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Lifestyle interventions often fail to successfully reach individuals with lower socio-economic status (SES), possibly because of the individual behavioural orientation to health behaviour and because limited research has included the target groups' perspectives in the development of interventions.
A possible reason for these shortcomings might be the individual behavioural orientation in lifestyle interventions and the narrow understanding of behaviour as individual rational choice abstracted from the context in which it takes place.
Initial analysis of questionnaire data allowed us to distinguish between GPs with a more biomedical orientation from those with a more behavioural orientation.
However when we compared beliefs between practitioners, we found that whilst behavioural orientation was similar between professionals, chiropractors and osteopaths had statistically higher biomedical scores than physiotherapists (p = 0.01) which may explain our data.
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In addition health professionals' belief systems significantly changed to be more behavioural in orientation.
While our survey was able to distinguish between GPs' biomedical or behavioural treatment orientations, 8 the interviews revealed a more fine-grained picture.
While our survey could distinguish between the biomedical and the behavioural (psychosocial) orientations, the interviews uncovered the complex interplay between framing the problem, the treatment and the interpretation of individual patient's needs.
The use of a range of behavioural mechanisms (sun-orientation seaward, sun-orientation landward, and phototaxis) resulted in links to the local landscape and to the animals' life cycle.
This again matches their behavioural characteristics of orientation towards other people.
Our intervention, 'staying healthy at work', was developed on the basis of the two general, partially independent components of the cognitive behavioural approach 'problem orientation' and 'problem-solving style' [ 16, 18].
Deficits in the patient's memory, concentration or orientation; behavioural problems and symptoms of depression or anxiety are likely to become apparent during the course of every team member's work with the patient.
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