Salutogenic and health-promoting communication techniques in general practice: a scoping review protocol based on the consolidated framework for implementation research (CFIR).

Authors

Anika Mitzkat, Lia Goldberg, Simon Schwill, Attila Altiner, Philip Schillen, Jürgen In der Schmitten, Stephanie Stock, Nina Timmesfeld, Stefan Wilm, Achim Mortsiefer, Alexandra Kayser, Positive Health Innovation study group

Published in

BMJ open. Volume 16. Issue 8. Pages e113546. Aug 12, 2026. Epub Aug 12, 2026.

Abstract

Salutogenic and health-promoting communication techniques - such as positive health, motivational interviewing, solution-focused approaches and health coaching - 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.
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-Concept-Context 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.
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).
The protocol is registered on the OSF (https://osf.io/my7sh/overview).

PMID:
42586734
Bibliographic data and abstract were imported from PubMed on 13 Aug 2026.

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