The Counseling Practices of Internists

Lewis, Charles E.; Clancy, Carolyn M.; Leake, Barbara; Schwartz, J. S.

doi:10.7326/0003-4819-114-1-54

Cited by 224 publications

(112 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…30,31 It was, nevertheless, a high prevalence considering the expected physician's role and also as compared to the rates demonstrated by various other reports. [32][33][34][35] The average number of cigarettes consumed per day was almost equal to that reported by Saeed et al 29 There was no significant association between personal lifestyle of this sample of physicians and their counseling practices, although other studies have confirmed that such a relationship often exists. 32,[36][37][38][39] The finding that only one-tenth of PHC physicians used religious reasons in their anti-smoking activities was surprising and discouraging.…”

Section: Discussionsupporting

confidence: 48%

Promotion of Non-Smoking: The Role of Primary Health Care Physicians

Al-Shahri¹,

Al‐Almaie

1997

Ann Saudi Med

View full text Add to dashboard Cite

Cigarette smoking is universally acknowledged to be a health hazard. We are of the opinion that primary health care (PHC) physicians can potentially play a key role in the promotion of non-smoking campaigns. The aim of this study was to determine the role of male PHC physicians in the promotion of a non-smoking campaign among the citizens of Riyadh. About half of the male PHC physicians from Riyadh were selected at random, and were requested to fill an anonymous self-administered questionnaire. The content of the questionnaire was validated by three experts and the reliability was excellent, with a Cronbach's alpha of 0.85. The result of the study showed that about 63% of the physicians had never smoked, 20% had stopped smoking, and 17% were still smoking an average of 18±10 cigarettes per day. About 30% of the physicians achieved satisfactory scores, while 7% were reported to play no role in counseling against smoking. During the anti-smoking activity, only 10% of physicians reported making use of religious reasons against smoking. Arab-speaking physicians were shown to be less active than non-Arabs in counseling (P<0.0001), and on-the-job training was found to be associated with better counseling practices (P<0.0221). Our conclusion is that the reported activity of physicians in the promotion of non-smoking was far from exemplary, and so was their own smoking profile. There is, therefore, an urgent need to put more emphasis on the promotion of non-smoking among both physicians and patients alike. Ann Saudi Med 1997;17(5):515-517.Available national research points to cigarette smoking as a real health hazard [1][2][3][4][5][6] contributing to preventable morbidity and mortality. 7 In the USA, where more than 25% of all adults smoke, 8 tobacco is considered the leading preventable cause of disease and premature death. 9,10Tobacco is strongly associated with various types of cancers, stroke, peptic ulcer and coronary artery diseases. 10-17Quitting cigarette smoking is known to prolong life expectancy and improve quality of life.9,15,18-24 Primary health care (PHC) physicians are believed to play a key role in helping people to adopt a healthier lifestyle. 25,26 This paper focuses on the role of male PHC physicians in promoting non-smoking among citizens of Riyadh city. MethodsThe study was conducted in the city of Riyadh, in which there are 183 male PHC physicians practicing in 58 centers. About half of these physicians were selected at random and requested to fill in a self-administered questionnaire. The portion of the questionnaire concerned with counseling practices of physicians was modified from the Health Habit Counseling Questionnaire designed by Wells et al. 27 Scoring of the responses was based on a ranking system, whereby a more comprehensive counseling approach was given a higher rank and score. According to the recommendation of some evaluation experts, 28 the cut-off point for determining satisfactory scores in counseling was 70% of the maximum possible score. The questionnaire was validated by thre...

show abstract

Section: Discussionsupporting

confidence: 48%

Promotion of Non-Smoking: The Role of Primary Health Care Physicians

Al-Shahri¹,

Al‐Almaie

1997

Ann Saudi Med

View full text Add to dashboard Cite

show abstract

“…(2) How frequently are these discussions occurring? (3) The patients in the study were slightly more likely than not to be female (55%) and Black (59%); they were generally poor (66% earned less than $10 000 per year; 16%, from $10 000 to $20 000; and 18%, more than $20 000). They ranged in age from 23 to 95 years (mean age = 60.5 years).…”

Section: Introductionmentioning

confidence: 99%

“…3 Unfortunately, many of the descriptions of counseling practices are based on surveys and are limited by their reliance on self-report measures. Observational studies of life-style counseling are relatively rare; however, their results are quite consistent. Neither residents45 nor fully trained physicians6,7 appear to be doing an adequate job.…”

Section: Introductionmentioning

confidence: 99%

Health promotion counseling of chronic-disease patients during primary care visits.

Russell¹,

Roter²

1993

Am J Public Health

View full text Add to dashboard Cite

OBJECTIVES. This study was designed to provide an empirical description, based on a review of visit audiotapes, of primary care practice with chronic-disease patients. METHODS. We analyzed 439 interactions between adult patients with chronic disease and 49 physicians. We explored the content, frequency, intensity, and dynamics of health promotion discussion during these routine visits. RESULTS. There was evidence of health promotion discussion in more than half (53%) of the audiotapes reviewed. When life-style topics were discussed, the discussion lasted a mean of 4 1/2 minutes, or 20% of the length of the visit. Diet/weight control was the most frequently discussed topic, followed by exercise, stress, smoking, and alcohol. Stress was by far the most time-consuming topic; stress-related discussion took an average of 6 minutes. CONCLUSIONS. Nearly 60% of the discussion that took place were not merely perfunctory but were attempts to counsel or encourage behavior change in the patient. Physicians used a wide range of behavioral counseling strategies, including providing a rationale for the recommended change and specific instructions to facilitate change. Other strategies noted as "effective" in the literature, however, were used infrequently and indicate obvious areas of weakness in physician performance.

show abstract

“…Personal habits affecting the health of PCPs are sometimes considered barriers to health promotion be havior [4,7,8,[23][24][25], We used the body mass index (BMI) of the PCP (as an indication of personal habits affecting health) in our LISREL path analysis (see Table 2) to test whether it was a predisposing factor or an intermediary factor in the model of Fig. 2.…”

mentioning

confidence: 99%

Nutrition Guidance by Primary-Care Physicians: LISREL Analysis Improves Understanding

Hiddink¹,

Hautvast

Woerkum

et al. 1997

Preventive Medicine

View full text Add to dashboard Cite

1 G e r r it J. H id d in k , P h .D .,* '2 J o s e p h G. A. J. H a u t v a s t , M .D .,t C e e s M . J. v a n W o e r k u m , P h .D .,$ C a r e l J. F ie r e n , M.D., § a n d M a r t in A . v a n 't H o f , P h .D .ÎI Nutrition and Health, Zonnebaan 12D, 3606 CA Maarsaen, the Background. When determ inants of nutrition guid ance practices for primary care physicians (PCPs) are id en tified, the key q u estion rem ains: w hat is th e mechanism of action? This knowledge is essential in order to understand how PCPs practice n u trition guidance. * Daily Foundation forMethods. Mail questionnaires (result of focus-group discussions and in-depth interview s) were sent to a nationwide random sample of 1,000 PCPs in the N eth erlands, who had been in practice for betw een 5 and 15 years (633 respondents). The m echanism of action o f determ inants of nutrition guidance practices of PCPs was identified by means of linear structural relation ship analysis (LISREL) using a postulated model.Results. The postulated model on the mechanism of action was confirmed. The model demonstrates that nutrition guidance practices of PCPs are directly and significantly based on a few predisposing factors; driv ing forces and perceived barriers may act as signifi cant intermediary variables. The predisposing factors, driving forces, and perceived barriers were identified.Conclusion. Policies to improve nutrition guidance practices of PCPs may, in the future, benefit from a LISREL model analysis of determ inants of these prac tices to become more effective. Using multiple regres sion analysis to ascertain the determ inants of these practices could result in m issing important predispos ing factors and "hidden" interm ediary factors and lead, therefore, to an incom plete understanding of the mechanism of action. © lf)97 A cad em ic P ro sa

show abstract

The Counseling Practices of Internists

Cited by 224 publications

References 9 publications

Promotion of Non-Smoking: The Role of Primary Health Care Physicians

Promotion of Non-Smoking: The Role of Primary Health Care Physicians

Health promotion counseling of chronic-disease patients during primary care visits.

Nutrition Guidance by Primary-Care Physicians: LISREL Analysis Improves Understanding

Contact Info

Product

Resources

About