{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T14:41:36Z","timestamp":1786545696902,"version":"build-2736575974"},"reference-count":16,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"unspecified","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Fund of the Federal Joint Committee","award":["G-BA, FKZ: 01VSF24030"],"award-info":[{"award-number":["G-BA, FKZ: 01VSF24030"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,7,16]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Salutogenic and health-promoting communication techniques \u2013 such as positive health, motivational interviewing, solution-focused approaches and health coaching \u2013 aim to strengthen patient empowerment, resource activation and self-management in primary care. Despite growing interest, the evidence on how these approaches are implemented in general practice is fragmented. Guided by the Consolidated Framework for Implementation Research (CFIR), this scoping review will map settings, strategies, determinants and outcomes related to the implementation of salutogenic and health-promoting communication techniques in primary care. This review aims to bridge the gap between theory and routine care by identifying context-sensitive strategies for integrating salutogenic and health-promoting dialogue into everyday general practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>Following the Joanna Briggs Institute guidance for scoping reviews and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P), we will search MEDLINE, CINAHL and Embase from database inception to the date of search (no date limits; English\/German). Eligibility will be structured by the Population\u2013Concept\u2013Context framework. Two reviewers will independently screen studies via Rayyan and chart data with a piloted form that captures intervention components, implementation strategies and contextual determinants mapped to CFIR domains. We will present descriptive summaries and CFIR-based matrices of barriers\/facilitators and strategies, alongside narrative synthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Ethical approval is not required. We will disseminate findings via peer-reviewed publication, conference presentations and make all extraction matrices openly available via the Open Science Framework (OSF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      The protocol is registered on the OSF (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/osf.io\/my7sh\/overview\">https:\/\/osf.io\/my7sh\/overview<\/jats:ext-link>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-113546","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T13:45:18Z","timestamp":1786542318000},"page":"e113546","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Salutogenic and health-promoting communication techniques in general practice: a scoping review protocol based on the consolidated framework for implementation research (CFIR)"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1027-4235","authenticated-orcid":false,"given":"Anika","family":"Mitzkat","sequence":"first","affiliation":[{"name":"Department of General Practice and Health Services Research, Heidelberg University Medical Faculty Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lia","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Chair of General Practice II and Patient-Centredness in Primary Care, Institute of General Practice and Primary Care, Witten\/Herdecke University, Witten, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0954-2194","authenticated-orcid":false,"given":"Simon","family":"Schwill","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research, Heidelberg University Medical Faculty Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"Altiner","sequence":"additional","affiliation":[{"name":"Department of General Practice and Health Services Research, Heidelberg University Medical Faculty Heidelberg, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Schillen","sequence":"additional","affiliation":[{"name":"Institute of General Practice, University of Duisburg-Essen, Duisburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"in der Schmitten","sequence":"additional","affiliation":[{"name":"Institute of General Practice, University of Duisburg-Essen, Duisburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Stock","sequence":"additional","affiliation":[{"name":"Institute of Health Economics and Clinical Epidemiology, University Hospital Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Timmesfeld","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics, Biometry and Epidemiology, Ruhr University Bochum, Bochum, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Wilm","sequence":"additional","affiliation":[{"name":"Institute of General Practice, Medical Faculty, Heinrich Heine University D\u00fcsseldorf, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achim","family":"Mortsiefer","sequence":"additional","affiliation":[{"name":"Chair of General Practice II and Patient-Centredness in Primary Care, Institute of General Practice and Primary Care, Witten\/Herdecke University, Witten, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5206-4514","authenticated-orcid":false,"given":"Alexandra","family":"Kayser","sequence":"additional","affiliation":[{"name":"Chair of General Practice II and Patient-Centredness in Primary Care, Institute of General Practice and Primary Care, Witten\/Herdecke University, Witten, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"2026081206450963000_16.8.e113546.1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0107828","article-title":"An integrative model of patient-centeredness - 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