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Table 1 Factor arrays: scores against each factor by item

From: Differences in the perceived role of the healthcare provider in delivering vascular health checks: a Q methodology study

Item Statement Factor 1 Factor 2 Factor 3 Factor 4 Factor 5
1 Once someone’s on a statin, getting them to change their lifestyles is less important. −2 −5 1 −4 −2
2 It’s better to put people on statins as healthy lifestyles don’t really reduce cardiovascular risk. −2 −4 0 −4 0
3 Most people have heard it all before so lifestyle advice on its own isn’t very effective. −1 1 −3 −2 3
4 Lifestyle change is too difficult and so it’s better to put people on statins. −4 −4 −4 −3 −1
5 Health trainers and health educators can relate to people from deprived backgrounds in a way that healthcare providers can’t. 0 −1 −1 2 −2
6 Healthcare providers who smoke give smokers an easier time than those that don’t. 1 0 1 −3 1
7 In general people don’t know how to make lifestyle changes so it’s better if healthcare providers tell them what to do. −2 - 3 2 4 2
8 Patients should be given the opportunity to lower their cholesterol/BP by lifestyle change before being put on medication. 1 5 4 2 0
9 Listening to people’s problems and helping them to resolve their problems, is a worthwhile part of lifestyle change support. 4 3 1 3 1
10 When a practice can offer an in-house weight management clinic, there’s little point referring patients elsewhere. 1 0 −1 0 −4
11 It’s unfair that people from more deprived areas are given more resources to help them change their lifestyles. −3 −2 0 −1 −1
12 Suggesting ways to overcome barriers to lifestyle change is more productive than working with patients to get them to identify their own solutions. 0 −1 3 0 1
13 Patients don’t tend to listen to what healthcare providers say about lifestyle change. 0 −3 0 −2 1
14 The GP/nurse can only do so much because takeaways and supermarkets have a much bigger influence on peoples eating habits. 2 1 1 −2 3
15 For people who don’t want to change their lifestyle, it’s better to say ‘my door is always open’ than spend ages discussing their problems. 3 3 0 0 2
16 People should take personal responsibility and sort their own lifestyles out instead of expecting others to do it for them. 1 2 −2 −2 −3
17 Barriers to lifestyle change are mainly just excuses. 0 0 3 −1 −3
18 It costs too much to eat a healthy diet. −1 −2 −1 0 −1
19 It’s up to the patient to tell me if there are any specific reasons why they can’t try to change their lifestyles. 1 −1 −2 1 −4
20 Identifying and working through peoples’ personal barriers to lifestyle change can make a difference to whether or not they actually try to change. 5 4 −1 2 1
21 People who don’t know about healthy lifestyles probably aren’t interested anyway. −3 −2 −4 0 0
22 Checking on peoples’ emotional status should be a routine part of a cardiovascular health check. 3 −1 1 1 5
23 There’s no point discussing lifestyle change with people who are stressed or depressed. −1 0 −3 −1 0
24 Patients are more likely to take notice of lifestyle advice if the healthcare provider sets a good example themselves. 2 2 2 5 −1
25 People are too busy to cook healthy meals or exercise. 0 0 −2 3 2
26 Getting a partner on side is an important part of supporting people to change their lifestyle. 3 4 4 2 2
27 It’s pointless living a healthy lifestyle because we are all going to die of something anyway. −4 2 −3 −1 −1
28 If patients don’t understand what they’ve been told about lifestyle change and cardiovascular risk they will ask the healthcare professional to explain it. −1 0 −1 1 4
29 Educated people find it easier to change their lifestyles. 2 2 5 −3 0
30 There’s no point going over stuff if people don’t want to change. −1 3 2 −5 −3
31 If you know a patient well you know how much or little information they need. 2 1 3 3 0
32 Some people are beyond help. −5 1 0 0 −2
33 Barriers to lifestyle change are hard to overcome so it’s best to stick to standard healthy lifestyle advice. 0 −3 0 −1 4
34 It’s better to go softly with the truth (e.g. play down the risk of cardiovascular disease) so that people aren’t put off coming back. −2 −1 −2 1 −5
35 Because very few people are successful at making lifestyle change, discussing it in any depth isn’t worth it. −3 −2 −5 1 −2
36 Understanding the impact of social factors leads to better discussions on lifestyle change. 4 1 2 4 3