Evidence map›Paper›PMID 41546390›Full record

ArticleJournal of primary care & community health

Dynamics of Lifestyle Counseling for Chronic Diseases Within and Between General Practices and Social Work Services

Demi E van Os, Bart H L Ament, Suzanne A Ligthart, Gerdine A J Fransen, Willem J J Assendelft

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Demi E van OsRadboud University Medical Center, Nijmegen, The Netherlands.ORCID 0009-0005-2667-0779
Bart H L AmentRadboud University Medical Center, Nijmegen, The Netherlands.ORCID 0009-0002-8724-5395
Suzanne A LigthartRadboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0003-3216-1928
Gerdine A J FransenRadboud University Medical Center, Nijmegen, The Netherlands.ORCID 0009-0004-7052-6769
Willem J J AssendelftRadboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-2966-3778

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA healthy lifestyle can slow the progression of chronic conditions and improve quality of life. Lifestyle counseling in Dutch general practices can be further optimized, among other factors by improving collaboration with social work services. To achieve this, it is important to map out the system of lifestyle counseling within and between general practices and social work services, as well as to identify opportunities for improvement.

methodsSemi-structured individual interviews were conducted with 3 general practitioners (GPs) and 6 practice nurses (PNs), as well as 5 group interviews with in total 15 professionals from social work services. Participants were based in the city of Nijmegen, the Netherlands. The interviews were conducted between March and August 2024. A thematic analysis was performed which resulted in themes and subthemes. Hereafter, the interviews were re-read to examine relationships between subthemes. The themes, subthemes, and relationships formed the basis for developing a causal loop diagram (CLD) and identifying areas for improvement. The CLD was subsequently reviewed through a member check with the same professions.

resultsThe system of lifestyle counseling within and between general practices and social work services consists of the following main themes; addressing lifestyle within general practices, referral to social work services from general practices, GP/PNs' overview and knowledge about social work services, contact between GP/PNs and social work services, and patient status exchange between GP/PNs and social work services. These main themes include interrelated variables which facilitate or impede referrals from general practices to social work services, which is illustrated by the CLD. For example, the more patient status information is shared, the better the GP/PNs' understanding of the available social work services.

conclusionThe CLD illustrates multiple factors that influence the system of lifestyle counseling in and between general practices and social work services. The CLD, together with the improvement points identified in the interviews, leads to actionable strategies to enhance collaboration between general practices and social work services. These strategies include increasing GP/PNs' understanding of the role and activities of social work services, exchange information, as well as strengthening mutual familiarity and facilitating personal contact between professionals in both domains.

Indexed as

CounselingGeneral PracticeHealthy LifestyleLife StyleSocial WorkChronic DiseaseFemaleGeneral PractitionersHumansInterviews as TopicMaleNetherlandsQualitative ResearchReferral and Consultationcommunity healthdisease managementhealth promotionlifestyle changepreventionprimary caresocial determinants of health

Identifiers

PMID41546390
PMCPMC12812193

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.