Reference : Doctor-patient communication on nutrition and the related secondary preventive behaviours
Scientific journals : Article
Social & behavioral sciences, psychology : Sociology & social sciences
Human health sciences : Public health, health care sciences & services
Sustainable Development
http://hdl.handle.net/10993/22013
Doctor-patient communication on nutrition and the related secondary preventive behaviours
English
Baumann, Michèle mailto [University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE) >]
Le Bihan, Etienne [University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE) >]
Lorentz, Nathalie [Luxembourg Institute of Socio-Economic Research (LISER) > Esch-sur-Alzette, Luxembourg]
Tchicaya, Anastase [Luxembourg Institute of Socio-Economic Research (LISER) > Esch-sur-Alzette, Luxembourg]
2015
Cardiology
S. Karger
132
suppl 1
112
Yes (verified by ORBilu)
International
0008-6312
1421-9751
Basel
Switzerland
[en] Preventive Behaviours ; Secondary Prevention ; Doctor-patient ; Nutrition ; Cardiovascular Risk Factors ; compliance
[en] Doctor-patient relationship impacts on the compliance. For hypercholesterolemia, diabetes, overweight and obesity, our study’s aim was to analyse the associations between the quality of communication, evaluated in 2013, and patients’ adherence to their general practitioner (GP)’s nutritional advice, between 2008 and 2013.
Methods. Five years after a coronary angiography performed by the National Institute of Cardiac Surgery and Interventional Cardiology in Luxembourg, 4391 patients were contacted. 1289 completed a self-rating questionnaire assessing the GP’Com-5 items scale (Cronbach 0.87). The variables were analysed with a multiple logistic regression model.
Results. Patients declared that they reduced or stopped their consumption 71.9% of fat, 62.8% of sugar and 65% increased their consumption of fruits and vegetables. Around 37% of the patients reported having made changes to their risk behaviours following the advice of their doctor. An increased consumption of fruits and vegetables was linked with the quality of doctor-patient communication when patients were overweight (odd ratio = 1.081, IC 95%, [1.013-1.155]), obesity (OR = 1.130 [1.056-1.209]), hypercholesterolemia (OR = 1.102 [1.033–1.175]) and diabetes (OR = 1.103 [1.029-1.181]). The reduction or cessation of sugar consumption was associated with the quality of physician-patient communication when the patient was overweight (OR = 1.093 [1.020-1.170]), and more so obese (OR = 1.106 [1.031-1.187]). The same held true for patients with hypercholesterolemia (OR = 1.103 [1.031-1.180]) or diabetes (OR = 1.173 [1.088-1.265]).
Conclusion. In prevention of secondary CVDs, doctor-patient communication is a relevant determinant in obtaining a favourable behavioural outcome, especially with the consumption of fresh fruit and vegetables.
Integrative Research Unit: Social and Individual Development (INSIDE) > Institute for Health and Behaviour
University of Luxembourg - UL
F3R-INS-PFN-12MDYN > C12/BM/3978355: MDYNRFC > 01/03/2013 - 29/02/2016 > BAUMANN Michèle
Researchers ; Professionals ; Students ; General public ; Others
http://hdl.handle.net/10993/22013

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