du.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Lifestyle counseling in primary care in the United States and Sweden: a comparison of patients’ expectations and experiences
Dalarna University, School of Education, Health and Social Studies, Medical Science.ORCID iD: 0000-0001-6549-1611
Show others and affiliations
2018 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 11, no 1Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Despite various guidelines, shortcomings in lifestyle counseling in primary care have been demonstrated. Comparisons between countries may provide insight on how to improve such counseling. To the best of our knowledge, studies comparing patients' views of lifestyle counseling beween the United States (US) and European countries have not been reported.

OBJECTIVES: To quantify and compare patients' perspectives in the US and Sweden on primary care providers' counseling on weight, eating habits, physical activity, smoking, and alcohol consumption.

METHODS: In a cross-sectional study, 629 patients from Sweden and the US completed a telephone interview about their experiences after a visit to a physician in primary care. The survey focused on patients' perception of the importance of healthy lifestyle habits, their need to change, their desire to receive support from primary care, and the support they had actually received. Data were analyzed using chi-square or Fisher's exact test.

RESULTS: For three of the four lifestyle habits, the proportion saying they needed to change was higher in the US. The exception was for alcohol, where Swedish subjects indicated a greater need to change. Among those stating a need to change, the proportion saying that they would like to have support from primary care was generally above 80% in both countries. The proportion of US patients reporting that their primary care provider had initiated a discussion of lifestyle modification was, with the exception of alcohol, roughly double the level reported by the Swedish patients.

CONCLUSIONS: This study demonstrates high and quite similar patient expectations concerning lifestyle counseling in both countries, but more frequent initiation of discussions of most lifestyle issues in US primary care. Further studies, e.g. qualitative interviews with physicians, and medical record reviews, are required to better understand what can explain the differences between countries indicated by the study.

Place, publisher, year, edition, pages
Taylor & Francis , 2018. Vol. 11, no 1
Keywords [en]
Sweden; USA; alcohol drinking; counseling; health behavior; health promotion; lifestyle; prevention; primary health care; smoking
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-27361DOI: 10.1080/16549716.2018.1438238ISI: 000427795600001PubMedID: 29495947OAI: oai:DiVA.org:du-27361DiVA, id: diva2:1188650
Available from: 2018-03-08 Created: 2018-03-08 Last updated: 2018-04-05Bibliographically approved

Open Access in DiVA

fulltext(1384 kB)13 downloads
File information
File name FULLTEXT01.pdfFile size 1384 kBChecksum SHA-512
161ec51af92b319d43bfae2a9cc16b76ef456ff9f9c53ca6ed88660e446499f528521f0a98811045037fd90a010b92892cdbe1fad2debbf15e9d38ed9c1159ee
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Authority records BETA

Jerdén, Lars

Search in DiVA

By author/editor
Jerdén, Lars
By organisation
Medical Science
In the same journal
Global Health Action
Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 13 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 34 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • chicago-author-date
  • chicago-note-bibliography
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf