Health Promotion Practices Among Physicians

Yeager, Kimberly K.; Donehoo, Ralph; Macera, Caroline A.; Croft, Janet B.; Heath, Gregory W.; Lane, Marcia J.

doi:10.1016/s0749-3797(18)30318-0

Cited by 47 publications

(26 citation statements)

References 9 publications

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“…Although many health-care providers report that they lack training in counseling and believe that their counseling is not effective, 23,24 our observations highlight the importance of provider advice for CVD risk reduction, because persons who received dietary and exercise advice were substantially more likely than persons who did not receive advice to report doing these activities. A study of adults in southeastern Missouri suggested that patients who received provider advice regarding preventive behaviors were more likely than those not receiving such advice to remember health promotion materials they later received and were also more likely to attempt behavior change.…”

Section: Discussionmentioning

confidence: 73%

Physician Advice, Patient Actions, and Health-Related Quality of Life in Secondary Prevention of Stroke Through Diet and Exercise

Greenlund

Giles

Keenan

et al. 2002

Stroke

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139

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Background and Purpose-Healthy diet and exercise are recommended for secondary prevention in stroke patients. We examined the prevalence of persons with stroke who received physician advice for, and engaged in, dietary change and exercise, and we also sought to determine whether engaging in these actions was associated with differences in health-related quality of life (HRQOL). Methods-Data are from 51 193 participants in the 1999 Behavioral Risk Factor Surveillance System, a state-based telephone survey. The participants noted whether they were advised to eat fewer high fat/high cholesterol foods and to exercise more and whether they engaged in these activities. HRQOL measures were the reported number of the preceding 30 days when physical health was not good, mental health was not good, usual activities were limited, and both physical and mental health were good (healthy days). Results-Overall, 2.4% of the participants reported a history of stroke. Sixty-one percent of those who reported a history of stroke had been advised to eat fewer high fat/high cholesterol foods, and 85.4% of those who had received such advice reported a dietary change compared with 56.0% of those who did not receive such advice. Almost 64% of those who reported a stroke had been advised to exercise more, and 76.5% of those who received such advice reported exercising more versus 38.5% of those who did not receive such advice. Persons with stroke who reported exercising had fewer limited activity days and days when physical health was not good and more healthy days than did persons who did not exercise. Dietary actions were not associated with differences in HRQOL. Conclusions-Results highlight the importance of provider advice for secondary prevention among persons with stroke.

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Section: Discussionmentioning

confidence: 73%

Physician Advice, Patient Actions, and Health-Related Quality of Life in Secondary Prevention of Stroke Through Diet and Exercise

Greenlund

Giles

Keenan

et al. 2002

Stroke

Self Cite

139

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“…One-on-one education is effective in addressing provider cancer screening behaviors (Gorin et al, 2006;Sheinfeld et al, 2000;Yeager et al, 1996), however, interventions that address barriers and behavior change through a multi-level, social-ecological approach are most likely to improve cancer prevention and care (Clauser et al, 2012;Meissner et al, 2004;Taplin et al, 2012). …”

Section: Discussionmentioning

confidence: 99%

Primary care provider practices and beliefs related to cervical cancer screening with the HPV test in Federally Qualified Health Centers

Roland

Benard

Greek

et al. 2013

Preventive Medicine

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Objective-Cervical cancer screening using the human papillomavirus (HPV) test and Pap test together (co-testing) is an option for average-risk women ≥30 years of age. With normal co-test results, screening intervals can be extended. The study objective is to assess primary care provider practices, beliefs, facilitators and barriers to using the co-test and extending screening intervals among low-income women. Results-39% of providers reported using the co-test, and 25% would recommend a three-year screening interval for women with normal co-test results. Providers perceived greater encouragement for co-testing than for extending screening intervals with a normal co-test result. Barriers to extending screening intervals included concerns about patients not returning annually for other screening tests (77%), patient concerns about missing cancer (62%), and liability (52%). Method-DataConclusion-Among FQHC providers in Illinois, few administered the co-test for screening and recommended appropriate intervals, possibly due to concerns over loss to follow-up and liability. Education regarding harms of too-frequent screening and false positives may be necessary to balance barriers to extending screening intervals.

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“…A possible explanation is that counseling about lifestyle habits can be time-consuming and may be skipped by providers to save time in a busy clinic. Another possible explanation is that providers may believe that they are ineffective in changing a person’s lifestyle habits, and therefore, do not perform lifestyle counseling as frequently as they should [17]. …”

Section: Discussionmentioning

confidence: 99%

Comparison of Secondary Prevention Care after Myocardial Infarction and Stroke

et al. 2006

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Background: Whether secondary prevention of atherosclerosis is performed as frequently after cerebrovascular events (stroke or transient ischemic attack) as after cardiac events (myocardial infarction or angina) is unknown. Methods: We compared the receipt of six secondary preventive care processes among 943 persons with a prior cardiac event to that among 523 persons with a prior cerebrovascular event using a representative sample of the US population. Results: The cardiac event group had higher rates for three care processes: antithrombotic medication use in the past year (83–77%, p = 0.01), ever advised to exercise more (66–52%, p < 0.001), and ever advised to eat fewer high-fat or high-cholesterol foods (70–54%, p < 0.001). Conclusions: Compared to the cardiac event group, the quality of care of the cerebrovascular event group is lower and should be improved.

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Health Promotion Practices Among Physicians

Cited by 47 publications

References 9 publications

Physician Advice, Patient Actions, and Health-Related Quality of Life in Secondary Prevention of Stroke Through Diet and Exercise

Physician Advice, Patient Actions, and Health-Related Quality of Life in Secondary Prevention of Stroke Through Diet and Exercise

Primary care provider practices and beliefs related to cervical cancer screening with the HPV test in Federally Qualified Health Centers

Comparison of Secondary Prevention Care after Myocardial Infarction and Stroke

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