A qualitative study on patients' and physicians' visions for the future management of overweight or obesity

Heintze, Christoph; Sonntag, Ulrike; Brinck, Anna Gerda Sieglinde Lieselotte; Huppertz, Mania; Niewöhner, Jörg; Wiesner, Julia; Braun, Vittoria

doi:10.1093/fampra/cmr051

Cited by 25 publications

(36 citation statements)

References 21 publications

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“…In the UK, for example, there have been a series of qualitative studies led by Ogden [24,25] and by Brown [26][27][28][29][30] with data collected from interviews with patients and healthcare professionals. There have also been similar and community based studies in Australia [31][32][33], USA [34][35][36] and elsewhere [37][38][39][40]. A recent development has been in the synthesis of findings from across qualitative studies to draw out overarching themes about obesity experiences […”

Section: Research Approachesmentioning

confidence: 99%

Weight Bias and the Training of Health Professionals to Better Manage Obesity: What Do We Know and What Should We Do?

Brown

Flint

2013

Curr Obes Rep

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Health professionals have a role in supporting patients with weight management. Good training is available but has yet to be widely implemented. The required content of training is clear except perhaps how to address negative attitudes that stem from obesity stigma. There is good evidence that healthcare professionals hold and perpetuate the negative stereotypes and attributions that are core elements within obesity stigma and weight bias; with consequences for relationships with patients and their experiences of care. There may also be consequences for health outcomes but more research is needed. Further studies should triangulate weight bias attitudes with robust observation of healthcare processes and outcomes. This will help determine whether training about weight bias can simply reside in the general preparation of healthcare professionals (as part of anti-discriminatory practice for example) or, whether it requires more active interventions to change practice.

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Section: Research Approachesmentioning

confidence: 99%

Weight Bias and the Training of Health Professionals to Better Manage Obesity: What Do We Know and What Should We Do?

Brown

Flint

2013

Curr Obes Rep

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“…Knowledge gaps and ambivalent attitudes toward obesity management were found among GPs in different countries. In addition, frustration with the resources and structure of current primary care systems, overburdening of outpatients consultation prevented them from dealing with obesity in the proper way [4,8,9]. Many studies noted that physician’s recommended healthy lifestyle (increased physical activity), dietary advice (decreased number of total calories) or referral to a dietician but rarely provided a practical programme of how to implement these recommendations.…”

Section: Introductionmentioning

confidence: 99%

Primary care obesity management in Hungary: evaluation of the knowledge, practice and attitudes of family physicians

et al. 2013

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BackgroundObesity, a threatening pandemic, has an important public health implication. Before proper medication is available, primary care providers will have a distinguished role in prevention and management. Their performance may be influenced by many factors but their personal motivation is still an under-researched area.MethodsThe knowledge, attitudes and practice were reviewed in this questionnaire study involving a representative sample of 10% of all Hungarian family physicians. In different settings, 521 practitioners (448 GPs and 73 residents/vocational trainees) were questioned using a validated questionnaire.ResultsThe knowledge about multimorbidity, a main consequence of obesity was balanced.Only 51% of the GPs were aware of the diagnostic threshold for obesity; awareness being higher in cities (60%) and the highest among residents (90%). They also considered obesity an illness rather than an aesthetic issue.There were wider differences regarding attitudes and practice, influenced by the the doctors’ age, gender, known BMI, previous qualification, less by working location.GPs with qualification in family medicine alone considered obesity management as higher professional satisfaction, compared to physicians who had previously other board qualification (77% vs 68%). They measured their patients’ waist circumference and waist/hip ratio (72% vs 62%) more frequently, provided the obese with dietary advice more often, while this service was less frequent among capital-based doctors who accepted the self-reported body weight dates by patients more commonly. Similar reduced activity and weight-measurement in outdoor clothing were more typical among older doctors.Diagnosis based on BMI alone was the highest in cities (85%). Consultations were significantly shorter in practices with a higher number of enrolled patients and were longer by female providers who consulted longer with patients about the suspected causes of developing obesity (65% vs 44%) and offered dietary records for patients significantly more frequently (65% vs 52%). Most of the younger doctors agreed that obesity management was a primary care issue.Doctors in the normal BMI range were unanimous that they should be a model for their patients (94% vs 81%).ConclusionMore education of primary care physicians, available practical guidelines and higher community involvement are needed to improve the obesity management in Hungary.

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“…These results were in agreement with different studies. (Warner et al, 2008;Heintze et al, 2012;Smith et al, 2007) In the present study 61.5% of the physicians were confident to manage overweight while 43.3% were confident to deal with obesity. However, almost one quarter of them was confident to manage obesity in children.…”

Section: Discussionmentioning

confidence: 47%

“…Obesity may be the most significant medical problem that health care providers will face over the coming decades which needs to be tackled. (Van Derwen et al, 2009;Warner et al, 2008;Heintze et al, 2012). Kuwait has the second highest number of obesity cases among the other Gulf countries.…”

Section: Introductionmentioning

confidence: 99%

“…But new approaches are needed that address the different perceptions about obesity that are held by clients and health care professionals. (Heintze et al, 2012;Vasudevan et al, 2011;Terre et al, 2007) Physicians must aggressively address this chronic disease, providing both preventive and therapeutic care. Because this topic traditionally has not been taught in medical schools, physicians need to acquire the knowledge, skills, and attitudes necessary to be effective obesity care providers.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge and attitude of primary health care doctors towards obesity management, Kuwait

Al-Najjar¹,

Al-Jasem²,

Al-Quraini³

et al. 2012

GJMS

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ABSTRACT:Background: Obesity is a significant public health issue constituting an independent risk factor for morbidity and mortality as well as complicating the management of other medical conditions. Objectives: The objective of this study was to reveal knowledge, attitude and practice of PHC physicians as regarding overweight and obesity management. Methods: This study was a cross sectional descriptive survey that was conducted in all PHC centers in Kuwait. All physicians currently working in these centers during the study period were invited to participate in the study. Data was collected through a specially designed, self-administered questionnaire. Results: More than 4 fifths of participants (84.1%) declared that they didn't receive any obesity specialized courses or training, 61.8% thought they have limited knowledge about obesity management while 25.8% thought that they have good knowledge, while the rest (12.2%) have no knowledge. Regarding health risks related to obesity, the score of correct knowledge showed a mean score of 66.49+16.12%. Knowledge concerning diseases which could be controlled by weight reduction, showed an overall mean % score of 63.01+14.08. It was found that 26.6% of them believed that obesity is a health problem in Kuwait and 37.4% believed that they have limited role in obesity control. The vast majority of the sample agreed that normal body weight or even small weight reduction should be encouraged (86.4% & 84.7% respectively). However 63.2% agreed that few people can reduce their weight. Just less than one third of the sample agreed that different lines of management of obesity are needed. The majority used dietary or physical activity advice or both (90.9%, 94.9% respectively). The most frequent, major limitation agreed upon by physicians was short consultation time and work overload (85.8%). Conclusions: knowledge and attitudes of physicians are acceptable. However, there is, room for improvement and could be done through formal training courses and distribution of guidelines. As a final point, major limitations in weight management should be taken into consideration

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A qualitative study on patients' and physicians' visions for the future management of overweight or obesity

Abstract: Options should be developed for closer cooperation between GPs and support facilities inside and outside practices.

Cited by 25 publications

References 21 publications

Weight Bias and the Training of Health Professionals to Better Manage Obesity: What Do We Know and What Should We Do?

Weight Bias and the Training of Health Professionals to Better Manage Obesity: What Do We Know and What Should We Do?

Primary care obesity management in Hungary: evaluation of the knowledge, practice and attitudes of family physicians

Knowledge and attitude of primary health care doctors towards obesity management, Kuwait

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