title: Implementation of healthy lifestyle promotion in primary care: patients as coproducers.
abstract: OBJECTIVE
  To explore and theorize how patients perceive, interpret, and reactin healthy lifestyle promotion situations in primary care and to investigate patients' role in implementation of lifestyle promotion illustrated by typologies.
  
  
  METHODS
  Grounded theory was used to assess qualitative interview data from 22 patients with varied experience of healthy lifestyle promotion. Data were analyzed by constant comparative analysis.
  
  
  RESULTS
  A substantive theory of being healthy emerged from the data. The theory highlights the processes that are important for implementation before, during, and after lifestyle promotion. Three interconnected categories emerged from the data: conditions for being healthy, managing being healthy, and interactions about being healthy; these formed the core category: being healthy. A typology proposed four patient trajectories on being healthy: resigned, receivers, coworkers, and leaders.
  
  
  CONCLUSIONS
  Patients coproduced the implementation of lifestyle promotion through the degree of transparency, which was a result of patients' expectations and situation appraisals.
  
  
  CONCLUSIONS
  Different approaches are needed during lifestyle promotion depending on a variety of patient-related factors. The typology could guide practitioners in their lifestyle promotion practice.
authors.affiliation: Department of Medical and Health Sciences, Division of Community Medicine, Linköping University, 58183 Linköping, Sweden. Electronic address: kristin.thomas@liu.se.
authors.forename: Kristin
authors.initials: K
authors.lastname: Thomas
authors.affiliation: Department of Medical and Health Sciences, Division of Community Medicine, Linköping University, 58183 Linköping, Sweden; Department of Medical Specialist and Department of Medical and Health Sciences, Linköping University, Motala, Sweden.
authors.forename: Preben
authors.initials: P
authors.lastname: Bendtsen
authors.affiliation: Department of Medical and Health Sciences, Division of Health Care Analysis, Linköping University, Linköping, Sweden.
authors.forename: Barbro
authors.initials: B
authors.lastname: Krevers
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D066296:Grounded Theory; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007407:Interviews as Topic; D008019:Life Style; D008875:Middle Aged; D011320:Primary Health Care / Q000379:methods*; D036301:Qualitative Research; D040242:Risk Reduction Behavior
keywords: Grounded theory; Implementation; Lifestyle promotion; Primary care