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Title
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Research on health behaviour change determinants in primary care waiting rooms and behaviour changes or artefacts related to this research
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Author
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Abstract
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| The general purpose of this thesis was the study of tools to enhance health behaviour with patients in primary care waiting rooms. The time patients spent in the waiting room was used as an opportunity for a moment of health education. A systematic review on educative efficiency of audio-visual aids in primary care waiting rooms learned that audio-visual aids broadcasting messages using screens (TVs, computers, tablets, smartphones with Bluetooth pairing) probably enhance patients’ knowledge, but a change in health behaviour remains controversial. In a second phase the thesis focused on the annual advertisement campaign by posters and pamphlets in general practice (GP) waiting rooms to promote seasonal influenza vaccination as a paradigm to measure the efficacy of posters and pamphlets with a randomized controlled trial (RCT). It is notable that the validity of studies in the field of changes in health behaviour is often invalidated by experimental artefacts, in particular, the so-called Hawthorne effect (HE), related to behavioural changes in patients and in investigators caused by the experimental environment. The thesis sought to update and refine the definition of the HE in medical research and more specifically in primary care. Following our refined definition, the probability of a HE in the RCT was scarce, but no indisputable evidence was strengthening our conclusions. We redesigned our RCT bypassing the limitations of the first and followed over two years our research cohort to obtain an insight of the natural evolution of seasonal influenza vaccination uptake in GPs’ customer base. |
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Language
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English
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Publication
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Antwerp
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University of Antwerp, Faculty of Medicine and Health Sciences, Department of Primary and Interdisciplinary Care
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2023
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Volume/pages
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143 p.
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Note
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Van Royen, Paul [Supervisor]
:
Peremans, Lieve [Supervisor]
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Full text (open access)
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