Effectiveness, feasibility, and acceptability of behaviour change tools used by family doctors: a global systematic review

The British journal of general practice: the journal of the Royal College of General Practitioners

article

Lauren Ball¹  Bryce Brickley²  Lauren T Williams²  Jenny Advocat³  Elizabeth Rieger⁴  Raeann Ng⁵  Nilakshi Gunatillaka³  Alexander M Clark⁶  Elizabeth Sturgiss³ 

[1] The University of Queensland;Menzies Health Institute Queensland, Griffith University;School of Primary and Allied Health Care, Monash University;Australian National University;School of Medicine, Monash University;Faculty of Health Disciplines, Athabasca University

关键词: physicians;    family;    general practice;    lifestyle behaviours;    health behaviour;    primary care;    quality;   

DOI  :  10.3399/BJGP.2022.0328

学科分类：卫生学

来源: Royal College of General Practitioners

【 摘 要 】

Background Priority patients in primary care include people from low-income, rural, or culturally and linguistically diverse communities, and First Nations people.Aim To describe the effectiveness, feasibility, and acceptability of behaviour change tools that have been tested by family doctors working with priority patients.Design and setting A global systematic review.Method Five databases were searched for studies published from 2000 to 2021, of any design, that tested the effectiveness or feasibility of tangible, publicly available behaviour change tools used by family doctors working with priority patients. The methodological quality of each study was appraised using the Mixed Methods Appraisal Tool.Results Thirteen of 4931 studies screened met the eligibility criteria, and described 12 tools. The health-related behaviours targeted included smoking, diet and/or physical activity, alcohol and/or drug use, and suicidal ideation. Six tools had an online/web/app-based focus; the remaining six utilised only printed materials and/or in-person training. The effectiveness of the tools was assessed in 11 studies, which used diverse methods, with promising results for enabling behaviour change. The nine studies that assessed feasibility found that the tools were easy to use and enhanced the perceived quality of care.Conclusion Many of the identified behaviour change tools were demonstrated to be effective at facilitating change in a target behaviour and/or feasible for use in practice. The tools varied across factors, such as the mode of delivery and the way the tool was intended to influence behaviour. There is clear opportunity to build on existing tools to enable family doctors to assist priority patients towards achieving healthier lifestyles.

【 授权许可】

Free