Passive interventions in primary healthcare waiting rooms are effective in promoting healthy lifestyle behaviours: an integrative review
Sarah J. Cass A , Lauren E. Ball B C and Michael D. Leveritt A
+ Author Affiliations
- Author Affiliations
A School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, Qld 4072, Australia.
B Menzies Health Institute Queensland, Griffith University Gold Coast Campus, Parklands Drive, Southport, Qld 4222, Australia.
C Corresponding author. Email: l.ball@griffith.edu.au
Australian Journal of Primary Health 22(3) 198-210 https://doi.org/10.1071/PY15043
Submitted: 4 March 2015 Accepted: 17 October 2015 Published: 27 April 2016
Abstract
Primary healthcare waiting rooms have the potential to provide health-promoting environments to support healthy lifestyle behaviours such as smoking cessation, weight management and safe contraception. Passive interventions are cost-effective and continually available within an environment or setting, allowing individuals to interact, engage and learn about topics. The aim of this study was to undertake an integrative review to investigate the effectiveness of passive health-related waiting room interventions in improving healthy lifestyle behaviours, as well as precursors to behaviour change. The integrative review encompassed five phases: problem identification, literature search, data evaluation, data analysis and presentation of results. Quantitative, qualitative and mixed methods studies were included. Of the 9205 studies originally identified, 33 publications were included and grouped under four areas: knowledge about a health condition or behaviour, attitudes and intentions towards a health condition or behaviour, healthcare use and interactions, and health-related behaviours. Overall, the passive interventions had a general positive influence on knowledge, intentions, healthcare use and behaviours. Variable outcomes were reported regarding attitude towards a health topic. Few studies were assessed as both high quality and the highest suitability to assess effectiveness of interventions. Consideration of the clinical significance of improvements is warranted before implementation of future interventions. Overall, passive waiting room interventions appear to be effective in promoting healthy lifestyle behaviours.
Additional keywords: chronic disease, health behaviour, health promotion.
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