Speaking of weight: how patients and primary care clinicians initiate weight loss counseling

Scott, Jewel; Cohen, Deborah J.; DiCicco-Bloom, Barbara; Orzano, A. John; Gregory, Patrice M.; Flocke, Susan A.; Maxwell, Lisa; Crabtree, Benjamin F.

doi:10.1016/j.ypmed.2004.01.001

Cited by 116 publications

(132 citation statements)

References 14 publications

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“…21 Despite these opinions, provider discussion of weight issues was equally low in both groups (7 to 11%) in the current study and lower than most surveys that have addressed the issue of provider involvement in counseling patients about weight (31 to 42%). [22][23] Providers may need to increase their own knowledge of maternal obesity, but it is more likely that they feel uncomfortable discussing obesity in general. 24 Other sited reasons for the absence of discussion include lack of time and compensation, perceived inability to change patient behavior, disbelief in the importance of preventive counseling and perceived lack of patient concern.…”

Section: Discussionmentioning

confidence: 99%

Maternal obesity: do patients understand the risks?

2010

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Objective: To evaluate patient knowledge of the risks of maternal obesity and compare knowledge between non-obese and obese women.Study Design: A face-to-face survey was administered to 105 women at their first prenatal visit. The survey assessed their knowledge of obesityrelated risks during pregnancy, weight history and goals and health behaviors. Descriptive statistics described the entire sample. Student's t-test and w 2 tests compared knowledge between non-obese (body mass index (BMI) of <30 kg m -2 ) and obese (BMI of X30 kg m -2 ) gravidas.Result: There were 56 (54%) non-obese and 47 (46%) obese participants. There were no significant differences between the weight groups with respect to age, race, insurance, education, tobacco use and primigravity. Overall, 49% participants knew that obesity increases risks in pregnancy. The knowledge of specific risks was similar in the non-obese (60% correct) and obese (64% correct) groups (P ¼ 0.76). Obese patients were more aware of the risk for diabetes (68 vs 96%, P<0.001). Obese gravidas expressed more interest in weight loss before another pregnancy (61 vs 81%, P ¼ 0.03), although the desired BMIs (22.1±2.3 vs 26.2 ± 3.0 kg m -2 , P<0.001) were different for non-obese and obese women, respectively. Of all participants, 9% discussed the risks of maternal obesity with a provider before study participation and 75% wanted to participate in a study on weight loss before pregnancy to determine whether it leads to healthier pregnancies.Conclusion: Regardless of BMI category, patients required more knowledge about the risks of obesity in pregnancy, requested additional information and were motivated to lose weight before future pregnancies. Because obese women underestimated their optimal weight loss goals, it is necessary to target this group for further education.

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Section: Discussionmentioning

confidence: 99%

Maternal obesity: do patients understand the risks?

2010

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“…7,[14][15][16] When counseling does occur, most physicians do not discuss specific behavior change recommendations such as diet and exercise, 8 indicating that quality of counseling may be poor. Lack of training and competency in obesity management are among the reasons that physicians do not adequately counsel patients.…”

Section: Introductionmentioning

confidence: 99%

From the Patient’s Perspective: The Impact of Training on Resident Physician’s Obesity Counseling

et al. 2010

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“…3 Nurses deliver most weight loss services, but only 20% feel effective in this role, 4 while primary care physicians rarely discuss obesity with patients. 5 Generally, weight loss treatment is viewed as significantly less effective than treating the resulting chronic conditions. 6 With low confidence in treatments, staff show reluctance to treat obesity, citing barriers such as funding, training and time.…”

Section: Introductionmentioning

confidence: 99%

Exploring weight loss services in primary care and staff views on using a web-based programme

Ware¹,

Williams²,

Bradbury³

et al. 2013

Journal of Innovation in Health Informatics

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Background Demand is increasing for primary care to deliver effective weight management services to patients, but research suggests that staff feel inadequately resourced for such a role. Supporting service delivery with a free and effective web-based weight management programme could maximise primary care resource and provide cost-effective support for patients. However, integration of ehealth into primary care may face challenges. Objectives To explore primary care staff experiences of delivering weight management services and their perceptions of a web-based weight management programme to aid service delivery. Methods Focus groups were conducted with primary care physicians, nurses and healthcare assistants (n = 36) involved in delivering weight loss services. Data were analysed using inductive thematic analysis. Results Participants thought that primary care should be involved in delivering weight management, especially when weight was aggravating

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Speaking of weight: how patients and primary care clinicians initiate weight loss counseling

Cited by 116 publications

References 14 publications

Maternal obesity: do patients understand the risks?

Maternal obesity: do patients understand the risks?

From the Patient’s Perspective: The Impact of Training on Resident Physician’s Obesity Counseling

Exploring weight loss services in primary care and staff views on using a web-based programme

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