The British journal of general practice : the journal of the Royal College of General Practitioners
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Randomized Controlled Trial
Randomised controlled trial of a brief intervention targeting predominantly non-verbal communication in general practice consultations.
The impact of changing non-verbal consultation behaviours is unknown. ⋯ Brief training of GPs in predominantly non-verbal communication in the consultation and reflection on consultation videotapes improves patients' perceptions of satisfaction, distress, a partnership approach, and health promotion.
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Randomized Controlled Trial
Experiences of a commercial weight-loss programme after primary care referral: a qualitative study.
Referral to a commercial weight-loss programme is a cost-effective intervention that is already used within the NHS. Qualitative research suggests this community-based, non-medical intervention accords with participants' view of weight management as a lifestyle issue. ⋯ Referral by the GP and follow-up assessment appointments were integral to participant experiences of the intervention, and could be adapted for use in general practice potentially to augment treatment effects.
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Randomized Controlled Trial
Perspectives of older people engaging in nurse-led cardiovascular prevention programmes: a qualitative study in primary care in the Netherlands.
Cardiovascular prevention programmes are increasingly being offered to older people. To achieve the proposed benefits, adherence is crucial. Understanding the reasons for adherence and non-adherence can improve preventive care. ⋯ To successfully engage older people in long-term, preventive consultations, the approach of the healthcare provider is crucial. Key elements are to offer regular check-ups, use a coaching approach and to build a personal relationship with the patient.
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Randomized Controlled Trial
Early diagnostic suggestions improve accuracy of GPs: a randomised controlled trial using computer-simulated patients.
Designers of computerised diagnostic support systems (CDSSs) expect physicians to notice when they need advice and enter into the CDSS all information that they have gathered about the patient. The poor use of CDSSs and the tendency not to follow advice once a leading diagnosis emerges would question this expectation. ⋯ Reminding GPs of diagnoses to consider before they start testing hypotheses can improve diagnostic accuracy irrespective of case difficulty, without lengthening information search.
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Randomized Controlled Trial Multicenter Study
Effectiveness of a smartphone application to promote physical activity in primary care: the SMART MOVE randomised controlled trial.
Physical inactivity is a major, potentially modifiable, risk factor for cardiovascular disease, cancer, and other chronic diseases. Effective, simple, and generalisable interventions that will increase physical activity in populations are needed. ⋯ A simple smartphone app significantly increased physical activity over 8 weeks in a primary care population.