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Patients' experiences of behaviour change interventions delivered by general practitioners during routine consultations: A nationally representative survey.

Authors
  • Keyworth, Chris1, 2
  • Epton, Tracy1
  • Goldthorpe, Joanna1
  • Calam, Rachel1
  • Armitage, Christopher J1, 2, 3
  • 1 Manchester Centre for Health Psychology, Divisional of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
  • 2 NIHR Greater Manchester Patient Safety Translational Research Centre, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
  • 3 Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
Type
Published Article
Journal
Health expectations : an international journal of public participation in health care and health policy
Publication Date
Jun 01, 2021
Volume
24
Issue
3
Pages
819–832
Identifiers
DOI: 10.1111/hex.13221
PMID: 33662180
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Consistent with the 'Making Every Contact Count' UK public health policy, general practitioners (GPs) are expected to provide patients with behaviour change interventions opportunistically. However, there is a belief widely held among GPs that patients neither want or need such interventions. We aimed to understand the following: (a) the characteristics of people attending GP appointments, (b) patients' needs for health behaviour change, (c) perceptions of appropriateness and helpfulness of interventions, and (d) factors associated with recall of receipt of interventions. Cross-sectional nationally representative online survey of UK adults who had attended GP clinics in the preceding four weeks (n = 3028). Data were analysed using descriptive statistics and binary logistic regression. 94.5% (n = 2862) of patients breached at least one health behaviour guideline, and 55.1% reported never having had a conversation with their GP about health behaviours. The majority of patients perceived intervention as appropriate (range 84.2%-87.4% across behaviours) and helpful (range 82.8%-85.9% across behaviours). Being male (OR = 1.412, 95% CI 1.217, 1.639), having a long-term condition (OR = 1.514, 95% CI 1.287, 1.782) and a higher number of repeat GP visits (OR = 1.016, 95% CI 1.010, 1.023) were among factors associated with recall of receipt of interventions. Patients perceived behaviour change intervention during routine GP consultations as appropriate and helpful, yet there are variations in the likelihood of receiving interventions according to sociodemographic factors. GPs could adopt a more proactive approach to behaviour change in patient consultations with the broad approval of patients. The questionnaire was piloted among a convenience sample prior to distribution. © 2021 The Authors. Health Expectations published by John Wiley & Sons Ltd.

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