Understanding Patient Ambivalence in Lifestyle Changes After Heart Consultations
Author Information
Author(s): Kehler Dea, Christensen Bo, Lauritzen Torsten, Christensen Morten Bondo, Edwards Adrian, Risør Mette Bech
Primary Institution: Institute of Public Health, University of Aarhus
Hypothesis
This study aimed to explore and describe motivational aspects related to potential lifestyle changes among patients at increased risk of cardiovascular disease following preventive consultations in general practice.
Conclusion
Ambivalence was a common experience in relation to motivation among patients at increased risk of CVD, and five different ambivalence sub-types were identified that clinicians can use to help patients adopt lifestyle changes.
Supporting Evidence
- Patients experienced ambivalence in the form of conflicting feelings about lifestyle change.
- Five different ambivalence sub-types were identified: perception, demand, information, priority, and treatment ambivalence.
- Ambivalence was not often verbalized during consultations, indicating a gap in communication.
Takeaway
Patients often feel confused and conflicted about changing their lifestyle after seeing a doctor about heart health, which makes it hard for them to make those changes.
Methodology
Individual interviews with 12 patients at increased risk of CVD were conducted within 2 weeks after their consultations, analyzed using grounded theory.
Potential Biases
Some GPs may have had professional interests that influenced their choice of patients, potentially affecting the sample's characteristics.
Limitations
The small sample size and the non-systematic use of motivational interviewing may limit the generalizability of the findings.
Participant Demographics
Two women and ten men, average age 57.8 years, from various social classes and educational backgrounds.
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website