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Lifestyle consultation in general practice--the doctor's toolbox: a qualitative focus group study
Eirik Abildsnes1, Liv T Walseth, Signe A Flottorp
1Branch of General Practice, Institute of Public Health and Social Medicine, University of Bergen, Bergen, Norway. eabil@broadpark.no
Background:
GPs consider individual lifestyle counselling as part of their obligation. There is a lack of knowledge about how such counselling is done.
Objective:
To investigate what tools GPs utilize in individual consultations concerning lifestyle change.
Methods:
Qualitative analysis of six focus groups with 50 GPs sharing and commenting each other's case stories.
Results:
To enhance change of lifestyle, GPs adjusted the organization of their practice and utilized visualization tools. They established doctor-patient relationships based on shared decision making and trust, and gave their patients advice and tips to accomplish change, but also used paternalistic approaches and rhetoric manipulation.
Conclusions:
GPs use a variety of tools in consultations about lifestyle change. A patient-centred approach is shown, but GPs also deliberately use distressing communication tools.
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