Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner

Bibliographic Data

ID15464134
AuthorsMałgorzata Znyk (0000-0002-0872-7293, Medical University of Lodz, corresponding author), Kinga Polanska (0000-0002-3212-2307, Medical University of Lodz), Piotr Wojtysiak (0000-0002-7462-2246, Medical University of Lodz), Michał Szulc (0000-0002-0942-3822, Medical University of Lodz), Leokadia Bąk‐Romaniszyn (0000-0001-8927-315X, Medical University of Lodz), Leokadia Bąk-Romaniszyn (Medical University of Lodz), Teresa Makowiec-Dąbrowska (0000-0003-0373-9073, Nofer Institute of Occupational Medicine), Justyna Zajdel‐Całkowska (0000-0002-8370-0154, Uczelnia Łazarskiego), Justyna Zajdel-Całkowska (Faculty of Law and Administration, Lazarski University in Warsaw, 02-662 Warsaw, Poland), Dorota Kaleta (0000-0001-8453-8235, Medical University of Lodz)
Year2019
Volume16
Issue22
Pages4475-4475
Publication date2019-11-14
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16224475
PMID31739411
OpenAlexW2989363119
LanguageEN
Citations received5
References cited27

The aim of the study was to assess whether general practitioners (GPs) monitor and evaluate the health behavior of their patients in the field of a diet, physical activity, and weight control, and whether they provide appropriate counselling as part of this evaluation. Predictors of those activities among physicians were also determined. The cross-sectional study was conducted in the Piotrkowski district among 200 GPs. The questionnaire covered socio-demographic data and lifestyle characteristics of the physicians, their role as healthy lifestyle providers, and whether they assess lifestyle characteristics of their patients and perform healthy lifestyle counselling. More than 60% of the GPs did not evaluate lifestyle features during their patients' examination. In total, 56% of the GPs provided healthy lifestyle recommendations among patients who have not been diagnosed with chronic lifestyle-related diseases but who do not follow healthy recommendations, and 73% of GPs provided recommendations to patients with chronic diseases related to lifestyle. The study showed that the chance to assess lifestyle characteristics of the patients was significantly higher for the GPs who believed that they were obliged to do so (OR = 6.5; p = 0.002). The chance to recommend a healthy lifestyle among patients who have not been diagnosed with chronic lifestyle-related diseases but who do not follow healthy recommendations was 5.9 times higher among the GPs working in the public sector ( p p = 0.02). The following predictors of providing a healthy lifestyle counselling among patients with diagnosed chronic lifestyle-related diseases were identified: conviction that a GPs is obligated to provide it (OR = 4.4; p = 0.02), sufficient knowledge (OR = 8.7; p = 0.01), and following health recommendations by themselves (OR = 3.9; p = 0.04). Conclusions: The identified predictors are crucial for the development of appropriate strategies aiming at increasing GPs' involvement in preventive measures and consequently at improving the population's health

Family medicine · Clinical Psychology · Health and Wellbeing Research · Healthcare Education and Workforce Issues · Medicine · Nutrition, Health and Food Behavior · Psychology · Gerontology

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