Lifestyle Advice in Primary Care Consultations
Research type
Research Study
Full title
Lifestyle Advice in Primary Care Consultations
IRAS ID
191521
Contact name
Kathrina Connabeer
Contact email
Sponsor organisation
Loughborough University
Duration of Study in the UK
3 years, 0 months, 1 days
Research summary
The proposed study will use a UK Data Archive of GP medical consultations (REC ref number is 14/SW/0112) created by Dr Rebecca Barnes, Bristol University. The previous study was ethically approved and funded by NIHR School of Primary Care Research to create a database of video-recorded consultations plus linked data that could be shared for future research and teaching purposes. Data were collected from 12 practices, across Bristol, South Gloucestershire and North Somerset. Between September 2014-April 2015, 327 consultations from 23 GPs were recorded, with 89.8% (n=300) patients giving consent for the data to be accessed by other researchers, subject to ethical approval. In addition to these video-recordings, there is also linked data in the form of 1,000 surveys.
The current proposed study will screen these consultations and code instances of where the doctor provides advice to the patient relating to behaviour change of particular lifestyle factors (smoking, alcohol consumption, weight management, diet and Physical activity). Once these instances have been identified within the consultations, the conversation analytic method will be used to examine the interaction between the doctor and patient during these advice sequences, before a systematic detailed analysis is assembled. A number of research questions will be addressed within this analysis: 1) Who initiated the advice sequence; 2) Examination of the linguistic design of the advice sequence; 3) Patient response to the advice sequence; 4) interactional strategies used by the doctor to encourage adherence to advice; 5) where do these advice sequence occur within the consultation.
Furthermore, there will be a statistical analysis of the surveys completed by both the patient and doctor specifically focusing on questions relating to advice; comparing the patients and doctors interpretation of the consultation and to see what actions the patient has taken in relation to the advice given in the consultation, in the follow up survey.REC name
London - Surrey Research Ethics Committee
REC reference
15/LO/1969
Date of REC Opinion
6 Nov 2015
REC opinion
Favourable Opinion