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Step your way to a longer life: examining the relation between step counts, morbidity and mortality

Por: Blond · K. · Grontved · A.

Commentary on: del Pozo Cruz B, Ahmadi MN, Lee IM, Stamatakis E. Prospective Associations of Daily Step Counts and Intensity With Cancer and Cardiovascular Disease Incidence and Mortality and All-Cause Mortality. JAMA Intern Med. 2022 Nov 1;182(11):1139-1148. doi: 10.1001/jamainternmed.2022.4000.

Implications for practice and research

  • Encouraging daily steps and increasing the daily time with high cadence steps may be important means to prevent morbidity and prolong lifespan.

  • Assessment of daily steps over a longer period may further elucidate the shape of the dose–response relationship and better quantify the benefits of increasing daily step counts.

  • Context

    Physical activity is widely recommended due to the extensive evidence supporting its numerous health benefits, including lower risks of morbidity and mortality. While current physical activity guidelines quantify their recommendations in terms of minutes of physical activity, step count has emerged as another popular metric for quantifying physical activity. However,...

    Perceptions of conflicting information about long-term medications: a qualitative in-depth interview study of patients with chronic diseases in the Swiss ambulatory care system

    Por: Santos · B. · Blondon · K. S. · Sottas · M. · Carpenter · D. · Backes · C. · Van Gessel · E. · Schneider · M. P.
    Objective

    Patients with multiple long-term conditions visit various healthcare professionals and are exposed to medication information from various sources causing an increased risk of patients perceiving contradictory medication information. The aims of this study are to: (1) characterise conflicting medication information perceived by patients with long-term conditions, (2) better understand the related impact on patients’ medication self-management and healthcare system navigation and (3) explore ways in which such events could be prevented.

    Design

    This study was conducted through qualitative semistructured interviews. Data were analysed using thematic analysis.

    Setting

    Community pharmacies and medical centres in Geneva, Switzerland.

    Participants

    This study included outpatients from April 2019 to February 2020. Patients were included after participating in a quantitative survey of perceived conflicting information about medications for long-term diseases.

    Methods

    Semistructured audiotaped interviews of 20 to 60 min following a pre-established interview guide to explore participants’ perceptions of conflicting information. Interviews were transcribed verbatim, and a thematic analysis was conducted with inductive and deductive coding using MAXQDA (2018, Release 18.2.3).

    Results

    Twenty-two patients were interviewed, until data saturation, mentioning indication or need for a medication as the main topic of conflicting information between two healthcare professionals. Perceived conflicting information often resulted from insufficient information provided and poor communication leading to confusion, doubts and medication non-adherence. Patients expected more information and more interprofessional communication on their medications. As a result of conflicting information, most participants learnt or were learning to take an active role and become partners of the healthcare providers.

    Conclusion

    The need to strengthen and improve communication and interprofessional collaborative practice among healthcare professionals and with the patient is emerging to increase the quality and consistency of information about medications, and consequently, to ensure better use and experience of medications.

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