2000
DOI: 10.1111/j.1745-7599.2000.tb00289.x
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Weight Management Practices Among Primary Care Providers

Abstract: This pilot study examined how primary care providers manage patients with weight problems, an important component of primary care. A convenience sample of 17 nurse practitioners and 15 physicians were surveyed about assessments and interventions used in practice for weight management along with perceived barriers to providing effective weight management. Practice patterns between gender, profession and practice setting of the nurse practitioners were compared.

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Cited by 32 publications
(28 citation statements)
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“…This suggests that there are factors, other than those we measured in this paper, which are also associated with our outcome variables of interest. Previous research suggests that low rates of physician diagnosis and weight-related counseling may also be related to inadequate training [16, 28-31], the belief that advice would have little effect on patient behavior [30, 32], the belief that patients are not interested or ready for treatment [28, 30, 33-34], negative attitudes towards obese patients [35-37], the belief that obesity is the responsibility of the patient [38], or the belief that obesity is hard to handle [39]. Health system barriers to effective obesity care, which have been previously identified, include lack of: payment by insurance companies for weight-related counseling and care [30, 40-41], available teaching materials for patients [28, 30], infrastructure support/places to refer patients [42], a reminder system [43], or sufficient staff or consultant support [43].…”
Section: Discussionmentioning
confidence: 99%
“…This suggests that there are factors, other than those we measured in this paper, which are also associated with our outcome variables of interest. Previous research suggests that low rates of physician diagnosis and weight-related counseling may also be related to inadequate training [16, 28-31], the belief that advice would have little effect on patient behavior [30, 32], the belief that patients are not interested or ready for treatment [28, 30, 33-34], negative attitudes towards obese patients [35-37], the belief that obesity is the responsibility of the patient [38], or the belief that obesity is hard to handle [39]. Health system barriers to effective obesity care, which have been previously identified, include lack of: payment by insurance companies for weight-related counseling and care [30, 40-41], available teaching materials for patients [28, 30], infrastructure support/places to refer patients [42], a reminder system [43], or sufficient staff or consultant support [43].…”
Section: Discussionmentioning
confidence: 99%
“…Further, the GP's role has previously been described as involving addressing the primary medical issue a patient attends with (such as diabetes or high blood pressure), consequently referring overweight patients to another healthcare professional to manage their health behaviours (Timmerman et al, 2000). Nurses are especially well positioned to provide important educational information, such as recommended treatment guidelines, as well as encouraging and supporting patients to achieve weight loss (Lang and Froelicher, 2006).…”
Section: Introductionmentioning
confidence: 98%
“…72 In a survey comparing nurse practitioners and physicians regarding weight management practices, nurse practitioners were more likely than physicians to obtain nutritional assessments and to discuss food labels, and physicians were more likely to recommend reducedcalorie diets and aerobic exercise, with no other significant differences being noted between the 2 provider types. 73 Given the lack of significant differences found in other studies, it would be of interest to explore potential differences between pediatricians and other pediatric providers in the delivery of smoking prevention and cessation interventions to adolescents in future studies with larger samples of nonphysician providers.…”
Section: Discussionmentioning
confidence: 97%