General practitioners’ strategies to identify alcohol problems: A focus group study

Lid, Torgeir Gilje; Malterud, Kirsti

doi:10.3109/02813432.2012.679229

Cited by 30 publications

(37 citation statements)

References 27 publications

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“…Although the strategies presented by participants were often substantiated by specific examples and experiences, internal validity will be jeopardized if we confuse these descriptions with what actually takes place. An observational study with data drawn from videotapes of real consultations would be needed for such a purpose, and our findings must be interpreted with due caution [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

GPs’ negotiation strategies regarding sick leave for subjective health complaints

Nilsen

Malterud

Werner

et al. 2015

Scandinavian Journal of Primary Health Care

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Objectives. To explore general practitioners’ (GPs’) specific negotiation strategies regarding sick-leave issues with patients suffering from subjective health complaints. Design. Focus-group study. Setting. Nine focus-group interviews in three cities in different regions of Norway. Participants. 48 GPs (31 men, 17 women; age 32–65), participating in a course dealing with diagnostic practice and assessment of sickness certificates related to patients with subjective health complaints. Results. The GPs identified some specific strategies that they claimed to apply when dealing with the question of sick leave for patients with subjective health complaints. The first step would be to build an alliance with the patient by complying with the wish for sick leave, and at the same time searching for information to acquire the patient's perspective. This position would become the basis for the main goal: motivating the patient for a rapid return to work by pointing out the positive effects of staying at work, making legal and moral arguments, and warning against long-term sick leave. Additional solutions might also be applied, such as involving other stakeholders in this process to provide alternatives to sick leave. Conclusions and implications. GPs seem to have a conscious approach to negotiations of sickness certification, as they report applying specific strategies to limit the duration of sick leave due to subjective health complaints. This give-and-take way of handling sick-leave negotiations has been suggested by others to enhance return to work, and should be further encouraged. However, specific effectiveness of this strategy is yet to be proven, and further investigation into the actual dealings between doctor and patients in these complex encounters is needed.

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Section: Discussionmentioning

confidence: 99%

GPs’ negotiation strategies regarding sick leave for subjective health complaints

Nilsen

Malterud

Werner

et al. 2015

Scandinavian Journal of Primary Health Care

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“…The aim of the study was to explore and understand the perception of physical activity among Somali women. We conducted four focus groups to collect data, a number recommended in published studies [ 25 , 26 ]. Language and cultural barriers must be acknowledged as limitations in this study.…”

Section: Discussionmentioning

confidence: 99%

Somali women’s view of physical activity – a focus group study

et al. 2014

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BackgroundPhysical inactivity presents a major public health challenge and is estimated to cause six to ten percent of the major non-communicable diseases. Studies show that immigrants, especially women, have an increased risk of non-communicable diseases compared to ethnic Swedes. Somali immigrant women have increased rates of overweight and obesity, low fitness levels and low levels of cardiorespiratory fitness compared to non-immigrant women. These findings suggest that Somali women are at increased risk of developing lifestyle-related diseases. Few studies explore determinants of physical activity among Somali women. The aim of this study was to explore Somali women’s views and experiences of physical activity after migration to Sweden.MethodsA qualitative focused ethnographic approach was used in this study. Four focus groups were conducted with twenty-six Somali women ranging from 17 to 67 years of age. Focus group discussions were recorded, transcribed verbatim and analysed using qualitative content analysis.ResultsThe analysis resulted in four main themes and ten categories: Life in Somalia and Life in Sweden, Understanding and enhancing health and Facilitators and barriers to physical activity. Great differences were seen between living in Somalia and in Sweden but also similarities such as finding time to manage housework, the family and the health of the woman. The extended family is non-existent in Sweden, making life more difficult. Health was considered a gift from God but living a healthy life was perceived as the responsibility of the individual. Misconceptions about enhancing health occurred depending on the woman’s previous life experience and traditions. There was an awareness of the importance of physical activity among the participants but lack of knowledge of how to enhance activity on an individual basis. Enhancing factors to an active lifestyle were identified as being a safe and comfortable environment.ConclusionsSome barriers, such as climate, lack of motivation and time are universal barriers to an active lifestyle, but some factors, such as tradition and religion, are distinctive for Somali women. Since traditional Somali life never involves leisure-time physical activity, one cannot expect to compensate for the low daily activity level with leisure-time activity the Swedish way. Immigrant Somali women are a heterogeneous group with individual needs depending on age, education and background. Tailored interventions with respect to Somali traditions are necessary to achieve an actual increase in physical activity among migrant women of Somalian origin.

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“…The GPs were purposively selected to have experience of the topic discussed [24]. We conducted three focus groups to collect data, a number recommended in recently published studies [25,26]. Focus groups and the method for analysis have been shown in previous studies to be credible and appropriate for studying GPs’ experiences [25].…”

Section: Discussionmentioning

confidence: 99%

“…We conducted three focus groups to collect data, a number recommended in recently published studies [25,26]. Focus groups and the method for analysis have been shown in previous studies to be credible and appropriate for studying GPs’ experiences [25]. The selection was confined to southern Sweden and none of the focus group reached the minimum numbers of participants, a limitation and a weakness of the study.…”

Section: Discussionmentioning

confidence: 99%

Physical activity on prescription (PAP) from the general practitioner’s perspective – a qualitative study

et al. 2013

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BackgroundPhysical activity on prescription (PAP) is a successful intervention for increasing physical activity among patients with a sedentary lifestyle. The method seems to be sparsely used by general practitioners (GPs) and there is limited information about GPs’ attitudes to counselling using PAP as a tool. The aim of the study was to explore and understand the meaning of prescribing physical activity from the general practitioner’s perspective.MethodsThree focus group interviews were conducted with a purposive sample of 15 Swedish GPs in the south of Sweden. Participants were invited to talk about their experience of using PAP. The interviews were transcribed verbatim, analysed using qualitative content analysis.ResultsThe analysis resulted in four categories: The tradition makes it hard to change attitude, Shared responsibility is necessary, PAP has low status and is regarded with distrust and Lack of procedures and clear guidelines. Traditionally GPs talk with patients about the importance of an increased level of physical activity but they do not prescribe physical activity as a treatment. Physician’s education focuses on the use of pharmaceuticals. The responsibility for patients’ physical activity level is shared with other health professionals, the patient and society. The GPs express reservations about prescribing physical activity. A heavy workload is a source of frustration. PAP is regarded with distrust and considered to be a task of less value and status. Using a prescription to emphasize an increased level is considered to be redundant and the GPs think it should be administered by someone else in the health care system. Scepticism about the result of the method was also expressed.ConclusionsThere is uncertainty about using PAP as a treatment since physicians lack education in non-pharmaceutical methods. The GPs do not regard the written referral as a prioritized task and rather refer to other professionals in the health care system to prescribe PAP. GPs pointed out a need to create routines and arrangements for the method to gain credibility and become everyday practice among GPs.

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General practitioners’ strategies to identify alcohol problems: A focus group study

Cited by 30 publications

References 27 publications

GPs’ negotiation strategies regarding sick leave for subjective health complaints

GPs’ negotiation strategies regarding sick leave for subjective health complaints

Somali women’s view of physical activity – a focus group study

Physical activity on prescription (PAP) from the general practitioner’s perspective – a qualitative study

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