Screening for Cardiovascular-Disease and Risk Reduction Counseling Behaviors of General Practitioners

Heywood, Alison; Ring, Ian; Sanson‐Fisher, Rob; Mudge, P

doi:10.1006/pmed.1994.1041

Cited by 32 publications

(17 citation statements)

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“…Evidence also supports the effectiveness of regular screening and intervention in the prevention of cardiovascular disease [40], diabetes [14,41–43] and some cancers [44,45]. Similar to studies in mainstream primary health care in Australia [27,28,46], opportunities for preventive screening in ACCHS clinics are being missed. In order to be effective change agents for reducing high rates of preventable health risk factors among Aboriginal and Torres Strait Islander people, health providers working in ACCHSs should benefit from having reliable information about the likely risk status of their patients and an understanding of their health concerns.…”

Section: Discussionmentioning

confidence: 95%

The risk status, screening history and health concerns of Aboriginal and Torres Strait Islander people attending an Aboriginal Community Controlled Health Service

Stewart

Sanson‐Fisher

Eades

et al. 2012

Drug and Alcohol Review

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Section: Discussionmentioning

confidence: 95%

The risk status, screening history and health concerns of Aboriginal and Torres Strait Islander people attending an Aboriginal Community Controlled Health Service

Stewart

Sanson‐Fisher

Eades

et al. 2012

Drug and Alcohol Review

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“…They can initiate and monitor cessation treatment with smokers [2]. Most studies have shown that even very brief advice from doctors yields 1-year quit rates of 5%-10% [3,4] and that interventions that include follow-up sessions produce abstinence rates of 20%-36% [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Tobacco education in medical schools: survey among primary care physicians in Bahrain

Fadhil¹

2009

East Mediterr Health J

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This cross-sectional study assessed the extent of tobacco education and intervention skills training among primary care physicians in Bahrain. Out of 217 family physicians in the country, 120 (55%) answered a self-administered questionnaire. A total of 24% were current smokers and 10% were ex-smokers. Inadequate education at medical school about tobacco use and interventions was reported by the majority of physicians. The subject of smoking-related diseases, psychology of tobacco use and management of tobacco dependence were inadequately covered in medical schools. Training in smoking cessation was particularly neglected, with only 4% of physicians receiving training about tobacco cessation interventions. Information sur le tabac dans les écoles de médecine : enquête auprès des médecins de soins primaires à Bahreïn RÉSUMÉ Cette étude transversale a évalué l'importance de l'information sur le tabac et de l'acquisition de compétences en matière d'interventions chez les médecins de soins primaires de Bahreïn. Sur 217 médecins de famille dans le pays, 120 (55 %) ont répondu à un questionnaire auto-administré. Au total, 24 % étaient fumeurs au moment de l'étude et 10 % étaient d'anciens fumeurs. La plupart de ces médecins ont déclaré que l'enseignement dispensé dans les écoles de médecine à propos de la consommation de tabac et des interventions associées était inadapté. Les maladies liées au tabagisme, la psychologie du fumeur et la prise en charge de la dépendance tabagique n'étaient pas suffisamment abordées dans ces écoles. La formation en matière de sevrage tabagique était particulièrement négli-gée, seuls 4 % des médecins ayant appris à effectuer des interventions dans ce domaine. ‫ﺍﻟﺒﺤﺮﻳﻦ‬ ‫ﰲ‬ ‫ﺍﻷﻭﻟﻴﺔ‬ ‫ﺍﻟﺮﻋﺎﻳﺔ‬ ‫ﺃﻃﺒﺎﺀ‬ ‫ﺑﲔ‬ ‫ﻣﺴﺢ‬ 970La Revue de Santé de la Méditerranée orientale, Vol. 15, N°

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“…13 Similarly, less than half give verbal advice for nutrition (48%), and only 28% and 27% 'very often' give advice on physical activity and alcohol consumption. 13 Comparison between Australian studies [14][15][16][17][18] conducted over the past three decades show that GPs' sensitivity in detection of smoking (56%, 66% and 63%) and risky alcohol consumption (28%, 40%, 26%) have not improved significantly over this time. 19 Australian rates of participation in routine screening for cancer are also suboptimal.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Improving self-management of cancer risk factors, underscreening for cancer and depression among general practice patients: study protocol of a randomised controlled trial

et al. 2016

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IntroductionGeneral practitioners have a key role in reducing cancer risk factors, screening for cancer and managing depression. Given the time-limited nature of consultations, a new and more time-efficient approach is needed which addresses multiple health needs simultaneously, and encourages patient self-management to address health risks. The aim of this cluster randomised controlled trial is to test the effectiveness of a patient feedback intervention in improving patient self-management of health needs related to smoking, risky alcohol consumption and underscreening for cancers at 1 month follow-up.Methods and analysisAdult general practice patients will be invited to participate in a baseline survey to assess cancer risk factors, screening needs and depression. A total of 360 participants identified by the baseline survey as having at least one health need (a self-reported cancer risk factor, underscreening for cancer, or an elevated depression score) will be randomised to an intervention or control group. Participants in the intervention group will receive tailored printed feedback summarising their identified health needs and recommended self-management actions to address these. All participants will be invited to complete a telephone interview 1 month following recruitment to assess self-management actions taken in relation to health needs identified in the baseline survey. Control group participants will receive tailored printed feedback on their identified health needs after their follow-up interview. A logistic regression model, with group allocation as the main predictor, will be used to assess the impact of the intervention on self-management actions.Ethical considerations and disseminationParticipants identified as being at risk of depression will be advised to speak with their doctor. Results will be disseminated via publication in peer-reviewed journals. The study has been approved by the University of Newcastle Human Research Ethics Committee.Trial registration numberACTRN12616001443482.

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Screening for Cardiovascular-Disease and Risk Reduction Counseling Behaviors of General Practitioners

Cited by 32 publications

References 0 publications

The risk status, screening history and health concerns of Aboriginal and Torres Strait Islander people attending an Aboriginal Community Controlled Health Service

The risk status, screening history and health concerns of Aboriginal and Torres Strait Islander people attending an Aboriginal Community Controlled Health Service

Tobacco education in medical schools: survey among primary care physicians in Bahrain

Improving self-management of cancer risk factors, underscreening for cancer and depression among general practice patients: study protocol of a randomised controlled trial

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