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

doi:10.3399/bjgpopen18X101517

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Table 1. Demographic characteristics and baseline data of recruited participants

Characteristic			Participants, n
Age (years)		40–49	3
		50–59	10
		60–69	4
		70–79	6
Sex		Male:Female	13:10
Residence		Urban:Rural	11:12
Currently employed		Yes:No	6:17
BMI	Normal	18.5–24.9	1
	Overweight	25.0–29.9	3
	Obese	30.0–34.9	7
		35.0–39.9	8
		≥40	4
10-year CVD risk,%		No value recorded^a	9
		≤10	7
		11–15	1
		16–20	2
		>20	4
Taking specified types of medication		Anti-hypertensive	21
		Cholesterol-lowering	16
		Diuretic	9
		Aspirin	9
		Antiplatelet or anticoagulant	6
		Anti-angina	3
		Other	16

^aOf these, 8 had established CHD; one had hypertension but no recorded risk score.
BMI = body mass index. CVD = cardiovascular disease.

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Table 2. Participant responses to decision tool questions

Beliefs	Response	n (%)
Could you do more physical activity?	Yes	19 (82.6)
Could you eat more healthily?	Yes	11 (47.8)
Could you fit more fruit and vegetables into your day?	Yes	10 (43.5)
Could you reduce the salt, sugar, and fat you eat?	Yes	14 (60.9)
I’m worried about not exercising or eating as advised	Strongly agree	4 (17.4)
	Agree	13 (56.5)
	Neither	2 (8.7)
	Disagree	4 (17.4)
	Strongly disagree	0 (0.0)
I need other people to help me make lifestyle changes	Strongly agree	4 (17.4)
	Agree	7 (30.4)
	Neither	1 (4.3)
	Disagree	9 (39.1)
	Strongly disagree	2 (8.7)
My time and finances are such that I could fit in more physical activity or try a healthier diet	Strongly agree	2 (8.7)
	Agree	10 (43.5)
	Neither	3 (13.0)
	Disagree	6 (26.1)
	Strongly disagree	2 (8.7)
Knowledge
Making changes to my lifestyle could improve my health, including how I feel now and in the future	True	19 (82.6)
If I am currently doing physical activity and eating a diet as recommended, I don’t need to make any lifestyle changes	True	9 (39.1)
If I decide to make lifestyle changes, I realise that there are different ways of doing this	True	22 (95.7)
I can choose whatever physical activity and/or dietary modifications that fit best into my life	True	21 (91.3)
I realise that plenty of support and advice is available to me	True	15 (65.2)
Intentions
Are you clear about what is most important to you in relation to your physical activity or diet?	Yes	22 (95.7)
Do you have enough support and advice from others to make a decision about lifestyle changes?	Yes	16 (69.6)
I’m ready to take action	Yes	15 (65.2)
I want to discuss my options with others	Yes	7 (30.4)
I want more information about my options	Yes	14 (60.9)