Evidence mapPaperPMID 42519259Full record

ArticleCureus2026

Challenges and Attitudes of Clinicians Concerning the Communication of Risk and Lifestyle Advice for Hypertension and Diabetes: A Qualitative Study.

Kritika Singhal, Smriti Bhaskar, Suruchi Gupta, Alka Modi Asati, Pankaj Prasad

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Article in Cureus, 2026. 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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5 · Who and what money

Authors and funding

5 authors.

Kritika SinghalCommunity and Family Medicine, Ram Krishna Medical College Hospital and Research Centre, Bhopal, IND.
Smriti BhaskarCommunity and Family Medicine, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.
Suruchi GuptaInternational Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Alka Modi AsatiCommunity Medicine, Shyam Shah Medical College, Rewa, IND.
Pankaj PrasadCommunity and Family Medicine, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndia is witnessing an epidemiological shift from infectious to noncommunicable diseases. Traditional patient education and counseling methods fail to motivate patients to make desirable changes to manage their disease. This study explores clinicians' perceived challenges and their attitudes toward communication practices, particularly risk communication and lifestyle advice for hypertension, diabetes, and related behavioral risk factors.

methodsIn-depth semi-structured interviews were conducted with 14 clinicians, including consultants and residents from the Departments of Cardiology, General Medicine, and Family Medicine at a tertiary care hospital in India. Interviews were audio-recorded, transcribed verbatim, and analyzed using the framework method of thematic analysis. A hybrid deductive-inductive coding approach was employed to identify emerging themes related to clinicians' perceptions, communication practices, and barriers to risk communication.

resultsFive major themes emerged: perceptions of the burden of noncommunicable diseases, challenges in language and patient understanding, patient-related barriers, clinician communication practices, and awareness of risk communication. Clinicians routinely provided medication and lifestyle advice based on standard guidelines and tailored their communication according to patients' literacy, age, and socioeconomic background. However, high patient load and limited consultation time restricted detailed communication, resulting in reliance on informal rather than structured risk communication methods. Participants expressed interest in formal training and standardized approaches for communicating disease risk.

conclusionClinicians recognized the importance of communicating advice on disease risk and lifestyle modification but largely relied on informal communication practices rather than structured methods. Time constraints, language barriers, and patient-related factors were perceived as major challenges. The findings suggest a need for developing and evaluating standardized, context-specific risk communication strategies and training programs to strengthen patient-centered care in the management of hypertension and diabetes.

Indexed as

behavioral risk factorscliniciansconsultationdiabeteshealth communicationhypertensionlifestyle modificationpatient-centered carepatient education and counselingrisk communication

Identifiers

PMID42519259
PMCPMC13384335

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