FANTASTIC Lifestyle Assessment: Part 5 Measuring Lifestyle in Family Practice (original) (raw)
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Lifestyle Medicine and Family Physician’s Role
The Journal of Turkish Family Physician, 2022
Lifestyle medicine is the application of simple, natural healing approaches to chronic disease care and prevention. This approach includes physical activity, healthy nutrition, sleep health, stress management, limited alcohol usage, and quit smoking. With interventions about these topics, we can protect ourselves from non-communicable diseases. The important thing is starting to make some changes and making these behavioral changes last. The physicians’ role in this topic is important. Their recommendations have a huge effect on patients’ lifestyle changes also we know that physicians’ behavior regarding lifestyle strongly influences patients’ lifestyle. So, physicians should adapt these changes to their own lives.
Nutrition, 2003
We wanted to develop and validate a test that assesses the knowledge and practices of health professionals (HPs) with regard to the role of nutrition, physical activity, and smoking cessation (lifestyle modification) in chronic diseases of lifestyle. METHODS: A descriptive cross-sectional validation study was carried out. The validation design consisted of two phases, namely 1) test planning and development and 2) test evaluation. The study sample consisted of five groups of HPs: dietitians, dietetic interns, general practitioners, medical students, and nurses. The overall response rate was 58%, resulting in a sample size of 186 participants. A test was designed to evaluate the knowledge and practices of HPs. The test was first evaluated by an expert group to ensure content, construct, and face validity. Thereafter, the questionnaire was tested on five groups of HPs to test for criterion validity. Internal consistency was evaluated by Cronbach's ␣. RESULTS: An expert panel ensured content, construct, and face validity of the test. Groups with the most training and exposure to nutrition (dietitians and dietetic interns) had the highest group mean score, ranging from 61% to 88%, whereas those with limited nutrition training (general practitioners, medical students, and nurses) had significantly lower scores, ranging from 26% to 80%. This result demonstrated criterion validity. Internal consistency of the overall test demonstrated a Cronbach's ␣ of 0.99. Most HPs identified the mass media as their main source of information on lifestyle modification. These HPs also identified lack of time, lack of patient compliance, and lack of knowledge as barriers that prevent them from providing counseling on lifestyle modification. CONCLUSIONS: The results of this study showed that this test instrument identifies groups of health professionals with adequate training (knowledge) in lifestyle modification and those who require further training (knowledge). Nutrition
International Journal of Environmental Research and Public Health
Lifestyle interventions are recognized as essential in the prevention and treatment of non-communicable diseases. Previous studies have shown that Portuguese patients tend to give more importance to diagnostic and laboratory tests than to lifestyle measures, and seem unaware that behavioral risks are the main modifiable risk factors. The study aimed to analyze patients’ perspectives about lifestyle behaviors and health in the context of family medicine in Portugal. A population-based cross-sectional study was carried out in Portugal (the mainland). A total of 900 Portuguese patients aged ≥20 years, representative of the population, were surveyed using face-to-face questionnaires. Participants were selected by the random route method. Descriptive statistics and non-parametric tests were performed to evaluate differences between the personal beliefs and the personal behavior self-assessment, as well as between the level of importance given to the family doctor to address health behavi...
Psychology and Health
Lifestyle risk factors and perceived stress have been shown to have a significant impact on an individual's health. Interventions designed to minimise the negative effects of such risks which also reliably measure long-term health outcomes are therefore desirable. However, there is a lack of reliable and sensitive measures of lifestyle risks and stress. This paper presents initial research on the development of the Lifestyle Appraisal Questionnaire (LAQ), an instrument designed to assess lifestyle from a multifactorial perspective, that is, cumulative risks and perceived stress of life. Two samples were selected to test the LAQ. The first group was a randomly selected community sample. The second was a university sample of randomly selected staff. From the first group (n=600), the reliability, validity and factor structure were determined. From the second group (n=143), the clinical usefulness of the scale was demonstrated. Both groups provided adult norms. Implications of such a measure are discussed.
Testing the Simple Lifestyle Indicator Questionnaire: Initial psychometric study
Canadian family physician Médecin de famille canadien, 2008
To carry out initial psychometric testing on the Simple Lifestyle Indicator Questionnaire (SLIQ). Self-administered questionnaire to obtain data for test-retest reliability, for Cronbach alpha testing on completed questionnaires, and for blinded external validity testing. Kingston, Ont, and surrounding area. One hundred thirty-six family practice patients with an mean age of 68 years; 58% were women. Subjects were primarily white and living in a small city and itsrural surroundings. Test-retest coefficients, Cronbach alpha values, and correlation coefficients. Test-retest reliability on the 12 questions ranged from 0.63 to 0.97. The Cronbach alpha was 0.58 for questions on diet and 0.6 for questions on physical activity. We found a correlation coefficient of 0.77 between participants' and blinded raters' scores on the SLIQ. The SLIQ, as currently tested, is likely suitable for use in research on people who are at least similar to those in our study population. It probably sh...
The lifestyle appraisal questionnaire: A comprehensive assessment of health and stress
Psychology & Health, 1996
Lifestyle risk factors and perceived stress have been shown to have a significant impact on an individual's health. Interventions designed to minimise the negative effects of such risks which also reliably measure long-term health outcomes are therefore desirable. However, there is a lack of reliable and sensitive measures of lifestyle risks and stress. This paper presents initial research on the development of the Lifestyle Appraisal Questionnaire (LAQ), an instrument designed to assess lifestyle from a multifactorial perspective, that is, cumulative risks and perceived stress of life. Two samples were selected to test the LAQ. The first group was a randomly selected community sample. The second was a university sample of randomly selected staff. From the first group (n=600), the reliability, validity and factor structure were determined. From the second group (n=143), the clinical usefulness of the scale was demonstrated. Both groups provided adult norms. Implications of such a measure are discussed.
Trials, 2013
Background: Lifestyle and behaviour change are important factors in the prevention of cardiovascular disease and reduction of premature mortality. Public health initiatives have focused on opportunities for healthcare staff to deliver lifestyle advice routinely in primary and secondary care but there is no consistent approach to onward referrals and the rate of uptake of advice remains low. We do not know if advice is more effective in supporting behaviour change when a systematic approach is taken that includes identification of barriers to change, directing patients toward services, referral to services, and feedback on outcome. Methods and design: This is a single-centre, randomized, unblinded feasibility trial in an acute hospital setting which aims to assess the feasibility of a definitive trial and provide proof of concept for the systematic delivery of individualized lifestyle advice in patients managed through an acute cardiology in-patient service. Patients will be recruited before discharge and randomized to two groups. A control group will receive the usual lifestyle assessment and referral, while an intervention group will receive the usual assessment plus the new individualized lifestyle assessment and referral. The new assessment will inform assignment of each patient to one of three categories based on personal barriers to change. Patients may be referred to a formal lifestyle-change programme, through the 'Leeds Let's Change' website, or they may be guided in self-management, using goal setting, or they may be assigned to a 'deferment' category, for reassessment at follow-up. These latter patients will be given a contact card for the 'Leeds Let's Change' service.
How feasible are lifestyle modification programs for disease prevention in general practice?
Australian Journal of Primary Health, 2012
Vascular disease is a leading cause of death and disability. While it is preventable, little is known about the feasibility or acceptability of implementing interventions to prevent vascular disease in Australian primary health care. We conducted a cluster randomised controlled trial assessing prevention of vascular disease in patients aged 40-65 by providing a lifestyle modification program in general practice. Interviews with 13 general practices in the intervention arm of this trial examined their views on implementing the lifestyle modification program in general practice settings. Qualitative study, involving thematic analysis of semi-structured interviews with 11 general practitioners, four practice nurses and five allied health providers between October 2009 and April 2010. Providing brief lifestyle intervention fitted well with routine health-check consultations; however, acceptance and referral to the program was dependent on the level of facilitation provided by program coordinators. Respondents reported that patients engaged with the advice and strategies provided in the program, which helped them make lifestyle changes. Practice nurse involvement was important to sustaining implementation in general practice, while the lack of referral services for people at risk of developing vascular disease threatens maintenance of lifestyle changes as few respondents thought patients would continue lifestyle changes without long-term follow up. Lifestyle modification programs to prevent vascular disease are feasible in general practice but must be provided in a flexible format, such as being offered out of hours to facilitate uptake, with ongoing support and follow up to assist maintenance. The newly formed Medicare Locals may have an important role in facilitating lifestyle modification programs for this target group.
Croatian Medical Journal, 2011
Aim To assess patients' attitudes toward changing unhealthy lifestyle, confidence in the success, and desired involvement of their family physicians in facilitating this change. Methods We conducted a cross-sectional study in 15 family physicians' practices on a consecutive sample of 472 patients (44.9% men, mean age (± standard deviation) 49.3 ± 10.9 years) from October 2007 to May 2008. Patients were given a self-administered questionnaire on attitudes toward changing unhealthy diet, increasing physical activity, and reducing body weight. It also included questions on confidence in the success, planning lifestyle changes, and advice from family physicians. Results Nearly 20% of patients planned to change their eating habits, increase physical activity, and reach normal body weight. Approximately 30% of patients (more men than women) said that they wanted to receive advice on this issue from their family physicians. Younger patients and patients with higher education were more confident that they could improve their lifestyle. Patients who planned to change their lifestyle and were more confident in the success wanted to receive advice from their family physicians. Conclusion Family physicians should regularly ask the patients about the intention of changing their lifestyle and offer them help in carrying out this intention.