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Health care professionals’ experiences and perceptions of health promotion through the health dialogue intervention in the scania region, Sweden : a qualitative interview study

Alenius, Sara ; Olsson, Kjell LU orcid ; Thomasson, Ena and Magnusson, Lina LU orcid (2023) In BMC Primary Care 24.
Abstract

Background: Cardiovascular disease and type 2 diabetes are among the largest public health challenges in Sweden. Research indicates that a healthy lifestyle can prevent most cases. The health dialogue is an evidence-based public health programme for primary care with positive results in several regions of Sweden. This study aimed to describe health care professionals’ experiences and perceptions of health promotion through the health dialogue intervention during the pilot phase in the Scania region of Sweden. Methods: The study consists of 12 individual interviews with health care professionals educated in the health dialogue method, implementing the intervention in Scania. Qualitative content analysis with an inductive approach was... (More)

Background: Cardiovascular disease and type 2 diabetes are among the largest public health challenges in Sweden. Research indicates that a healthy lifestyle can prevent most cases. The health dialogue is an evidence-based public health programme for primary care with positive results in several regions of Sweden. This study aimed to describe health care professionals’ experiences and perceptions of health promotion through the health dialogue intervention during the pilot phase in the Scania region of Sweden. Methods: The study consists of 12 individual interviews with health care professionals educated in the health dialogue method, implementing the intervention in Scania. Qualitative content analysis with an inductive approach was used. Results: The analysis resulted in 10 sub-categories and the four main categories: A more health-promoting mindset would benefit primary care; Empower individuals; Facilitate sustainable lifestyle changes; Challenges, tools and support for the implementation of the health dialogue. One overarching theme emerged: “Health dialogue, a potential start of a paradigm shift in Swedish primary care”. Conclusions: Conclusions imply that the health dialogue is a well-structured method with tools to make health promotion and primary prevention an integrated part of primary care. A respectful and motivating approach during the health dialogue is recommended. It is important to have an ongoing discussion about the approach among the health care professionals. Incorporating the Health Belief Model in the health care professionals’ education in the method could increase the focus on self-efficacy during counselling, which could favour the participants’ change process.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Content analysis, Health dialogue, Health promotion, Primary care, Sweden
in
BMC Primary Care
volume
24
article number
173
publisher
BioMed Central (BMC)
external identifiers
  • pmid:37661252
  • scopus:85169651587
ISSN
2731-4553
DOI
10.1186/s12875-023-02133-2
language
English
LU publication?
yes
id
342ee380-ce00-4e4d-8d78-eda314c66a7d
date added to LUP
2023-10-20 16:40:19
date last changed
2024-04-19 03:44:15
@article{342ee380-ce00-4e4d-8d78-eda314c66a7d,
  abstract     = {{<p>Background: Cardiovascular disease and type 2 diabetes are among the largest public health challenges in Sweden. Research indicates that a healthy lifestyle can prevent most cases. The health dialogue is an evidence-based public health programme for primary care with positive results in several regions of Sweden. This study aimed to describe health care professionals’ experiences and perceptions of health promotion through the health dialogue intervention during the pilot phase in the Scania region of Sweden. Methods: The study consists of 12 individual interviews with health care professionals educated in the health dialogue method, implementing the intervention in Scania. Qualitative content analysis with an inductive approach was used. Results: The analysis resulted in 10 sub-categories and the four main categories: A more health-promoting mindset would benefit primary care; Empower individuals; Facilitate sustainable lifestyle changes; Challenges, tools and support for the implementation of the health dialogue. One overarching theme emerged: “Health dialogue, a potential start of a paradigm shift in Swedish primary care”. Conclusions: Conclusions imply that the health dialogue is a well-structured method with tools to make health promotion and primary prevention an integrated part of primary care. A respectful and motivating approach during the health dialogue is recommended. It is important to have an ongoing discussion about the approach among the health care professionals. Incorporating the Health Belief Model in the health care professionals’ education in the method could increase the focus on self-efficacy during counselling, which could favour the participants’ change process.</p>}},
  author       = {{Alenius, Sara and Olsson, Kjell and Thomasson, Ena and Magnusson, Lina}},
  issn         = {{2731-4553}},
  keywords     = {{Content analysis; Health dialogue; Health promotion; Primary care; Sweden}},
  language     = {{eng}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Primary Care}},
  title        = {{Health care professionals’ experiences and perceptions of health promotion through the health dialogue intervention in the scania region, Sweden : a qualitative interview study}},
  url          = {{http://dx.doi.org/10.1186/s12875-023-02133-2}},
  doi          = {{10.1186/s12875-023-02133-2}},
  volume       = {{24}},
  year         = {{2023}},
}