Knowledge, attitudes, behaviors, education, and communication

Section edited by Carolyn Chew-Graham and Chris Burton

This section covers, though is not limited to, education in general practice, health literacy and communication skills, eHealth and medical record systems, patient reported outcomes and quality indicators, and patient-physician relations, within the context of primary care.

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  1. Research article

    Exercising alcohol patients don’t lack motivation but struggle with structures, emotions and social context - a qualitative dropout study

    Exercise is an important component of a healthy lifestyle, the development of which is a relapse prevention strategy for those with alcohol use disorder. However, it is a challenge to create exercise intervent...

    Sengül Sari, Ashley Elizabeth Muller and Kirsten K. Roessler

    BMC Family Practice 2017 18:45

    Published on: 23 March 2017

  2. Research article

    Impact of a continuing medical education meeting on the use and timing of urgent cancer referrals among general practitioners - a before-after study

    Detection of cancer in general practice is challenging because symptoms are diverse. Even so-called alarm symptoms have low positive predictive values of cancer. Nevertheless, appropriate referral is crucial. ...

    Berit Skjødeberg Toftegaard, Flemming Bro, Alina Zalounina Falborg and Peter Vedsted

    BMC Family Practice 2017 18:44

    Published on: 21 March 2017

  3. Research article

    Exploring why a complex intervention piloted in general practices did not result in an increase in chlamydia screening and diagnosis: a qualitative evaluation using the fidelity of implementation model

    Chlamydia trachomatis (chlamydia) is the most commonly diagnosed sexually transmitted infection (STI) in England; approximately 70% of diagnoses are in sexually active young adults age...

    R. Allison, D. M. Lecky, K. Town, C. Rugman, E. J. Ricketts, N. Ockendon-Powell, K. A. Folkard, J. K. Dunbar and C. A. M. McNulty

    BMC Family Practice 2017 18:43

    Published on: 21 March 2017

  4. Research article

    “Was that a success or not a success?”: a qualitative study of health professionals’ perspectives on support for people with long-term conditions

    Support for self-management (SSM) is a prominent strand of health policy internationally, particularly for primary care. It is often discussed and evaluated in terms of patients’ knowledge, skills and confiden...

    John Owens, Vikki A. Entwistle, Alan Cribb, Zoë C. Skea, Simon Christmas, Heather Morgan and Ian S. Watt

    BMC Family Practice 2017 18:39

    Published on: 20 March 2017

  5. Research article

    Self-monitoring of health data by patients with a chronic disease: does disease controllability matter?

    There is a growing emphasis on self-monitoring applications that allow patients to measure their own physical health parameters. A prerequisite for achieving positive effects is patients’ willingness to self-m...

    Martine W. J. Huygens, Ilse C. S. Swinkels, Judith D. de Jong, Monique J. W. M. Heijmans, Roland D. Friele, Onno C. P. van Schayck and Luc P. de Witte

    BMC Family Practice 2017 18:40

    Published on: 20 March 2017

  6. Research article

    Antibiotic overuse for acute respiratory tract infections in Sri Lanka: a qualitative study of outpatients and their physicians

    Acute respiratory tract infections (ARTIs) are a common reason for antibiotic overuse worldwide. We previously showed that over 80% of outpatients presenting to a tertiary care hospital in Sri Lanka with influ...

    L. Gayani Tillekeratne, Champica K. Bodinayake, Thushani Dabrera, Ajith Nagahawatte, Wasantha Kodikara Arachchi, Anoji Sooriyaarachchi, Kearsley Stewart, Melissa Watt, Truls Østbye and Christopher W. Woods

    BMC Family Practice 2017 18:37

    Published on: 16 March 2017

  7. Research article

    General practitioners’ perceptions of population based bowel screening and their influence on practice: a qualitative study

    Although largely preventable, Australia has one of the highest rates of bowel cancer in the world. General Practitioners (GPs) have an important role to play in prevention and early detection of bowel cancer, ...

    Greer Dawson, Melanie Crane, Claudine Lyons, Anna Burnham, Tara Bowman, Donna Perez and Joanne Travaglia

    BMC Family Practice 2017 18:36

    Published on: 15 March 2017

  8. Research article

    Training on domestic violence and child safeguarding in general practice: a mixed method evaluation of a pilot intervention

    Children’s exposure to domestic violence is a type of child maltreatment, yet many general practice clinicians remain uncertain of their child safeguarding responsibilities in the context of domestic violence....

    Natalia V. Lewis, Cath Larkins, Nicky Stanley, Eszter Szilassy, William Turner, Jessica Drinkwater and Gene S. Feder

    BMC Family Practice 2017 18:33

    Published on: 4 March 2017

  9. Research article

    Nurses’ and pharmacists’ learning experiences from participating in interprofessional medication reviews for elderly in primary health care - a qualitative study

    Traditionally, drug prescription and follow up have been the sole responsibility of physicians. However, interprofessional medication reviews (IMRs) have been developed to prevent drug discrepancies and patien...

    H. T. Bell, A. G. Granas, I. Enmarker, R. Omli and A. Steinsbekk

    BMC Family Practice 2017 18:30

    Published on: 28 February 2017

  10. Research article

    Patient-centeredness to anticipate and organize an end-of-life project for patients receiving at-home palliative care: a phenomenological study

    The development of end-of-life primary care is a socio-medical and ethical challenge. However, general practitioners (GPs) face many difficulties when initiating appropriate discussion on proactive shared pall...

    Agnès Oude Engberink, Mélanie Badin, Philippe Serayet, Sylvain Pavageau, François Lucas, Gérard Bourrel, Joanna Norton, Grégory Ninot and Pierre Senesse

    BMC Family Practice 2017 18:27

    Published on: 23 February 2017

  11. Research article

    General practitioners’ views on (long-term) prescription and use of problematic and potentially inappropriate medication for oldest-old patients—A qualitative interview study with GPs (CIM-TRIAD study)

    Potentially inappropriate medication (PIM) is defined as medication with uncertain therapeutic effects and/or potential adverse drug reactions outweighing the clinical benefits. The prescription rate of PIM fo...

    Nadine Janis Pohontsch, Kathrin Heser, Antje Löffler, Britta Haenisch, Debora Parker, Tobias Luck, Steffi G. Riedel-Heller, Wolfgang Maier, Frank Jessen and Martin Scherer

    BMC Family Practice 2017 18:22

    Published on: 17 February 2017

  12. Research article

    Survey of Spanish general practitioners’ attitudes toward management of sore throat: an internet-based questionnaire study

    The management of sore throat varies widely in Europe. The objective of this study was to gain insight into clinicians’ perceptions on the current management of sore throat in Spain.

    Carl Llor, Isabel Vilaseca, Eduardo Lehrer-Coriat, Xavier Boleda, José L. Cañada, Ana Moragas and Josep M. Cots

    BMC Family Practice 2017 18:21

    Published on: 14 February 2017

  13. Research article

    Using theory to explore facilitators and barriers to delayed prescribing in Australia: a qualitative study using the Theoretical Domains Framework and the Behaviour Change Wheel

    Delayed antibiotic prescribing reduces antibiotic use for acute respiratory infections in trials in general practice, but the uptake in clinical practice is low. The aim of the study was to identify facilitato...

    Lucy Sargent, Amanda McCullough, Chris Del Mar and John Lowe

    BMC Family Practice 2017 18:20

    Published on: 13 February 2017

  14. Research article

    The 5As team patient study: patient perspectives on the role of primary care in obesity management

    Over 60% of people have overweight or obesity, but only a third report receiving counselling from primary care providers. We explored patients’ perspectives on the role of primary care in obesity management an...

    Jacqueline Torti, Thea Luig, Michelle Borowitz, Jeffrey A. Johnson, Arya M. Sharma and Denise L. Campbell-Scherer

    BMC Family Practice 2017 18:19

    Published on: 8 February 2017

  15. Research article

    Does a complex intervention increase patient knowledge about oral anticoagulation? - a cluster-randomised controlled trial

    Oral anticoagulation therapy (OAT) is a challenge in general practice, especially for high-risk groups such as the elderly. Insufficient patient knowledge about safety-relevant aspects of OAT is considered to ...

    Verena Maikranz, Andrea Siebenhofer, Lisa-R. Ulrich, Karola Mergenthal, Sylvia Schulz-Rothe, Birgit Kemperdick, Sandra Rauck, Gudrun Pregartner, Andrea Berghold, Ferdinand M. Gerlach and Juliana J. Petersen

    BMC Family Practice 2017 18:15

    Published on: 7 February 2017

  16. Research article

    Self-treatment of acute exacerbations of chronic obstructive pulmonary disease requires more than symptom recognition – a qualitative study of COPD patients’ perspectives on self-treatment

    Self-treatment of acute exacerbations of COPD with antibiotics and/or oral corticosteroids has emerged as a promising strategy to reduce hospitalization rates, mortality and health costs. However, for reasons ...

    Johanna Laue, Hasse Melbye and Mette Bech Risør

    BMC Family Practice 2017 18:8

    Published on: 25 January 2017

  17. Research article

    Patients’ and physicians’ perceptions and attitudes about oral anticoagulation and atrial fibrillation: a qualitative systematic review

    Oral anticoagulant therapy reduces the risk of stroke in patients with atrial fibrillation, but many patients are still not prescribed this therapy. The causes of underuse of vitamin K antagonists oral anticoa...

    Gemma Mas Dalmau, Elisenda Sant Arderiu, María Belén Enfedaque Montes, Ivan Solà, Sandra Pequeño Saco and Pablo Alonso Coello

    BMC Family Practice 2017 18:3

    Published on: 13 January 2017

  18. Research article

    A nurse-led clinic for patients consulting with osteoarthritis in general practice: development and impact of training in a cluster randomised controlled trial

    Despite a lack of service provision for people with osteoarthritis (OA), each year 1 in 5 of the general population consults a GP about a musculoskeletal condition such as OA. Consequently this may provide an ...

    Emma L. Healey, Chris J. Main, Sarah Ryan, Gretl A. McHugh, Mark Porcheret, Andrew G. Finney, Andrew Morden and Krysia S. Dziedzic

    BMC Family Practice 2016 17:173

    Published on: 21 December 2016

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