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
Implementation of clinical practice guidelines on lifestyle interventions in Swedish primary healthcare - a two-year follow up.
Dalarna University, School of Education, Health and Social Studies, Medical Science. Umeå universitet; CFD Dalarna.ORCID iD: 0000-0001-6549-1611
Show others and affiliations
2018 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 18, no 1, article id 227Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Implementation of interventions concerning prevention and health promotion in health care has faced particular challenges resulting in a low frequency and quality of these services. In November 2011, the Swedish National Board of Health and Welfare released national clinical practice guidelines to counteract patients' unhealthy lifestyle habits. Drawing on the results of a previous study as a point of departure, the aim of this two-year follow up was to assess the progress of work with lifestyle interventions in primary healthcare as well as the uptake and usage of the new guidelines on lifestyle interventions in clinical practice.

METHODS: Longitudinal study among health professionals with survey at baseline and 2 years later. Development over time and differences between professional groups were calculated with Pearson chi-square test.

RESULTS: Eighteen percent of the physicians reported to use the clinical practice guidelines, compared to 58% of the nurses. Nurses were also more likely to consider them as a support in their work than physicians did. Over time, health professionals usage of methods to change patients' tobacco habits and hazardous use of alcohol had increased, and the nurses worked to a higher extent than before with all four lifestyles. Knowledge on methods for lifestyle change was generally high; however, there was room for improvement concerning methods on alcohol, unhealthy eating and counselling. Forty-one percent reported to possess thorough knowledge of counselling skills.

CONCLUSIONS: Even if the uptake and usage of the CPGs on lifestyle interventions so far is low, the participants reported more frequent counselling on patients' lifestyle changes concerning use of tobacco and hazardous use of alcohol. However, these findings should be evaluated acknowledging the possibility of selection bias in favour of health promotion and lifestyle guidance, and the loss of one study site in the follow up. Furthermore, this study indicates important differences in physicians and nurses' attitudes to and use of the guidelines, where the nurses reported working to a higher extent with all four lifestyles compared to the first study. These findings suggest further investigations on the implementation process in clinical practice, and the physicians' uptake and use of the CPGs.

Place, publisher, year, edition, pages
2018. Vol. 18, no 1, article id 227
Keywords [en]
Clinical practice guidelines, Counselling, Health promotion, Implementation, Lifestyle, Preventive health services, Primary health care, Smoking
National Category
Clinical Medicine
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-27455DOI: 10.1186/s12913-018-3023-zISI: 000428883500004PubMedID: 29606110OAI: oai:DiVA.org:du-27455DiVA, id: diva2:1195455
Available from: 2018-04-05 Created: 2018-04-05 Last updated: 2018-04-26Bibliographically approved

Open Access in DiVA

fulltext(1387 kB)10 downloads
File information
File name FULLTEXT01.pdfFile size 1387 kBChecksum SHA-512
f26055b20d96bff9bb85d0e41a6623cdfab0cbb63c37cb504344af8681baf715dda7f4e52b01a73e8788060b68edae36284555ff88d5939170a983fc7c33f298
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
BMC Health Services Research
Clinical Medicine

Search outside of DiVA

GoogleGoogle Scholar
Total: 10 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: 32 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