--- title: "Preval and correlates of MD-geriatric pt lifestyle discussns | Sutter Health" description: "Given the impact of lifestyle behaviors on myriad health outcomes, the current prevalence rates of physician discussion, while higher than in many previous studies, remain sub-optimal." url: "https://www.sutterhealth.org/research/publications/preval-correlates-md-geriat-pt-lifestyle-discuss-1055312586" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Preval and correlates of MD-geriatric pt lifestyle discussns # Prevalence and correlates of doctor-geriatric patient lifestyle discussions: analysis of ADEPT videotapes. Ory MG, Yuma PJ, Hurwicz ML, Jarvis C, Barron KL, Tai-Seale T, Tai-Seale M, Patel D, Hackethorn D, Bramson R, Street R, & Cook MA. _Prev Med. 43(6):494-7. Epub 2006 Aug 9._ 2006-12-06 ## Abstract BACKGROUND: This study identifies the prevalence and correlates of physician-geriatric patient discussions about physical activity and nutrition lifestyle behaviors. METHODS: Between August 1998 and July 2000, 423 older patient visits to 36 physicians were videotaped in three different primary care settings. The patient sample was primarily white, female, well-educated, and financially sufficient, although 12.7% of the encounters occurred in an inner city clinic. The major dependent variable-lifestyle discussion-is based on observations of physician behavior. Descriptive and multivariate logistic regression analyses were conducted in 2004. RESULTS: Nutrition talk was most prevalent, occurring in almost half the encounters (48.2%) followed by physical activity discussions (39.2%) then conjoint mention (22%). Discussions were significantly less likely to occur in acute visits. While ethnicity, gender, and length of visit were not significantly related, physician interaction style and patient vitality and education were significant predictors in the multivariate analyses. CONCLUSIONS: Given the impact of lifestyle behaviors on myriad health outcomes, the current prevalence rates of physician discussion, while higher than in many previous studies, remain sub-optimal. Practical assessment tools, training in behavioral counseling, and reimbursement incentives are recommended strategies for raising physical activity and nutrition discussion prevalence in primary care settings. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/?term=ory+mg%2C+yuma+pj%2C+2006) ## Research topics - [Aging and Longevity](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Aging+and+Longevity%5C%22%22) - [Food and Nutrition](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Food+and+Nutrition%5C%22%22) - [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22) - [Prevention and Health Maintenance](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Prevention+and+Health+Maintenance%5C%22%22) - [Women's Health](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Women%27s+Health%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Impact of a nutrition education program to increase intake of calcium-rich foods by Chinese-American women.](https://www.sutterhealth.org/research/publications/increasing-calcium-intake-in-chinese-am-women-1055312644) Lv N, Brown JL. J Am Diet Assoc. 111(1):143-9. doi: 10.1016/j.jada.2010.10.005. 2011 Jan 01 - Publication ### [Practice-level approaches for behavioral counseling and patient health behaviors.](https://www.sutterhealth.org/research/publications/practice-level-approach-beh-counsel-pt-health-behs-1055312530) Balasubramanian BA, Cohen DJ, Clark EC, Isaacson NF, Hung DY, Dickinson LM, Fernald DH, Green LA, Crabtree BF. Am J Prev Med. 35(5 suppl):S407-13. doi: 10.1016/j.amepre.2008.08.004. 2008 Nov 01 - Publication ### [Prioritization of evidence-based preventive health services during periodic health examinations.](https://www.sutterhealth.org/research/publications/priority-of-preventive-health-services-in-visits-1055312580) Shires DA, Stange KC, Divine G, Ratliff S, Vashi R, Tai-Seale M, Lafata JE. Am J Prev Med. 42(2):164-73. doi: 10.1016/j.amepre.2011.10.008. 2012 Feb 01 - Publication ### [Healthcare access and utilization among Korean Americans: the mediating role of English use and proficiency.](https://www.sutterhealth.org/research/publications/healthcare-access-use-korean-ams-english-use-1055312415) Li J, Maxwell AE, Glenn BA, Herrmann AK, Chang LC, Crespi CM, Bastani R. Int J Soc Sci Res. 2016;4(1):83-97. 2016 Jan 21 - Publication ### [Medicare annual preventive care visits: use increased among fee-for-service patients, but many do not participate.](https://www.sutterhealth.org/research/publications/medicare-preventive-care-in-fee-for-svce-pts-1055312874) Chung S, Lesser LI, Lauderdale DS, Johns NE, Palaniappan LP, Luft HS. Health Aff (Millwood). 34(1):11-20. doi: 10.1377/hlthaff.2014.0483. 2015 Jan 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/preval-correlates-md-geriat-pt-lifestyle-discuss-1055312586#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Preval and correlates of MD-geriatric pt lifestyle discussns"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/preval-correlates-md-geriat-pt-lifestyle-discuss-1055312586#medicalscholarlyarticle","name":"Prevalence and correlates of doctor-geriatric patient lifestyle discussions: analysis of ADEPT videotapes.","headline":"Preval and correlates of MD-geriatric pt lifestyle discussns","abstract":"BACKGROUND: This study identifies the prevalence and correlates of physician-geriatric patient discussions about physical activity and nutrition lifestyle behaviors. METHODS: Between August 1998 and July 2000, 423 older patient visits to 36 physicians were videotaped in three different primary care settings. The patient sample was primarily white, female, well-educated, and financially sufficient, although 12.7% of the encounters occurred in an inner city clinic. The major dependent variable-lifestyle discussion-is based on observations of physician behavior. Descriptive and multivariate logistic regression analyses were conducted in 2004. RESULTS: Nutrition talk was most prevalent, occurring in almost half the encounters (48.2%) followed by physical activity discussions (39.2%) then conjoint mention (22%). Discussions were significantly less likely to occur in acute visits. While ethnicity, gender, and length of visit were not significantly related, physician interaction style and patient vitality and education were significant predictors in the multivariate analyses. CONCLUSIONS: Given the impact of lifestyle behaviors on myriad health outcomes, the current prevalence rates of physician discussion, while higher than in many previous studies, remain sub-optimal. Practical assessment tools, training in behavioral counseling, and reimbursement incentives are recommended strategies for raising physical activity and nutrition discussion prevalence in primary care settings.","description":"Given the impact of lifestyle behaviors on myriad health outcomes, the current prevalence rates of physician discussion, while higher than in many previous studies, remain sub-optimal.","keywords":["Aging and Longevity","Food and Nutrition","Health Services","Prevention and Health Maintenance","Women's Health"],"datePublished":"2006-12-06","url":"https://www.sutterhealth.org/research/publications/preval-correlates-md-geriat-pt-lifestyle-discuss-1055312586","inLanguage":"en-US","isPartOf":{"@type":"Periodical","name":"Prev Med"},"author":[{"@type":"Person","name":"Ory MG"},{"@type":"Person","name":"Yuma PJ"},{"@type":"Person","name":"Hurwicz ML"},{"@type":"Person","name":"Jarvis C"},{"@type":"Person","name":"Barron KL"},{"@type":"Person","name":"Tai-Seale T"},{"@type":"Person","name":"Tai-Seale M"},{"@type":"Person","name":"Patel D"},{"@type":"Person","name":"Hackethorn D"},{"@type":"Person","name":"Bramson R"},{"@type":"Person","name":"Street R"},{"@type":"Person","name":"Cook MA"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Aging and Longevity","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Aging+and+Longevity%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Food and Nutrition","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Food+and+Nutrition%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Health Services","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Health+Services%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Prevention and Health Maintenance","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Prevention+and+Health+Maintenance%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Women's Health","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Women%27s+Health%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/preval-correlates-md-geriat-pt-lifestyle-discuss-1055312586","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/preval-correlates-md-geriat-pt-lifestyle-discuss-1055312586#breadcrumblist"}}} ```