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A systematic review of patient reported factors associated with uptake and completion of cardiovascular lifestyle behaviour change
Open accessAbstract
BACKGROUND: Healthy lifestyles are an important facet of cardiovascular risk management. Unfortunately many individuals fail to engage with lifestyle change programmes. There are many factors that patients report as influencing their decisions about initiating lifestyle change. This is challenging for health care professionals who may lack the skills and time to address a broad range of barriers to lifestyle behaviour. Guidance on which factors to focus on during lifestyle consultations may assist healthcare professionals to hone their skills and knowledge leading to more productive patient interactions with ultimately better uptake of lifestyle behaviour change support. The aim of our study was to clarify which influences reported by patients predict uptake and completion of formal lifestyle change programmes. METHODS: A systematic narrative review of quantitative observational studies reporting factors (influences) associated with uptake and completion of lifestyle behaviour change programmes. Quantitative observational studies involving patients at high risk of cardiovascular events were identified through electronic searching and screened against pre-defined selection criteria. Factors were extracted and organised into an existing qualitative framework. RESULTS: 374 factors were extracted from 32 studies. Factors most consistently associated with uptake of lifestyle change related to support from family and friends, transport and other costs, and beliefs about the causes of illness and lifestyle change. Depression and anxiety also appear to influence uptake as well as completion. Many factors show inconsistent patterns with respect to uptake and completion of lifestyle change programmes. CONCLUSION: There are a small number of factors that consistently appear to influence uptake and completion of cardiovascular lifestyle behaviour change. These factors could be considered during patient consultations to promote a tailored approach to decision making about the most suitable type and level lifestyle behaviour change support.
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“A systematic review of observational studies reported mixed findings regarding an association between behaviour change and social isolation in the context of cardiovascular disease 30 .”
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“| Behaviour change (Murray et al 2012) | | | + |”
From An overview of systematic reviews on the public health consequences of social isolation and loneliness (2017) · cites this paper as Murray et al 2012
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Additional file 1 of Exploring targeted preventive health check interventions – a realist synthesis
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Metadata
- Authors
- Murray, J., Craigs, C. L., Hill, K. M., Honey, S., & House, A.
- Affiliations
- University of Leeds (GB)
- Corresponding author
- Murray, Jenni
- Venue
- BMC Cardiovascular Disorders
- Published
- 2012-12
- Volume
- 12
- Issue
- 1
- Pages
- 120-120
- ISSN
- 1471-2261 (ISSN-L)
- PMC
- PMC3522009
- OpenAlex
- W1981030309
- Cited by
- 138
- References
- 90
- Citations by year
- 2026: 8 · 2025: 3 · 2024: 12 · 2023: 13 · 2022: 15 · 2021: 9 · 2020: 12 · 2019: 12 · 2018: 11 · 2017: 10 · 2016: 10 · 2015: 12 · 2014: 5 · 2013: 6
- FWCI
- 1.13
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Cardiovascular Disorders (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute for Health and Care Research
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Keywords
- program uptake, program completion, patient-reported factors, barriers to lifestyle change, family and social support, cost barriers, illness beliefs, depression, anxiety, cardiovascular risk management, patient consultation
- MeSH terms
- Cardiovascular Diseases, Humans, Life Style, Health Behavior
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