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Table 2 Video fragments in which the GP or patient takes the initiative to discuss lifestyle behaviour of the patient

From: Discussing patient's lifestyle choices in the consulting room: analysis of GP-patient consultations between 1975 and 2008

1

GP: How are you doing with the smoking? (Initiative GP)

 

Pt: I'm not!.. smoking anymore.

 

GP: Very good!

2

GP: So you are here for the blood pressure check. I see it's been a while.

 

Pt: Yes it has. I'm working out now a lot... a lot! (Initiative patient)

 

GP: You say a lot. Did you lose some weight also?

 

Pt: Yes, 33 pounds in total!

 

GP: How much do you weigh now?

 

Pt: uhmm about 200 pounds.

 

GP: Ok. It's quite a lot...losing 33 pounds I mean.

 

Pt: Yes, with help from a dietician

 

GP: It doesn't matter how you do it! And what do you want to weight? What is your goal?

 

Pt: I think 176 pounds would be nice. But now it is difficult.

 

GP: Yes, the first pounds are easy, but well every pound counts. You should keep up the good work!

3

Pt: My throat hurts from coughing.

 

GP: And you don't touch the cigarettes? (Initiative GP)

 

Pt: No, because I have a fake cigarette now.

 

GP: How is that working for you?

 

Pt: I'll get used to it, although it is so heavy

 

GP: But you do use it?

 

Pt: Yes

 

GP: And no more cigarettes?

 

Pt: Well, I'm finishing the last ones.

 

GP: Ok. But it helps you when you smoke the fake cigarette?

 

Pt: Yes, it's just like a normal cigarette, with smoke and everything.

  1. GP = General practitioner, Pt = patient