Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 423638
Title A longitudinal study of changes in noticing and treating patients' overweight by Dutch GPs between 1997 and 2007
Author(s) Dijk, E.H. van; Kampen, J.K.; Hiddink, G.J.; Renes, R.J.; Binsbergen, J.J. van; Woerkum, C.M.J. van
Source Family Practice 29 (2012)Suppl 1. - ISSN 0263-2136 - p. i61 - i67.
Department(s) Communication Science
Education and Competence Studies
Strategic Communication
Knowledge Technology and Innovation
Publication type Refereed Article in a scientific journal
Publication year 2012
Keyword(s) primary-care physicians - nutrition communication styles - family doctors - guidance practices - general-practice - self-efficacy - barriers - obesity - information - strategies
Abstract Background. One of the stakeholders in tackling the rise and health consequences of overweight and obesity is the general practice physician (GP). GPs are in a good position to inform and give nutrition guidance to overweight patients. Objective. Assessment of working mechanism of determinants of the nutrition guidance practice: noticing patients’ overweight and guidance of treatment by GPs [linear analysis of structural relations (LISREL) path model] in a longitudinal study. Methods. This longitudinal study measured data in 1992, 1997 and 2007. The 1992 LISREL path model (Hiddink GJ, Hautvast J, vanWoerkum CMJ, Fieren CJ, vantHof MA. Nutrition guidance by primary-care physicians: LISREL analysis improves understanding. Prev Med 1997; 26: 29–36.) demonstrated that ‘noticing patients’ overweight and guidance of treatment’ was directly and indirectly influenced by predisposing factors, driving forces and perceived barriers. This article defines and discusses the path analysis of the 2007 data (compared with 1997). Results. This analysis shows both similarity and differences in working mechanism of determinants of noticing patients’ overweight and guidance of treatment between 1997 and 2007. The backbone of the mechanism with four predisposing factors is the similarity. The number of driving forces and of paths through intermediary factors to the dependent variable constitutes the difference. Conclusions. The backbone of the working mechanism of determinants of the nutrition guidance practice: noticing patients’ overweight and guidance of treatment by GPs was similar in 2007 and 1997. The influence of GPs task perception on noticing patients’ overweight and guidance of treatment considerably increased in 2007 compared to 1997. The longitudinal character of this article gives a strong practice-based evidence for weight management by GPs
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