Lifestyle advice in general practice

Rates recalled by patients

C. Silagy, J. Muir, M. Coulter, M. Thorogood, P. Yudkin, Liane Stevens Roe

Research output: Contribution to journalArticle

96 Citations (Scopus)

Abstract

Objective - To document how often patients with varying cardiovascular risk levels reported receiving lifestyle advice from general practice. Design - Cross sectional descriptive survey by postal questionnaire. Setting - 5 general practices in Bedfordshire. Subjects - 4,941 people aged 35-64 years who had consulted a general practitioner at least once during the 12 months before completing the questionnaire and who subsequently attended for a health check as part of the OXCHECK trial. Main outcome and measures - Report of having received advice from a general practitioner or practice nurse about smoking, alcohol consumption, exercise, or diet during the 12 months before completing the questionnaire. Cardiovascular risk assessed by a nurse during structured health check. Results - The overall reported rate of advice was 27% for smoking, 4.5% for exercise, 12% for diet, and 3% for alcohol consumption. Those with unhealthy behaviour profile or at increased cardiovascular risk received more advice - for example, 47% of smokers with a history of cardiovascular disease received advice on smoking. Among those at increased risk, men were more likely than women to receive advice about exercise (11% v 4%, p = 0.04) and alcohol consumption (10% v 4%, p = 0.007), while women received more advice about weight (17% v 23%, p < 0.001). The rate of receiving advice was unaffected by age, marital status, or social class. Conclusion - The low rate of lifestyle advice reported by patients implies that more preventive advice could be provided in primary care.

Original languageEnglish (US)
Pages (from-to)871-874
Number of pages4
JournalBritish Medical Journal
Volume305
Issue number6858
StatePublished - Jan 1 1992

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General Practice
Life Style
Alcohol Drinking
Smoking
Exercise
General Practitioners
Nurses
Diet
Health
Marital Status
Social Class
Primary Health Care
Cardiovascular Diseases
Cross-Sectional Studies
Outcome Assessment (Health Care)
Weights and Measures
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Silagy, C., Muir, J., Coulter, M., Thorogood, M., Yudkin, P., & Roe, L. S. (1992). Lifestyle advice in general practice: Rates recalled by patients. British Medical Journal, 305(6858), 871-874.
Silagy, C. ; Muir, J. ; Coulter, M. ; Thorogood, M. ; Yudkin, P. ; Roe, Liane Stevens. / Lifestyle advice in general practice : Rates recalled by patients. In: British Medical Journal. 1992 ; Vol. 305, No. 6858. pp. 871-874.
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Silagy, C, Muir, J, Coulter, M, Thorogood, M, Yudkin, P & Roe, LS 1992, 'Lifestyle advice in general practice: Rates recalled by patients', British Medical Journal, vol. 305, no. 6858, pp. 871-874.

Lifestyle advice in general practice : Rates recalled by patients. / Silagy, C.; Muir, J.; Coulter, M.; Thorogood, M.; Yudkin, P.; Roe, Liane Stevens.

In: British Medical Journal, Vol. 305, No. 6858, 01.01.1992, p. 871-874.

Research output: Contribution to journalArticle

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Silagy C, Muir J, Coulter M, Thorogood M, Yudkin P, Roe LS. Lifestyle advice in general practice: Rates recalled by patients. British Medical Journal. 1992 Jan 1;305(6858):871-874.