Healthcare professionals' advice on lifestyle behaviours is a key factor in improving a nation's health. Although allied health professionals have been well placed to provide such advice as part of patient care, little is known about the characteristics of allied health practitioners who discuss lifestyle topics with patients. This paper focused upon an overlooked avenue for lifestyle advice regarding an allied health profession – osteopathy. A workforce survey including questions about four lifestyle topics (including diet/nutrition, smoking/drugs/alcohol, physical activity/fitness, and stress management) was distributed to a nationally representative sample of Australian registered osteopaths in 2016. Separate multivariate logistic regression and Poisson regression models were developed to determine the most important predictors of the discussion of lifestyle factors. Amongst the 992 participating osteopaths, 89%, 49%, 38%, and 18% often discussed physical activity/fitness, stress management, diet/nutrition, and smoking/drugs/alcohol with their patients, respectively. Approximately 30% of participating osteopaths discussed at least three lifestyle topics with patients. Varied predictors were identified for discussing each lifestyle topic. Osteopaths who often discuss diet/nutrition in patient management plans were more likely to often discuss smoking/drugs/alcohol (OR = 14.13), physical activity/fitness (OR = 2.71), and/or stress management (OR = 1.69). In conclusion, lifestyle factors are often discussed with patients as part of osteopathy treatments in the Australian healthcare context. Osteopaths are well positioned to initiate discussions regarding patient lifestyles, and such discussions may be an effective contribution to health promotion.

中文翻译：

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与患者讨论生活方式因素的澳大利亚整骨医师的从业者和实践特征：来自国家实践研究网络的结果

医疗保健专业人员对生活方式行为的建议是改善国家健康的关键因素。尽管专职医疗人员已经做好了在患者护理中提供此类建议的能力，但对于与患者讨论生活方式话题的专职医疗人员的特征知之甚少。本文重点介绍了一个被忽视的关于联合健康专业的生活方式建议的途径——整骨疗法。一项劳动力调查包括关于四个生活方式主题（包括饮食/营养、吸烟/药物/酒精、身体活动/健身和压力管理）的问题，于 2016 年分发给具有全国代表性的澳大利亚注册整骨医师样本。开发了单独的多变量逻辑回归和泊松回归模型，以确定讨论生活方式因素的最重要的预测因子。在 992 名参与的整骨医生中，89%、49%、38% 和 18% 的人经常与他们的患者分别讨论身体活动/健身、压力管理、饮食/营养和吸烟/药物/酒精。大约 30% 的参与整骨医生与患者讨论了至少三个生活方式主题。为讨论每个生活方式主题确定了不同的预测因子。经常在患者管理计划中讨论饮食/营养的骨科医生更有可能经常讨论吸烟/药物/酒精（OR = 14.13）、身体活动/健身（OR = 2.71）和/或压力管理（OR = 1.69）。综上所述，在澳大利亚医疗保健环境中，生活方式因素通常作为整骨疗法的一部分与患者讨论。整骨医师可以很好地发起关于患者生活方式的讨论，这样的讨论可能对健康促进做出有效贡献。