TY - JOUR
KW - Adult
KW - Aged
KW - Alcohol Drinking/epidemiology
KW - Body Weight
KW - Counseling/organization & administration
KW - Cross-Cultural Comparison
KW - Cross-Sectional Studies
KW - Diet
KW - Europe
KW - Exercise
KW - Female
KW - Humans
KW - Interviews as Topic
KW - Life Style
KW - Male
KW - Middle Aged
KW - Primary Health Care/organization & administration
KW - Smoking/epidemiology
KW - Surveys and Questionnaires
KW - Sweden/epidemiology
KW - United States/epidemiology
KW - Sweden
KW - USA
KW - Alcohol Drinking
KW - Counseling
KW - Health Behavior
KW - Health Promotion
KW - Lifestyle
KW - prevention
KW - Primary Health Care
KW - Smoking
AU - L. Jerden
AU - J. Dalton
AU - H. Johansson
AU - J. Sorensen
AU - P. Jenkins
AU - L. Weinehall
A1 - 
AB - 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.
AD - a Department of Public Health and Clinical Medicine, Epidemiology and Global Health , Umea University , Umea , Sweden.; b Center for Clinical Research Dalarna , Falun , Sweden.; c School of Education, Health and Social Studies , Dalarna University , Falun , Sweden.; d Bassett Healthcare Network Research Institute , Cooperstown , NY , USA.; a Department of Public Health and Clinical Medicine, Epidemiology and Global Health , Umea University , Umea , Sweden.; d Bassett Healthcare Network Research Institute , Cooperstown , NY , USA.; d Bassett Healthcare Network Research Institute , Cooperstown , NY , USA.; a Department of Public Health and Clinical Medicine, Epidemiology and Global Health , Umea University , Umea , Sweden.
BT - Global health action
C5 - General Literature
CP - 1
CY - United States
DO - 10.1080/16549716.2018.1438238
IS - 1
JF - Global health action
M1 - Journal Article
N2 - 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.
PP - United States
PY - 2018
SN - 1654-9880; 1654-9880
SP - 1438238
T1 - Lifestyle counseling in primary care in the United States and Sweden: a comparison of patients' expectations and experiences
T2 - Global health action
TI - Lifestyle counseling in primary care in the United States and Sweden: a comparison of patients' expectations and experiences
U1 - General Literature
U2 - 29495947
U3 - 10.1080/16549716.2018.1438238
VL - 11
VO - 1654-9880; 1654-9880
Y1 - 2018
ER -