, Lismore, NSW 2480, Australia.
C Broken Hill Department of Rural Health, University of Sydney, PO Box 457, Broken Hill, NSW 2880, Australia.
D School of Medicine and Dentistry, James Cook University, Townsville, Qld 4811, Australia.
E Corresponding author. Email: m.f.harris@unsw.edu.au

Australian Journal of Primary Health 18(2) 123-128 http://dx.doi.org/10.1071/PY11024
Submitted: 26 February 2011  Accepted: 20 June 2011   Published: 7 November 2011


 
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Abstract

This study aimed to describe patient-reported management of behavioural risk factors in Australian general practice. Six hundred and ninety-eight eligible patients from 30 general practices in two rural and three urban Divisions of General Practice responded to a mailed invitation to participate and completed a questionnaire. Data were analysed using univariate and multi-level multivariate methods. The prevalence of risk factors varied between 12.6% for smoking and 72.6% for at-risk diet (56.2% were overweight). Most patients were at the action or maintenance phases of their readiness to change their risky behaviours. General practitioners (GPs) provided education or advice to between one-quarter and one-third of those at risk for each risk factor; 9.2% and 9.6% of patients reported having been referred for diet or physical activity interventions. Patient body mass index was associated with increased likelihood of receiving GP advice or referral for diet and physical activity interventions. Having poor diet or physical activity levels and being more ready for change were not associated with the likelihood of GP referral. The major challenge for general practice is to ensure that effective lifestyle interventions are provided to those who will most benefit. Patient-reported GP behavioural risk factor advice and referral is less frequent than is optimal. Priority needs to be given to those most at risk and ready to change their behaviour.

Additional keywords: behavioural risk factors, general practice, lifestyle modification programs, overweight, primary health care.


References

Amoroso C, Harris MF, Ampt M, Laws RA, McKenzie S, Williams AM, Jayasinghe UW, Zwar NA, Powell Davies G (2009) Health check for 45–49 year old patients in general practice: feasibility and impact on practices and patient behaviour. Australian Family Physician 38, 358–362.

Ampt AJ, Amoroso C, Harris MF, McKenzie SH, Rose VK, Taggart JR (2009) Attitudes, norms and controls influencing lifestyle risk factor management in general practice. BMC Family Practice 10, 59
CrossRef |

Australian General Practice Network (2008) ‘Prevention of Type 2 Diabetes Program – lifestyle modification programs.’ (AGPN: Canberra)

Australian Institute of Health and Welfare (2006) ‘Chronic diseases and associated risk factors in Australia, 2006.’ (AIHW: Canberra)

Aveyard P, Massey L, Parsons A, Manaseki S, Griffin C (2009) The effect of Transtheoretical Model based interventions on smoking cessation. Social Science & Medicine 68, 397–403.
CrossRef |

Bocquier A, Verger P, Basdevant A, Andreotti G, Baretge J, Villani P, Paraponaris A (2005) Overweight and obesity: knowledge, attitudes, and practices of general practitioners in France. Obesity: A Research Journal 13, 787–795.
CrossRef |

Borland R, Balmford J, Bishop N, Segan C, Piterman L, McKay-Brown L, Kirby C, Tasker C (2008) In-practice management versus quitline referral for enhancing smoking cessation in general practice: a cluster randomized trial. Family Practice 25, 382–389.
CrossRef |

Bradley KA, Bush KR, Epler AJ, Dobie DJ, Davis TM, Sporleder JL, Maynard C, Burman ML, Kivlahan DR (2003) Two brief alcohol-screening tests from the alcohol use disorders identification test (AUDIT): validation in a female veterans affairs patient population. Archives of Internal Medicine 163, 821–829.
CrossRef |

Britt H, Miller GC, Charles J, Henderson J, Bayram C, Pan Y, Valenti L, Harrison C, Fahridin S, O’Halloran J (2009a) ‘General practice activity in Australia 2008–09.’ (AIHW: Canberra)

Britt H, Miller GC, Charles J, Henderson J, Bayram C, Valenti L, Pan Y, Harrison C, Fahridin S, O’Halloran J (2009b) ‘General practice activity in Australia 1990–00 to 2008–09: 10 year data tables.’ (AIHW: Canberra)

Fanaian M, Laws RA, Passey M, McKenzie S, Wan Q, Powell Davies G, Lyle D, Harris MF (2010) Health improvement and prevention study (HIPS) – evaluation of an intervention to prevent vascular disease in general practice. BMC Family Practice 11, 57
CrossRef |

Hardcastle S, Taylor A, Bailey M, Castle R (2008) A randomised controlled trial on the effectiveness of a primary health care based counselling intervention on physical activity, diet and CHD risk factors. Patient Education and Counseling 70, 31–39.
CrossRef |

Harris MF, Hobbs C, Powell Davies G, Simpson S, Bernard D, Stubbs A (2005) Implementation of a SNAP intervention in two divisions of general practice: a feasibility study. The Medical Journal of Australia 183, S54–S58.

Harris M, Bennet J, Del Mar C, Fasher M, Forman L, Johnson C, Furler J, Joyner B, Litt J, Mazza D, Smith J, Tomlins R, Bailey L, London J, Snowdon T (2009) ‘Guidelines for preventive activities in general practice.’ (Royal Australian College of General Practitioners: Melbourne)

Laws R, Counterweight Project Team (2004) A new evidence-based model for weight management in primary care: the Counterweight Programme. Journal of Human Nutrition and Dietetics 17, 191–208.
CrossRef |

Marshall AL, Smith BJ, Bauman AE, Kaur S, Bull F (2005) Reliability and validity of a brief physical activity assessment for use by family doctors. British Journal of Sports Medicine 39, 294–297.
CrossRef |

Mazza D, Harris MF (2010) Improving implementation of evidence-based prevention in primary care. The Medical Journal of Australia 193, 101–102.

National Health Priority Action Council (2006) ‘National chronic disease strategy.’ (Australian Department of Health and Ageing: Canberra)

NHMRC (2003) ‘Clinical Practice Guidelines for the Management of Overweight and Obesity in Adults, Commonwealth of Australia.’ (NHMRC: Canberra)

Passey M, Fanaian M, Lyle D, Harris MF (2010) Assessment and management of lifestyle risk factors in rural and urban general practices in Australia. Australian Journal of Primary Health 16, 81–86.
CrossRef |

Prochaska JO, Di Clemnete CO (1986) Towards a comprehensive model of change. In ‘Treating addictive behaviours: processes of change’. (Eds Miller WR, Heather N) (Plenum: New York)

Smith BJ, Marshall AL, Huang N (2005) Screening for physical activity in family practice: evaluation of two brief assessment tools. American Journal of Preventive Medicine 29, 256–264.
CrossRef |

Steptoe A, Perkins-Porras L, McKay C, Rink E, Hilton S, Cappuccio FP (2003) Behavioural counselling to increase consumption of fruit and vegetables in low income adults. British Medical Journal 326, 855–857.
CrossRef |

Sussman AL, Williams RL, Leverence R, Gloyde PW, Crabtree BF Sussman AL, Williams RL, Leverence R, Gloyde PW, Crabtree BF (2006) The art and complexity of primary care clinicians’ preventive counseling decisions: obesity as a case study. Annals of Family Medicine 4, 327–333.
CrossRef |

Sutton S (2005) Another nail in the coffin of the transtheoretical model? A comment on West. Addiction (Abingdon, England) 100, 1043–1046.
CrossRef |

Vandelanotte C, Reeves MM, Brug J, De Bourdeaudhuij I (2008) A randomized trial of sequential and simultaneous multiple behavior change interventions for physical activity and fat intake. Preventive Medicine 46, 232–237.
CrossRef |

West R (2005) Time for a change: putting the transtheoretical (stages of change) model to rest. Addiction (Abingdon, England) 100, 1036–1039.
CrossRef |

Whitlock EP, Orleans CT, Pender N, Allan J (2002) Evaluating primary care behavioral counseling interventions: an evidence-based approach. American Journal of Preventive Medicine 22, 267–284.
CrossRef |

Williams NH, Hendry M, France B, Lewis R, Wilkinson C (2007) Effectiveness of exercise-referral schemes to promote physical activity in adults: systematic review. The British Journal of General Practice 57, 979–986.
CrossRef |

Winzenberg T, Reid P, Shaw K (2009) Assessing physical activity in general practice: a disconnect between clinical practice and public health? The British Journal of General Practice 59, e359–e367.
CrossRef |

Young JM, Ward JE (2001) Implementing guidelines of smoking cessation advice in Australian general practice: opinions, current practice, readiness to change and perceived barriers. Family Practice 18, 14–20.
CrossRef |


   
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