Lifestyle counseling in hypertension-related visits – analysis of video-taped general practice visits
2008

Lifestyle Counseling in Hypertension Visits

Sample size: 212 publication Evidence: moderate

Author Information

Author(s): Ivon EJ Milder, Anneke Blokstra, Judith de Groot, Sandra van Dulmen, Wanda JE Bemelmans

Primary Institution: RIVM (National Institute of Public Health and the Environment)

Hypothesis

The study aims to determine the frequency and content of lifestyle counseling by GPs in hypertension-related visits.

Conclusion

In 40% of the hypertension-related visits, lifestyle topics were discussed, but both the frequency and quality of lifestyle advice can be improved.

Supporting Evidence

  • 40% of visits included discussions about lifestyle.
  • In 36% of visits, an assessment of lifestyle was performed.
  • Only 17% of visits included specific lifestyle advice.
  • Most lifestyle discussions were brief, lasting less than a quarter of the visit.

Takeaway

Doctors talked about healthy habits in about 4 out of 10 visits for high blood pressure, but they didn't spend much time on it or give detailed advice.

Methodology

The study observed 212 video recordings of hypertension-related visits to GPs.

Potential Biases

The study may have biases due to the observational nature and the potential clustering of results per GP.

Limitations

The current lifestyle of patients was not known, and the study only included one visit per patient.

Participant Demographics

{"patients":{"age":{"18-44 years":10,"45-64 years":33,"65-74 years":32,"≥ 75 years":24},"gender":{"female":67,"male":33}},"gps":{"gender":{"female":23,"male":77}}}

Statistical Information

P-Value

0.004

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2296-9-58

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