GPs’ knowledge, use, and confidence in national physical activity and health guidelines and tools: a questionnaire-based survey of general practice in England

Chatterjee, Robin; Chapman, Tim F.; Brannan, Mike Gt; Varney, Justin

doi:10.3399/bjgp17x692513

Cited by 109 publications

(147 citation statements)

References 19 publications

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“…20 Doctors.net.uk has been widely used in academic surveys of doctors. 21,22 Doctors received an email invitation to participate in the survey based on their demographic and professional characteristics as collected by Doctors.net.uk. Invitations were sent until 500 primary-care and 500 secondary-care doctors were recruited.…”

Section: Survey Samplementioning

confidence: 99%

Exploring UK doctors’ attitudes towards online patient feedback: Thematic analysis of survey data

et al. 2020

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Introduction: Patients are increasingly using online platforms to give feedback about their health-care experiences. Online feedback has been proposed as a way to drive transformative change in the health service through informing choice and improving quality. Attitudes held by health-care professionals influence the uptake of new technologies. Understanding these attitudes is essential in exploring the potential of online patient feedback as a standard feedback mechanism. This study explores the content of free-text comments left by doctors responding to a survey with the aim of understanding their attitudes towards online feedback. Methods:A cross-sectional online questionnaire was completed by 1001 UK primary and secondary-care doctors. Doctors were given the opportunity to leave a free-text comment about online patient feedback. Doctors' attitudes towards online patient feedback were identified and explored using thematic analysis. Descriptive statistics and chi-square tests were used to examine demographic differences between those doctors who left a comment and those who did not.Results: Thematic analysis identified five key interrelated themes: anonymity, confidentiality, representativeness, moderation/regulation of online feedback and platform type. The characteristics of those leaving a comment very closely matched those of the entire survey sample.Conclusion: Across the comments, the most prominent finding was a general scepticism and caution towards online feedback, with most of the key themes relating to the perceived limitations and challenges. Further work exploring ways of addressing and verifying online comments without breaching confidentiality could provide valuable information to health systems seeking to drive improvement through patient online feedback.

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Section: Survey Samplementioning

confidence: 99%

Exploring UK doctors’ attitudes towards online patient feedback: Thematic analysis of survey data

et al. 2020

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“…Yet national levels of PA remain static with 38% of the population failing to achieve the recommended level of PA 13 . Studies have demonstrated low levels of knowledge of PA guidelines across the population, including in working age adults 14 and healthcare professionals who have a role in encouraging people to become more active 15,16 . It may be more influential to target social norms instead of knowledge of guidelines rather than raising awareness of personal moderate or vigorous intensity PA behaviour 17 .…”

Section: Pa Guidelines and Pa Levels In Englandmentioning

confidence: 99%

Active 10 – A new approach to increase physical activity in inactive people in England

Brannan

Foster

Timpson

et al. 2019

Progress in Cardiovascular Diseases

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Public health physical activity (PA) guidelines are failing to increase levels of population PA, requiring a new approach. A national integrated marketing campaign was developed based on published literature and ethnographic research to get inactive lower socioeconomic 40-60year olds to walk briskly for bouts of 10 or more minutes per day and move towards recommended levels of PA. National and local communications campaigns and partnerships promoted key messages and directed people to a free mobile phone app that provided the user with time, intensity and periodicity of walking, and included goal setting and encouragement to support behaviour change. Campaigns in the summers of 2017 and 2018 achieved around 500,000 downloads of the mobile phone app, with evaluation suggesting increases in brand and app awareness, and those taking action. Active 10 is a promising example of a physical activity promotion campaign based on evidence-based messages tailored for a target audience to change social norms rather than guidelines, an approach recognised as an effective population intervention for increasing walking.

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“…For example, despite the unequivocal importance of physical activity, nutrition, smoking cessation and healthy weight management guidance during pregnancy-variables that obviously affect multi-generational health-research from North America and Australia shows that relatively few women receive lifestyle guidelines from physicians [72][73][74]. Discussions of physical activity in primary care and awareness of specific physical activity guidelines is very low [75]. Studies have shown that despite obesity prevalence and the obvious need for health education, approximately 60% of visits by obese patients involve a complete absence of physician engagement with lifestyle counseling/health education [76]; despite evidence showing that the adoption of a healthy lifestyle following a cancer diagnosis is linked with better long-term outcomes, the personal beliefs of physicians (that is, not believing lifestyle would affect outcomes) diminishes the likelihood of lifestyle counseling [77].…”

Section: Lifestyle In Training and Practicementioning

confidence: 99%

From Authoritarianism to Advocacy: Lifestyle-Driven, Socially-Transmitted Conditions Require a Transformation in Medical Training and Practice

Prescott

Logan²

2018

Challenges

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The epidemic of socially-rooted, lifestyle-driven non-communicable diseases (NCDs; also referred to as socially-transmitted conditions) has now overtaken infectious diseases as the leading cause of human mortality. Despite this reality, physician education, training and practice within industrialized nations is heavily slanted toward the biopharmaceutical (and away from the psychosocial) aspects of prevention and treatment. As we underscore, the current state of physician training and practical application of guidelines pertaining to lifestyle is paltry and untenable. However, the solution is not a few more hours of nutritional biochemistry to check off the curricula box. Physician readiness for the current NCD crisis will require a philosophical shift in medicine-at-large, including candidate pooling. Recent elections in the United States and Europe have cast a spotlight on the public health consequences of political authoritarianism. However, we highlight that authoritarianism-and its related facets of social dominance orientation and Machiavellianism-are not exclusive to political candidates. Here, we open a dialogue on authoritarianism in westernized medicine as a starting point in order to encourage the development of critical research and to explore its potential as a barrier to patient care. We suggest that authoritarianism and its prejudices act as a border wall to the World Health Organization's broad vision of global health, cultural competency and patient autonomy. Moreover, the evidence reviewed here would suggest that in the context of the NCDs crisis, westernized medicine is long overdue a Flexner Report for the 21st Century.

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GPs’ knowledge, use, and confidence in national physical activity and health guidelines and tools: a questionnaire-based survey of general practice in England

Cited by 109 publications

References 19 publications

Exploring UK doctors’ attitudes towards online patient feedback: Thematic analysis of survey data

Exploring UK doctors’ attitudes towards online patient feedback: Thematic analysis of survey data

Active 10 – A new approach to increase physical activity in inactive people in England

From Authoritarianism to Advocacy: Lifestyle-Driven, Socially-Transmitted Conditions Require a Transformation in Medical Training and Practice

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