Skip Navigation


Family Practice Advance Access originally published online on May 30, 2006
Family Practice 2006 23(5):587-596; doi:10.1093/fampra/cml024
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
23/5/587    most recent
cml024v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Ononeze, V.
Right arrow Articles by Macfarlane, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ononeze, V.
Right arrow Articles by Macfarlane, A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author (2006). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Patients and health professionals' perspectives on the sociocultural influences on secondary cardiac behaviour: a qualitative study of the implications in policy and practice

Victoria Ononezea, Andrew W Murphya, Molly Byrneb, Colin Bradleyc and Anne Macfarlanea

a Department of General Practice, National University of Ireland Galway, Ireland
b Department of Psychology, National University of Ireland Galway, Ireland
c Department of General Practice University College Cork, Ireland

Correspondence to Victoria Ononeze, The Firs, Mainsforth, County Durham, DL17 9AA, UK; Email: v.ononeze{at}btinternet.com

Objectives. To explore the similarities and differences between patients and health professionals' perspectives on the sociocultural influences on secondary cardiac behaviour, and the implications in policy and practice.

Methods. Qualitative study using grounded theory research. We used a linked, phased study to ascertain the factors which helped shape patients' views about their heart problems and how these influence secondary cardiac behaviour. We also explored health professionals' perspectives on patients' views and interpretations. A total of 70 participants, 56 patients and 14 health professionals, took part in individual and group interviews and focus groups.

Results. Patients seemed in control of their heart condition and communicated a sense of satisfaction in how they manage it. To interpret the sociocultural influences on secondary cardiac behaviour, patients used theirs and community knowledge of heart disease, personal constructions of cardiac illness, together with their individual belief systems, particularly relating to lay health beliefs. Individual interpretations were unique and contextual, but there were many common views which did not differ between patients.

Conclusions. Patients and health professionals reported similar areas of influence but there were important differences in emphasis. Providers described the ambivalence between being positive about the future health of patients to boost their recovery process, and recognition that this positive outlook could be construed as a ‘cure’.

Keywords. Grounded theory research, lay and professional perspectives on heart disease, secondary heart disease prevention, sociocultural influences.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Health Educ ResHome page
V. Ononeze, A. W. Murphy, A. MacFarlane, M. Byrne, and C. Bradley
Expanding the value of qualitative theories of illness experience in clinical practice: a grounded theory of secondary heart disease prevention
Health Educ. Res., May 30, 2008; (2008) cyn028v1.
[Abstract] [Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.