Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
BMC Fam Pract. 2020 Aug 8;21(1):159. doi: 10.1186/s12875-020-01232-8.
Chronic lifestyle-related-diseases can be prevented by healthy lifestyle. Patients at high risk of disease may benefit from targeted health checks in general practice. However, general-practice-based-studies have shown that patient outcome, enablement, and well-being may be influenced by general practitioner (GP) empathy. The aim of this study is to investigate 1) how high risk patients evaluate their GPs' empathy during a health check consultation, 2) whether the perceived GP empathy is associated with the patient's enablement in immediate continuation of the health check consultation and 3) the patient's subsequent lifestyle changes.
This study is part of a population based non-randomized feasibility study testing a complex intervention that systematically identifies citizens at high risk of lifestyle-related disease and with health-risk behavior and offers targeted preventive services in the Danish primary care sector. The ultimate aim of the intervention is to improve lifestyle and thereby reduce the risk of lifestyle-related disease. In the feasibility study a random sample of patients aged 30 to 59 years were invited to participate, and to fill in a questionnaire on lifestyle-risk factors. Participants deemed to be at high risk of disease were offered a focused clinical examination and a subsequent health check consultation at the GP. Following each health check consultation GP empathy and patient enablement were assessed using The Care Measure (CARE) and Patient Enablement Instrument (PEI). Patient's perceived healthy-lifestyle change (y/n) was assessed after three months. The study has been approved by the Danish Data Protection Agency (J.nr 2015-57-0008) and registered at ClinicalTrial. Gov on June 13, 2016.
Twenty-six GP's participated in the study. Among 93 patients receiving a health check consultation 60 rated the GPs empathy. The median CARE-score was 40. The PEI median was 5.5 and 44.9% achieved a healthier lifestyle. No association was observed between GP empathy and patient enablement or a perceived healthier lifestyle.
No statistical significant association between the CARE-score and patient enablement or a perceived healthier lifestyle was observed. Our results contrast previous findings and may to some extent be explained by a small sample size and the selected high-risk group.
NCT02797392 .
慢性生活方式相关疾病可以通过健康的生活方式来预防。患有疾病高风险的患者可能会从一般实践中的有针对性的健康检查中受益。然而，基于一般实践的研究表明，患者的结果、赋权和幸福感可能会受到全科医生（GP）同理心的影响。本研究旨在调查 1）高风险患者在健康检查咨询期间如何评估他们的 GP 同理心，2）感知到的 GP 同理心是否与患者在健康检查咨询的直接延续中的赋权相关，以及 3）患者随后的生活方式改变。
本研究是一项基于人群的非随机可行性研究的一部分，该研究测试了一种复杂的干预措施，该干预措施系统地识别出生活方式相关疾病和健康风险行为的高危人群，并在丹麦初级保健部门提供有针对性的预防服务。该干预措施的最终目标是改善生活方式，从而降低生活方式相关疾病的风险。在可行性研究中，随机抽取了 30 至 59 岁的患者参加，并填写了一份关于生活方式风险因素的问卷。被认为患有疾病高风险的参与者被邀请接受集中的临床检查和随后的 GP 健康检查咨询。每次健康检查咨询后，使用关怀量表（CARE）和患者赋权量表（PEI）评估 GP 同理心和患者赋权。三个月后评估患者感知的健康生活方式改变（是/否）。该研究已获得丹麦数据保护局（J.nr 2015-57-0008）的批准，并于 2016 年 6 月 13 日在 ClinicalTrial.gov 上注册。
26 名 GP 参与了这项研究。在接受健康检查咨询的 93 名患者中，有 60 名患者对 GP 的同理心进行了评分。CARE 评分中位数为 40，PEI 中位数为 5.5，44.9%的患者实现了更健康的生活方式。没有观察到 GP 同理心与患者赋权或感知更健康的生活方式之间存在关联。
没有观察到 CARE 评分与患者赋权或感知更健康的生活方式之间存在统计学显著关联。我们的结果与之前的发现相反，在一定程度上可以解释为样本量小和选择的高风险人群。
NCT02797392。
