Exploring behaviour change in general practice consultations: A realist approach.

Objectives: While general practice involves supporting patients to modify their behaviour, General Practitioners (GPs) vary in their approach to behaviour change during consultations. We aimed to identify mechanisms supporting GPs to undertake successful behaviour change in consultations for people with T2DM by exploring (a) the role of GPs in behaviour change, (b) what happens in GP consultations that supports or impedes behaviour change and (c) how context moderates the behaviour change consultation.

Methods: Semi-structured interviews with academic clinicians ( = 13), GPs ( = 7) and patients with T2DM ( = 16) across Australia.

Capturing spatial variability of factors affecting the water allocation plans-a geo-informatics approach for large irrigation schemes.

The livelihoods of poor people living in rural areas of Indus Basin Irrigation System (IBIS) of Pakistan depend largely on irrigated agriculture. Water duties in IBIS are mainly calculated based on crop-specific evapotranspiration. Recent studies show that ignoring the spatial variability of factors affecting the crop water requirements can affect the crop production.

Behaviour change for type 2 diabetes: perspectives of general practitioners, primary care academics, and behaviour change experts on the use of the 5As framework.

Background: The 5As framework is a recognized underpinning of behaviour change guidelines, teaching, and research in primary care. Supporting patients to improve their lifestyle behaviours, including diet and physical activity, is a common aspect of type 2 diabetes mellitus (T2DM) management. The 5As framework often informs behaviour change for patients with T2DM.

The ATTACH™ program and immune cell gene expression profiles in mothers and children: A pilot randomized controlled trial.

Background: Children exposed to adversity and toxic stress are at increased risk for poor health across the lifespan, possibly through alterations to immune pathways. Parenting interventions could buffer the effect of adversity on child immune activity. The purpose of this study was to test whether mothers and children who were randomly assigned to a parenting intervention (ATTACH™) had healthier post-intervention immune cell gene expression patterns, as indexed by the Conserved Transcriptional Response to Adversity (CTRA), compared with mothers and children in a wait-list control group.