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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. Umeå University; Center for Clinical Research Dalarna, Falun.ORCID iD: 0000-0001-6549-1611
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2018 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 11, no 1, article id 1438238Article 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. © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Taylor and Francis Ltd. , 2018. Vol. 11, no 1, article id 1438238
Keywords [en]
Adult, Aged, Alcohol Drinking, Body Weight, Counseling, Cross-Cultural Comparison, Cross-Sectional Studies, Diet, Europe, Exercise, Female, Humans, Interviews as Topic, Life Style, Male, Middle Aged, Primary Health Care, Smoking, Surveys and Questionnaires, Sweden, United States, cross-sectional study, cultural factor, drinking behavior, epidemiology, human, interview, lifestyle, organization and management, questionnaire, health behavior, health promotion, prevention, USA
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Research Profiles 2009-2020, Health and Welfare
Identifiers
URN: urn:nbn:se:du-41110DOI: 10.1080/16549716.2018.1438238ISI: 000427795600001Scopus ID: 2-s2.0-85044127536OAI: oai:DiVA.org:du-41110DiVA, id: diva2:1647163
Available from: 2022-03-25 Created: 2022-03-25 Last updated: 2023-01-17Bibliographically approved

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Jerdén, Lars

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Citation style
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