The quotes from project managers E and A reflect a change
mentioned by several project managers regarding how clinicians
thought about and interacted with patients. Project managers
stated that this change in thinking reflected a shift from the
provision of general advice to a focus on patient-centered and
mutually agreed upon targets identified by patients, rather than
professionals. This was a move, as indicated above, away from one
standard approach toward personalized plans to change health
behaviors. This not only led to the systematic change that
professionals allied to the GP then monitored patients’ progress
toward achieving these goals, but also to the approach mentioned
by Project Manager B that the patient is in the lead and the
professional takes a more neutral, assisting position in the efforts
to change health behavior