Cardiometabolic prevention consultation in the Netherlands: screening uptake and detection of cardiometabolic risk factors and diseases--a pilot study.

Background: Until now, cardiometabolic risk assessment in Dutch primary health care was directed at case-finding, and structured, programmatic prevention is lacking. Therefore, the Prevention Consultation cardiometabolic risk (PC CMR), a stepwise approach to identify and manage patients with cardiometabolic risk factors, was developed. The aim of this study was 1) to evaluate uptake rates of the two steps of the PC CMR, 2) to assess the rates of newly diagnosed hypertension, hypercholesterolemia, diabetes mellitus and chronic kidney disease and 3) to explore reasons for non-participation.

Beliefs and attitudes to lifestyle, nutrition and physical activity: the views of patients in Europe.

Objective: The aim of the EUROPREVIEW study was to explore patients' beliefs about the importance of lifestyle and preventive services, to assess their readiness to make changes in diet and physical activity and their willingness to receive support from GPs.

Methods: The study was done in 22 European countries, in 10 practices per country, with each 40 patients aged 30-70 years. The interview period was September 2008 to September 2009.

Primary care and public health a natural alliance? The introduction of the guidelines for obesity and undernutrition of the Dutch College of General Practitioners.

The prevalence of obesity and overweight is increasing globally and forms a huge public health problem. On the other hand, the prevalence of malnutrition or undernutrition is substantial, especially in nursing homes or in the elderly at home. Primary care and public health are separate disciplines.

Attitudes toward preventive services and lifestyle: the views of primary care patients in Europe. the EUROPREVIEW patient study.

Background: For preventive interventions in general practice to succeed, patients' points of view must be taken into account in addition to those of GPs.

Objective: To explore patients' views and beliefs about the importance of lifestyle and preventive interventions, to assess their readiness to make changes to their lifestyle and their willingness to receive support from GPs.

Methods: Cross-sectional survey conducted by EUROPREV in primary care practices in 22 European countries.

Bridging the gap between public health and primary care in prevention of cardiometabolic diseases; background of and experiences with the Prevention Consultation in The Netherlands.

Background: There is an increasing need for programmatic prevention of cardiometabolic diseases (cardiovascular disease, type 2 diabetes and chronic kidney disease). Therefore, in the Netherlands, a prevention programme linked to primary care has been developed. This initiative was supported by the national professional organizations of GPs and occupational physicians as well as three large health foundations.

Primary prevention of cardio-metabolic diseases in general practice: a Dutch survey of attitudes and working methods of general practitioners.

Background: To study the attitudes and working methods of general practitioners (GPs) in primary prevention of cardiovascular diseases, diabetes mellitus and chronic kidney diseases.

Methods: A questionnaire with questions about attitude and working methods in the primary prevention of cardiovascular diseases, diabetes mellitus and chronic kidney diseases in general practice was sent to a representative sample of 1,100 Dutch GPs. The questionnaire was developed in collaboration with experts in general practice, cardiovascular disease, diabetes and kidney disease.

The development of a minimal intervention strategy to address overweight and obesity in adult primary care patients in The Netherlands.

Background: Currently, overweight and obesity do not receive the attention they deserve from the Dutch GPs, mostly because of a lack of an effective intervention strategy to tackle this difficult health problem.

Objective: To develop a minimal intervention strategy (MIS) addressing overweight and obesity among adult primary care patients, resulting in a prototype.

Methods: Following the intervention mapping protocol, the MIS is based on literature study, existing interventions, psychosocial theories, stakeholder interviews and a questionnaire study among stakeholders.

Nutrition guidance in The Netherlands: the role of the GP in the translation from population strategy to individual approach.

An important pitfall of nutritional guidance in medical practice is how to deal with the prevention paradox: a nutritional advice that is good for the population as a whole is not necessarily proven effective for the individual patient. Evidence-based guidelines are needed to support GPs to translate these advices to the individual patient. We illustrate this with two examples: obesity and undernutrition.

Multifaceted support to improve preventive cardiovascular care: a nationwide, controlled trial in general practice.

Background: Multifaceted interventions improve the quality of preventive cardiovascular care in general practice when applied in small-scale research trials.

Aim: To test the transferability of observations from research trials on preventive cardiovascular care to a real-world situation and, therefore, evaluate the effectiveness of a nationwide project with a large number of practices. The intervention comprised a combination of conferences, dissemination of manuals, and support from trained non-physicians during outreach visits.

Patient information letters on nutrition: development and implementation.

Background: In 1998 the Dutch College of General Practitioners (NHG) began developing patient information letters (PILs), based on the practice guidelines for family physicians (FPs) (NHG standards). Five nutritional guidance letters have since been developed with the Dutch Nutrition Center.

Methods: In August-September 2001 a survey was done among a random sample of 200 FPs who subscribe to the PILs.

ICPC-code approach of nutritional questions in general practice: a look at the future.

The Dutch College of General Practitioners is developing a computerised consult supporting system on nutrition that is integrated in the widely used GP Information System. Connected to every ICPC-code (International Code of Primary Care) for diagnosis relevant nutritional information is available. Short items simple sentences with respect to the content-provide the main nutritional information, needed to inform the patient within the limited consultation time.

[Folic acid use for women desiring offspring: the family physician's response].

Objective: To establish to what extent general practitioners (GP's) are familiar with the folic acid campaign of the Netherlands Bureau for Food and Nutrition Education, display a positive attitude regarding use of folic acid tablets by women who would like to become pregnant and factually provide information on folic acid.

Design: Cross-sectional, descriptive.

Setting: Regions: Central Brabant, Achterhoek, Randstad and Northern Netherlands.