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Related Experiment Videos

Lifestyle assessment: just asking makes a difference.

H A Skinner, B A Allen, M C McIntosh

    British Medical Journal (Clinical Research Ed.)
    |January 19, 1985
    PubMed
    Summary
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    Brief lifestyle assessments in family practice identify patient concerns about alcohol, smoking, caffeine, drug use, and medications. Asking patients about these issues increases their likelihood of discussing problems with their doctor.

    Area of Science:

    • Primary Care
    • Preventive Medicine
    • Health Behavior

    Background:

    • Lifestyle factors like alcohol consumption, smoking, caffeine intake, non-medical drug use, and medication use significantly impact patient health.
    • Routine screening in family practice can identify these health behaviors.
    • Patient-physician communication is crucial for addressing lifestyle-related health concerns.

    Purpose of the Study:

    • To assess the prevalence of various lifestyle concerns among family practice patients.
    • To evaluate the impact of direct questioning on patients' willingness to discuss these concerns.
    • To examine the concordance between patient-reported issues and physician awareness.

    Main Methods:

    • A 10-minute assessment was administered to 180 family practice patients.

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  • Patients were screened for problems related to alcohol, smoking, caffeine, non-medical drug use, and medication use.
  • Physician awareness of patient-indicated problems was recorded.

    • Main Results:

    • 11% of patients reported alcohol problems, 20% smoking, 36% high caffeine intake, 3% non-medical drug use, and 11% medication use concerns.
    • Inquiry increased patient intention to discuss problems twofold to threefold.
    • Physicians were unaware of patient-indicated problems in approximately 40% of cases, particularly in young, educated, professional patients on their first visit.

    Conclusions:

    • Brief lifestyle assessments are effective for identifying patient health concerns in family practice.
    • Proactive questioning significantly enhances patient disclosure of lifestyle issues.
    • Routine screening is recommended for case finding and prevention in primary care settings.