Exploring Patient Perspectives of Body Image Conversations in Primary Care: Understandings, Experiences,  and Expectations

Ling, Yang; Ene, Ioana Cezara; Lamarche, Larkin

doi:10.1177/23743735221117366

Journal of Patient Experience

2022

DOI: 10.1177/23743735221117366

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Exploring Patient Perspectives of Body Image Conversations in Primary Care: Understandings, Experiences, and Expectations

Yang Ling

Ioana Cezara Ene

Larkin Lamarche

Abstract: Primary care physicians (PCPs) and patients identified body image conversations to be difficult but necessary. As first points of contact in the healthcare system, PCPs are ideal candidates for addressing body image concerns. Through latent thematic analysis of 12 interviews, this paper explores patient preferences with body image conversations in primary care. We identified challenges that patients faced in sharing body image concerns, expectations they hold for physicians, and suggested potential areas of fu… Show more

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2024

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Cited by 2 publications

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Utilization and perspectives of weight loss medications in pediatric metabolic dysfunction‐associated steatotic liver disease

Kehar,

Ibrahim,

Ramirez

et al. 2024

J. pediatr. gastroenterol. nutr.

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Metabolic dysfunction‐associated steatotic liver disease (MASLD) is increasing globally in pediatric populations. Currently, MASLD management primarily relies on lifestyle interventions, which pose challenges in sustaining long‐term weight loss. This study investigated the use of weight loss medications in MASLD care through an international survey of 166 pediatric gastroenterologists and hepatologists. The results indicated a notable interest in weight loss medications, with 38% of practitioners considering or using them, particularly glucagon‐like peptide‐1 receptor agonists. However, the survey also revealed a tendency among clinicians to refer patients to specialists, emphasizing the potential gap between acknowledgment and prescription practices. Challenges include the lack of guidelines and uncertainty regarding side effects. The study highlights a pressing need for education, with over 90% of the respondents expressing an interest. Our study highlights the current management of MASLD, the potential role of pharmacotherapy, and highlights avenues for improved care and education in this dynamic field.

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Utilization and perspectives of weight loss medications in pediatric metabolic dysfunction‐associated steatotic liver disease

Kehar,

Ibrahim,

Ramirez

et al. 2024

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

show abstract

An exploratory examination of medical and nursing students’ intentions to discuss body image, weight, and eating disorders with their patients

Markey,

August,

Rosenbaum

et al. 2024

J Eat Disord

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Background Although many people have concerns about their body image, weight, and eating behaviors these issues are not usually discussed in a productive manner with medical providers. Thus, we examined nursing and medical students’ willingness to discuss patients’ weight, body image, and eating disorders and reasons why they may do so. Method One hundred and eighty-three nursing and medical students ( M age = 25.06, SD = 5.43) participated in this study. Participants completed open-ended questions pertaining to their willingness to discuss body image, eating, and weight-related issues with future patients. We further queried students’ perspective on body mass index (BMI) as a measure of weight status and sought to determine if participants’ own weight, weight concerns, appearance evaluation, body appreciation, and experiences of stigma were associated with their willingness to discuss weight-related issues with prospective patients. Results Coding of qualitative data indicated that nursing and medical students were “sometimes” willing to discuss prospective patients’ weight, body image, and eating disorders, especially if a health concern was evident. Nursing students seemed somewhat more willing to discuss weight issues than medical students and willingness to discuss one of these issues (e.g., body image) was positively associated with willingness discuss the others. Plans for future discussions of body image and weight were marginally associated with personal experiences of weight stigma. The majority of participants indicated that BMI was not a valid measure of health. Conclusions Taken together, findings suggest that future providers’ conversations with patients about these sensitive topics are less likely to be associated with their own experiences and more with the relevance of these topics to specific patients.

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Exploring Patient Perspectives of Body Image Conversations in Primary Care: Understandings, Experiences, and Expectations

Cited by 2 publications

References 12 publications

Utilization and perspectives of weight loss medications in pediatric metabolic dysfunction‐associated steatotic liver disease

Utilization and perspectives of weight loss medications in pediatric metabolic dysfunction‐associated steatotic liver disease

An exploratory examination of medical and nursing students’ intentions to discuss body image, weight, and eating disorders with their patients

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