scholarly journals Patients’ perceptions of their general practitioner’s health and weight influences their perceptions of nutrition and exercise advice received

2013 ◽  
Vol 5 (4) ◽  
pp. 301 ◽  
Author(s):  
Sally Fraser ◽  
Michael Leveritt ◽  
Lauren Ball

INTRODUCTION: General practitioners (GPs) play an important role in the management of patients who are overweight or obese. Previous research suggests that GPs’ physical characteristics may influence patients’ perceptions of health care received during consultations, mediating the likelihood of patients following health advice provided by GPs. This study aimed to explore patients’ perceptions of their GP’s health status and its influence on patients’ perceptions of healthy eating and exercise advice. METHODS: An interpretive approach to phenomenology underpinned the qualitative inquiry and study design. Twenty-one participants (aged 55.9 ± 6.5 years; 14 females, 7 males) who had previously received healthy eating and/or exercise advice from a GP participated in an individual semi-structured interview. A constant comparison approach to thematic analysis was conducted. FINDINGS: Participants identified three key indicators of perceived health of their GP. These included the GP’s physical appearance, particularly weight status; perceived absence of ill health; and disclosure of a GP’s health behaviours. Participants expressed favourable perceptions of the weight status of their GP. Participants expected their GP to be a healthy role model and often, but not always, felt more confident receiving advice from a GP that they perceived as healthy. CONCLUSION: The findings highlight that a GP’s perceived health status influences patients’ perceptions of the health advice received during consultations. These findings provide a foundation for future research that may allow GPs to modify patients’ perceptions of their health status in order to facilitate behaviour change in overweight or obese patients. KEYWORDS: Body weight; general practitioners; obesity; overweight; physicians; primary health care

Author(s):  
Pedro Ángel Latorre-Román ◽  
Juan Manuel Carmona-Torres ◽  
Ana Isabel Cobo-Cuenca ◽  
José Alberto Laredo-Aguilera

Background. Many studies have shown a relationship between physical functioning and health status in older people. Aim. The purpose of this study was to analyze the temporal trends of physical activity (PA), ability to walk, weight status, self-perceived health, and disease or chronic health problems in people over 65 years from 2009 to 2017, using the European Health Survey in Spain and the National Health Survey in Spain. Methods. This study included 13,049 older people: 6026 (2330 men and 3696 women; age (mean, SD (Standard Deviation)) = 75.61 ± 7.11 years old) in 2009 and 7023 (2850 men and 4173 women; age (mean, SD) = 76.01 ± 7.57 years old) in 2017. Results. In 2017, older people exhibited lower values of moderate PA (p < 0.001), a lower number of hours of walking per week (p < 0.001), and worse self-perceived health status (p < 0.001) compared to 2009. These differences are maintained when comparing the sexes. Compliance with PA recommendations was 27.9% and 6.1% (chi-squared = 352.991, p < 0.001) in 2009 and 2017, respectively. There were no significant differences in weight status between older people in 2009 and 2017. In 2017, older people had significantly high percentages of disease or chronic health problems (p < 0.05), number of diseases (p < 0.001), severe difficulty walking 500 m without assistance (p < 0.05), and severe difficulty going up or down 12 stairs. Conclusions. From 2009 to 2017, Spanish older people worsened their PA levels and perception of their health status, and they increased their disease levels, which could be associated with the worsening of ability to walk in 2017.


Medical Care ◽  
2000 ◽  
Vol 38 (8) ◽  
pp. 878-879
Author(s):  
Jose María Valderas ◽  
Mireia Espallargues ◽  
Jordi Alonso

2010 ◽  
Vol 35 (6) ◽  
pp. 826-833 ◽  
Author(s):  
Sarah J. Woodruff ◽  
Rhona M. Hanning

The purpose of this study was to determine diet quality and physical activity behaviours of grade 6 students by sex and body weight status, and to determine the associations between diet quality and physical activity behaviours. The Web-based Food Behaviour Questionnaire, which included a 24-h diet recall and the modified Physical Activity Questionnaire for Older Children (PAQ-C), was administered to a cross-section of schools (n = 405 students from 15 schools). Measured height and weight were used to calculate body mass index and weight status (Cole et al. 2000). A Canadian version of the Healthy Eating Index (HEI-C) was used to describe overall diet quality. The mean HEI-C was 69.6 (13.2) with the majority (72%) falling into the needs improvement category. The overall mean physical activity score was 3.7 out of a maximum of 5, with obese subjects being less active compared with normal weight and overweight (p < 0.001). Ordinal logistic regression analysis (of HEI-C vs. all measures of the PAQ-C, sex, and weight status) revealed that HEI-C ratings were likely to be higher in students that walked to and from school 5 days per week (vs. 0 days per week; odds ratio 3.18, p = 0.010); and were active 1 evening per week (vs. none; odds ratio 3.48, p = 0.039). The positive association between diet quality and some aspects of physical activity suggests possible clustering of health behaviours. Future research should test the potential benefits of promoting 1 health behaviour (e.g., healthy eating) with another (e.g., physical activity).


Author(s):  
Dana Bates

Purpose: Opioid use, misuse, and abuse are occurring in both high school and collegiate athletes. There is limited research that examines athletic trainers' perceptions of opioids. The purpose of this qualitative research study was to investigate athletic trainers’ awareness and practice of opioids in an active population. Method: Qualitative inquiry was used to explore athletic trainers' awareness of opioids in an active population. Ten athletic trainers (7 male, 3 female) employed in the Northwest Athletic Training Association (6 collegiate, 4 high schools) volunteered for this study. Phone interviews were conducted in July to September 2017 with a semi-structured interview protocol. Interview data were analyzed inductively to uncover dominant themes, first by organizing the data, then summarizing into codes, and finally interpreting. Trustworthiness included both peer review and member checks. Results: Three themes emerged from this study regarding athletic trainers' practice with opioids: 1) athletic trainers have a responsibility to their patients regarding opioids, 2) communication with patients about opioids, and 3) athletic trainer perceived a lack of education regarding opioids. Conclusions: Evidence demonstrated that athletic trainers feel they have a role with opioids and their patients. While the majority of participants in this study did discuss opioids with their patients, athletic trainers felt they were lacking knowledge of opioids. Future research should explore athletic trainers’ knowledge and education surrounding opioids and an active population.


2010 ◽  
Vol 4 (2) ◽  
pp. 639
Author(s):  
Mila Sousa Oliveira ◽  
Lucilane Maria Sales da Silva ◽  
Verônica Mary Carvalho de Azevedo ◽  
Jênifa Cavalcante dos Santos ◽  
Thereza Maria Magalhães Moreira

ABSTRACTObjective: to evaluate the preparation of the accompanying, in achieving the care of women in situations of hospital clinics in a teaching hospital. Method: this is a descriptive study, from qualitative approach, performed with 19 caregivers. Informations were collected from a semi-structured interview, using a recorder, which allowed the recording and transcript faithful of the speech of the companions interviewed. The research was approved in the CEP Hospital Walter Cantídio, under the n. 015.03.07. Results: it was content analysis of the Bardin, who divided the material collected six categories, namely: psychological preparation of the hospitalized women’s accompanying; technical preparation of the hospitalized women’s accompanying; feelings of the accompanying during hospitalization; health of accompanying; difficulties of the accompanying in the care to hospitalized women; factors that favor the monitoring process. These categories were divided into subcategories for better understanding of the reader. Conclusion: it was found that there is a need to promote the participation of caregivers more satisfactory and more cognitive and emotional support to them on the health status of hospitalized women. Descriptors: nursing; hospitalization; qualitative analysis; caregivers; patient escort service; deivery of health care; women’s health.RESUMOObjetivo: avaliar o preparo do acompanhante, quanto a realizar o cuidado com mulheres em situações de internações clínicas em um hospital de ensino. Método: o estudo foi descritivo, com abordagem qualitativa. Participaram do estudo 19 acompanhantes. Os dados foram coletados a partir de uma entrevista semi-estruturada, sendo utilizado um gravador, o qual permitiu o registro e a transcrição fiel das falas dos acompanhantes entrevistados. A pesquisa foi aprovada no CEP do Hospital Walter Cantídio, sob o n. 015.03.07. Resultados: foi feita análise de conteúdo conforme Bardin, que dividiu o material coletado seis categorias, a saber: preparo psicológico do acompanhante das mulheres hospitalizadas; preparo técnico dos acompanhantes das mulheres hospitalizadas; sentimentos dos acompanhantes durante a internação; condições de saúde dos acompanhantes; dificuldades do acompanhante no processo de cuidar das mulheres hospitalizadas; fatores que favorecem o processo de acompanhamento. Estas categorias, por sua vez, foram divididas em subcategorias para melhor compreensão do leitor. Conclusão: diante dos resultados, constatou-se que existe a necessidade de promover a participação mais satisfatória dos cuidadores bem como maior suporte emocional e cognitivo para os mesmos, em relação ao estado de saúde das mulheres hospitalizadas. Descritores: enfermagem; hospitalização; análise qualitativa; cuidadores; acompanhantes de pacientes; assistência à saúde; saúde da mulher.RESUMENObjetivo: evaluar la preparación del acompañante, en cuanto a realizar el cuidado con mujeres en situaciones de internación clínica en un hospital de enseñanza. Método: el estudio fue descriptivo, con abordaje cualitativo. Participaron del estudio 19 acompañantes. Los datos fueron colectados a partir de una entrevista semi-estructurada, siendo utilizado un grabador, lo cual permitió registrar y transcribir fielmente las declaraciones de los acompañantes entrevistados. La investigación fue aprobado en el PAC el hospital Walter Cantídio, bajo el n. 015.03.07. Resultados: se hizo análisis de contenido conforme Bardin, lo que dividió el material colectado en seis categorías, a saber: preparación psicológica del acompañante de las mujeres hospitalizadas; preparación técnica de los acompañantes de las mujeres hospitalizadas; sentimientos de los acompañantes durante la internación; condiciones de salud de los acompañantes; dificultades del acompañante en el proceso de cuidar de las mujeres hospitalizadas; factores que favorecen el proceso de acompañamiento. Estas categorías, por su vez, fueron divididas en subcategorías para mejor comprensión del lector. Conclusión: frente a los resultados, se constató que existe la necesidad de promover una participación más satisfactoria de los cuidadores así como mayor ayuda emocional y cognitiva para los mismos, en relación al estado de salud de las mujeres hospitalizadas. Descriptores: enfermería; hospitalización; análisis cualitativo; cuidadores; acompañantes de pacientes; prestación de atención de salud; salud de la mujer.  


Medical Care ◽  
2000 ◽  
Vol 38 (2) ◽  
pp. 175-186 ◽  
Author(s):  
Mireia Espallargues ◽  
Jose María Valderas ◽  
Jordi Alonso

2017 ◽  
Vol 37 (2) ◽  
pp. 54-62 ◽  
Author(s):  
Louise Pelletier ◽  
Siobhan O’Donnell ◽  
Louise McRae ◽  
Jean Grenier

Introduction Although generalized anxiety disorder (GAD) is common and disabling, there are few Canadian studies on this mental illness. We compared the characteristics, health status, health services use and health care needs of Canadians with GAD to those with depression. Methods Data are from the 2012 Canadian Community Health Survey—Mental Health, which surveyed a nationally representative sample of Canadians aged 15 years and older (n = 23 709; response rate of 68.9%). The respondents we studied had self-reported symptoms compatible with GAD and/or major depressive episode (MDE) in the preceding 12 months (n = 1598). Estimates were weighted to represent the Canadian household population. We performed descriptive and multinomial multivariate logistic regression analyses. Results In 2012, an estimated 700 000 (2.5%) Canadians aged 15 years and older reported symptoms compatible with GAD in the previous 12 months. MDE symptoms co-occurred in 50% of these individuals. Those with GAD only reported fair/poor perceived health (29.7%), moderate to severe psychological distress (81.2%) and moderate to severe disability (28.1%) comparable to (or even slightly worse) than those with MDE only (24.7%, 78.8% and 24.8% respectively). Those with comorbid GAD and MDE demonstrated the worst health outcomes; 47.3% of them reported fair/poor perceived health, 94.0% reported moderate to severe psychological distress and 52.4% reported moderate to severe disability. Nearly 50% of those with comorbid GAD and MDE reported that their need for health care was not met or only partially met, compared to about 30% of those with GAD or MDE only. Conclusion While GAD is associated with levels of distress and disability comparable to (or slightly worse) than those affected by MDE only, the health status of those with comorbid disease is significantly worse than those with GAD or MDE only. Improved diagnosis, screening for comorbidity and management are essential to minimize the impacts of this mental illness.


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