title: Patients' and practitioners' views on health behaviour change: a qualitative study.
abstract: OBJECTIVE
  This study was designed to examine patients' and health professionals' perspectives on lifestyle behaviour change and to inform the development of a lifestyle behaviour change intervention to be used in primary care.
  
  
  METHODS
  Focus groups were conducted with seven patients and 13 health professionals where they were asked to discuss lifestyle behaviour change in relation to the design and development phase of a tailored lifestyle behaviour change intervention package.
  
  
  RESULTS
  An inductive thematic analysis of transcripts suggested a range of issues that are relevant to the development and implementation of lifestyle change interventions such as time, lack of resources and starting interventions too late, as well as personal circumstances and the continuous effort that behaviour change requires. They were interpreted as two superordinate themes of 'internal and external influences on behaviour change' and 'behaviour change initiation and maintenance'. The results are discussed in relation to the implications they may have for researchers and health service commissioners designing interventions and practitioners implementing lifestyle change interventions in primary care.
  
  
  CONCLUSIONS
  Many factors are involved in patients' and health care professionals' understanding of interventions and lifestyle behaviour change. These should be taken into consideration when designing interventions based on behaviour change theories.
authors.affiliation: Research and Development Directorate, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, England. laura.elwell@bch.nhs.uk
authors.forename: Laura
authors.initials: L
authors.lastname: Elwell
authors.forename: Rachel
authors.initials: R
authors.lastname: Povey
authors.forename: Sarah
authors.initials: S
authors.lastname: Grogan
authors.forename: Candia
authors.initials: C
authors.lastname: Allen
authors.forename: Andrew
authors.initials: A
authors.lastname: Prestwich
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D005260:Female; D017144:Focus Groups; D015438:Health Behavior; D006282:Health Personnel / Q000523:psychology*; D006293:Health Promotion / Q000458:organization & administration; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000458:organization & administration; D011582:Psychological Theory; D036301:Qualitative Research