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Research

Factors influencing doctors’ counselling on patients’ lifestyle habits: a cohort study

Anna Sofia Viktoria Belfrage, Kjersti Støen Grotmol, Reidar Tyssen, Torbjørn Moum, Arnstein Finset, Karin Isaksson Rø and Lars Lien
BJGP Open 2018; 2 (3): bjgpopen18X101607. DOI: https://doi.org/10.3399/bjgpopen18X101607
Anna Sofia Viktoria Belfrage
1 Psychologist and PhD student, Department of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, , Norway
2 Psychologist and PhD student, Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, , Norway
MS
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  • For correspondence: anna.belfrage{at}medisin.uio.no
Kjersti Støen Grotmol
3 Researcher and Psychologist, Department of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, , Norway
4 Researcher and Psychologist, Regional Centre of Excellence in Palliative Care, Department of Oncology, Oslo University Hospital, , Norway
PhD
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Reidar Tyssen
5 Professor, Department of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, , Norway
MD, PhD
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Torbjørn Moum
6 Professor, Department of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, , Norway
PhD
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Arnstein Finset
7 Professor, Department of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, , Norway
PhD
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Karin Isaksson Rø
8 Researcher, Department of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, , Norway
MD, PhD
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Lars Lien
9 Professor, Faculty of Public Health, Inland Norway University of Applied Science, , Norway
10 Professor, Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, , Norway
MD, PhD
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Article Figures & Data

Figures

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    Figure 1. Frequency (%) of counselling about physical activity (N = 526) and alcohol habits (N = 524) in 2014 for all doctors
  • Figure 2.
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    Figure 2. Doctors’ own physical activity level and alcohol habits in 2014.
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    Figure 3. Interaction of vulnerability on own physical activity when counselling on physical activity

Tables

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    Table 1. Factors associated with counselling about physical activity in 2014
    Adjusted
    Unadjusted Block Ia Block IIb
    B95% CIB95% CIB95% CI
    Demographic factors
    Age0.003-0.01 to 0.02-0.003-0.01 to 0.02-0.002-0.02 to 0.015
    Sex-0.02-0.14 to 0.09-0.01-0.13 to 0.10-0.02-0.15 to 0.10
    Own lifestyle habits
    Own physical activity0.10d 0.04 to 0. 160.10d 0.04 to 0.150.07e 0.01 to 0.13
    Own alcohol habits-0.001-0.02 to 0.02
    Confounders/moderators
    Clinical mastery0.02e 0.001 to 0.040.01-0.01 to 0.03
    Vulnerability-0.04d -0.07 to -0.01-0.04e -0.06 to -0.01
    GPc 0.44f 0.31 to 0.570.42f 0.22 to 0.62
    Hospital medical physicianc -0.28f -0.40 to -0.17-0.01-0.19 to 0.16
    Job stress0.003-0.002 to 0.01
    Cohort-0.02-0.13 to 0.09
    • aBlock I = the result of adjusted analysis on associations between own lifestyle habits and counselling. bBlock II = the result of adjusted analysis on associations between own lifestyle habits and counselling, controlled for possible other confounders/moderators cReference category = other specialty. d P<0.01. e P≤0.05. f P<0.001.

    • B = unstandardised beta. CI = confidence intervals.

    • View popup
    Table 2. Factors associated with counselling about alcohol habits in 2014
    Adjusted
    Unadjusted Block Ia Block IIb
    B95% CIB95% CIB95% CI
    Demographic factors
    Age, years0.01-0.003 to 0.030.01-0.003 to 0.0030.01-0.002 to 0.03
    Sex0.01-0.11 to 0.120.004-0.12 to 0.12-0.006-0.13 to 0.11
    Own lifestyle habits
    Own physical activity0.05-0.01 to 0.110.05-0.01 to 0.11
    Own alcohol habits-0.01-0.03 to 0.02
    Confounders/moderators
    Clinical mastery<0.001-0.02 to 0.02
    Vulnerability0.002-0.03 to 0.03
    GPc 0.25d 0.11 to 0.390.27d 0.08 to 0.47
    Hospital medical physicianc -0.28e -0.40 to -0.170.04e -0.13 to 0.21
    Job stress0.002-0.003 to 0.01
    Cohort0.02-0.10 to 0.14
    • aBlock I = the result of adjusted analysis on associations between own lifestyle habits and counselling. bBlock II = the result of adjusted analysis on associations between own lifestyle habits and counselling, controlled for possible other confounders/moderators. cReference category: other specialty. d P<0.01.e P<0.001. B = unstandardised beta. CI = confidence intervals.

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Factors influencing doctors’ counselling on patients’ lifestyle habits: a cohort study
Anna Sofia Viktoria Belfrage, Kjersti Støen Grotmol, Reidar Tyssen, Torbjørn Moum, Arnstein Finset, Karin Isaksson Rø, Lars Lien
BJGP Open 2018; 2 (3): bjgpopen18X101607. DOI: 10.3399/bjgpopen18X101607

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Factors influencing doctors’ counselling on patients’ lifestyle habits: a cohort study
Anna Sofia Viktoria Belfrage, Kjersti Støen Grotmol, Reidar Tyssen, Torbjørn Moum, Arnstein Finset, Karin Isaksson Rø, Lars Lien
BJGP Open 2018; 2 (3): bjgpopen18X101607. DOI: 10.3399/bjgpopen18X101607
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  • Experiences of dyslexia in GP training in the UK: a qualitative study
  • Artificial intelligence in general practice in Germany: an online survey of current use, perceived benefits, barriers, and future needs
  • Planetary health in general practice: a cross-sectional survey in France
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