Prevalence and correlates of doctor–geriatric patient lifestyle discussions: Analysis of ADEPT videotapes
| Autor: | Kate L. Barron, Paula J. Yuma, Mary Ann Cook, Richard L. Street, Margo-Lea Hurwicz, Tom Tai-Seale, Crystal Jarvis, Dhaval Patel, Rachel Bramson, David Hackethorn, Ming Tai-Seale, Marcia G. Ory |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Multivariate analysis Epidemiology Health Behavior Prevalence Ethnic group Vitality Logistic regression Patient Education as Topic medicine Humans Life Style Reimbursement Aged Quality of Health Care Aged 80 and over Geriatrics Physician-Patient Relations Primary Health Care business.industry Communication Nutritional Requirements Public Health Environmental and Occupational Health Videotape Recording United States Logistic Models Incentive Family medicine Physical therapy Female business |
| Zdroj: | Preventive Medicine. 43:494-497 |
| ISSN: | 0091-7435 |
| DOI: | 10.1016/j.ypmed.2006.06.015 |
| Popis: | Background This study identifies the prevalence and correlates of physician–geriatric patient discussions about physical activity and nutrition lifestyle behaviors. Methods Between August 1998 and July 2000, 423 older patient visits to 36 physicians were videotaped in three different primary care settings. The patient sample was primarily white, female, well-educated, and financially sufficient, although 12.7% of the encounters occurred in an inner city clinic. The major dependent variable–lifestyle discussion–is based on observations of physician behavior. Descriptive and multivariate logistic regression analyses were conducted in 2004. Results Nutrition talk was most prevalent, occurring in almost half the encounters (48.2%) followed by physical activity discussions (39.2%) then conjoint mention (22%). Discussions were significantly less likely to occur in acute visits. While ethnicity, gender, and length of visit were not significantly related, physician interaction style and patient vitality and education were significant predictors in the multivariate analyses. Conclusions Given the impact of lifestyle behaviors on myriad health outcomes, the current prevalence rates of physician discussion, while higher than in many previous studies, remain sub-optimal. Practical assessment tools, training in behavioral counseling, and reimbursement incentives are recommended strategies for raising physical activity and nutrition discussion prevalence in primary care settings. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect