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Research

Shared decision-making (SHARE-D) for healthy behaviour change: a feasibility study in general practice

Margaret E Cupples, Judith A Cole, Nigel D Hart, Neil Heron, Michelle C McKinley and Mark A Tully
BJGP Open 2018; 2 (2): bjgpopen18X101517. DOI: https://doi.org/10.3399/bjgpopen18X101517
Margaret E Cupples
1 Professor, Department of General Practice, Queen’s University Belfast, Dunluce Health Centre, , UK
2 Professor, Centre for Public Health, Queen's University Belfast, , UK
3 Professor, UKCRC Centre of Excellence for Public Health (Northern Ireland), Queen's University, Belfast, , UK
MD, FRCGP
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  • For correspondence: m.cupples@qub.ac.uk
Judith A Cole
4 Research Fellow, Department of General Practice, Queen’s University Belfast, Dunluce Health Centre, , UK
5 Research Fellow, Centre for Public Health, Queen's University Belfast, , UK
PhD
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Nigel D Hart
6 Senior Lecturer, Centre for Medical Education, Queen's University Belfast, , UK
7 Senior Lecturer, Department of General Practice, Queen’s University Belfast, Dunluce Health Centre, , UK
MD, FRCGP
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Neil Heron
8 Research Fellow, Department of General Practice, Queen’s University Belfast, Dunluce Health Centre, , UK
9 Research Fellow, Centre for Public Health, Queen's University Belfast, , UK
10 Research Fellow, UKCRC Centre of Excellence for Public Health (Northern Ireland), Queen's University, Belfast, , UK
MRCGP, FFSEM
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Michelle C McKinley
11 Reader, Centre for Public Health, Queen's University Belfast, , UK
12 Reader, UKCRC Centre of Excellence for Public Health (Northern Ireland), Queen's University, Belfast, , UK
PhD
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Mark A Tully
13 Senior Lecturer, Centre for Public Health, Queen's University Belfast, , UK
14 Senior Lecturer, UKCRC Centre of Excellence for Public Health (Northern Ireland), Queen's University, Belfast, , UK
PhD
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Article Figures & Data

Tables

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    Table 1. Demographic characteristics and baseline data of recruited participants
    CharacteristicParticipants, n
    Age (years)40–493
    50–5910
    60–694
    70–796
    SexMale:Female13:10
    ResidenceUrban:Rural11:12
    Currently employedYes:No6:17
    BMINormal18.5–24.91
    Overweight25.0–29.93
    Obese30.0–34.97
    35.0–39.98
    ≥404
    10-year CVD risk,%No value recordeda 9
    ≤107
    11–151
    16–202
    >204
    Taking specified types of medicationAnti-hypertensive21
    Cholesterol-lowering16
    Diuretic9
    Aspirin9
    Antiplatelet or anticoagulant6
    Anti-angina3
    Other16
    • aOf these, 8 had established CHD; one had hypertension but no recorded risk score.

    • BMI = body mass index. CVD = cardiovascular disease.

    • View popup
    Table 2. Participant responses to decision tool questions
    BeliefsResponsen (%)
    Could you do more physical activity?Yes19 (82.6)
    Could you eat more healthily?Yes11 (47.8)
    Could you fit more fruit and vegetables into your day?Yes10 (43.5)
    Could you reduce the salt, sugar, and fat you eat?Yes14 (60.9)
    I’m worried about not exercising or eating as advisedStrongly agree4 (17.4)
    Agree13 (56.5)
    Neither2 (8.7)
    Disagree4 (17.4)
    Strongly disagree0 (0.0)
    I need other people to help me make lifestyle changesStrongly agree4 (17.4)
    Agree7 (30.4)
    Neither1 (4.3)
    Disagree9 (39.1)
    Strongly disagree2 (8.7)
    My time and finances are such that I could fit in more physical activity or try a healthier dietStrongly agree2 (8.7)
    Agree10 (43.5)
    Neither3 (13.0)
    Disagree6 (26.1)
    Strongly disagree2 (8.7)
    Knowledge
    Making changes to my lifestyle could improve my health, including how I feel now and in the futureTrue19 (82.6)
    If I am currently doing physical activity and eating a diet as recommended, I don’t need to make any lifestyle changesTrue9 (39.1)
    If I decide to make lifestyle changes, I realise that there are different ways of doing thisTrue22 (95.7)
    I can choose whatever physical activity and/or dietary modifications that fit best into my lifeTrue21 (91.3)
    I realise that plenty of support and advice is available to meTrue15 (65.2)
    Intentions
    Are you clear about what is most important to you in relation to your physical activity or diet?Yes22 (95.7)
    Do you have enough support and advice from others to make a decision about lifestyle changes?Yes16 (69.6)
    I’m ready to take actionYes15 (65.2)
    I want to discuss my options with othersYes7 (30.4)
    I want more information about my optionsYes14 (60.9)
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Shared decision-making (SHARE-D) for healthy behaviour change: a feasibility study in general practice
Margaret E Cupples, Judith A Cole, Nigel D Hart, Neil Heron, Michelle C McKinley, Mark A Tully
BJGP Open 2018; 2 (2): bjgpopen18X101517. DOI: 10.3399/bjgpopen18X101517

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Shared decision-making (SHARE-D) for healthy behaviour change: a feasibility study in general practice
Margaret E Cupples, Judith A Cole, Nigel D Hart, Neil Heron, Michelle C McKinley, Mark A Tully
BJGP Open 2018; 2 (2): bjgpopen18X101517. DOI: 10.3399/bjgpopen18X101517
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Keywords

  • general practice
  • Cardiovascular disease
  • physical activity
  • diet

More in this TOC Section

  • How does decontextualised risk information affect clinicians understanding of risk and uncertainty in primary care diagnosis? A qualitative study of clinical vignettes
  • Declining number of home visits to older adults by GPs: an observational study using data from electronic health records in The Netherlands, 2017–2023
  • What’s been tried: a curated catalogue of efforts to improve access to general practice
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