Document Detail


Patient and general practitioner attitudes to healthy lifestyle behaviours and medication following coronary heart disease: an exploratory study.
MedLine Citation:
PMID:  21128577     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients with coronary heart disease often engage in unhealthy lifestyle behaviours. We explored patients' and general practitioners' (GPs') perceptions about the effectiveness of healthy behaviours and medications for the prevention of further cardiovascular disease. This exploratory study used semi-structured interviews with eight Sydney GPs and 13 of their patients with coronary heart disease. Patients perceived medications to be more effective than healthy behaviours in improving specific aspects of cardiovascular health, such as angina symptoms, cholesterol and blood pressure, whilst GPs perceived that medications were more effective in patients they considered at highest cardiovascular risk, patients with uncontrolled risk factors, or where adherence to healthy behaviours was poor. Among patients we found a negative perception of the effort required to adhere to healthy behaviours and possible underestimation of their future cardiovascular risk. Patients valued support from peers and family. This study opens up avenues for investigation in further research, including whether patient adherence to healthy behaviours may be enhanced by the exploration oftheir perceptions about behaviour effectiveness, barriers and cardiovascular risk and by GP facilitation of practical supports.
Authors:
Catherine Speechly; Charles Bridges-Webb; Suzanne McKenzie; Yvonne Zurynski; Alison Lucas
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Australian journal of primary health     Volume:  16     ISSN:  1448-7527     ISO Abbreviation:  Aust J Prim Health     Publication Date:  2010  
Date Detail:
Created Date:  2010-12-06     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101123037     Medline TA:  Aust J Prim Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  154-8     Citation Subset:  IM    
Affiliation:
Projects, Research and Development Unit, RACGP NSW and ACT Faculty, 12 Mount Street, North Sydney, NSW 2060, Australia. cmspeechly@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Attitude of Health Personnel
Cardiovascular Agents / therapeutic use*
Coronary Disease / drug therapy,  etiology,  prevention & control,  psychology*
Female
General Practitioners / psychology*
Health Behavior*
Health Knowledge, Attitudes, Practice*
Humans
Male
Middle Aged
New South Wales
Qualitative Research
Risk Factors
Chemical
Reg. No./Substance:
0/Cardiovascular Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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