ObjectiveThe objective of this study was to develop a simple and practical guide for discussing and managing obesity in primary care settings.MethodsThis study convened representatives from 12 primary care and obesity specialty organizations for a series of roundtable meetings to discuss the key components of obesity treatment in primary care. Attendees identified the need for a guide for primary care providers that outlined the key steps for discussing obesity with patients and managing their care while recognizing the significant time constraints on such provider/patient encounters.ResultsPrevailing themes from the roundtable sessions suggested that the key components of addressing obesity in primary care settings are obtaining patient permission, addressing weight bias, providing a diagnosis, and emphasizing shared decision‐making. A modified "6A" framework with the steps “Ask,” “Assess,” “Advise,” “Agree,” “Assist,” and “Arrange” was deemed appropriate to organize the process of weight management in primary care. An algorithm was developed to provide a script for the patient/provider encounter.ConclusionsThe expert panel developed a short, accessible, practical, and informative guide for obesity management by primary care clinicians. Efforts are under way to disseminate the guide to primary care providers through the 11 participating organizations that have endorsed it.
This thesis examines Nunavut's poverty reduction strategy and the public engagement process that produced it. It begins with a brief history of the territory's poverty reduction efforts before examining the theoretical understandings of poverty and poverty reduction that guide this research. It then offers a narrative of the Nunavut Roundtable for Poverty Reduction's public engagement process, followed by an examination of the objectives that shaped its design. Next, the differing perspective on poverty and poverty reduction that exist in Nunavut are explored, as is the focus of poverty reduction efforts on healing and wellbeing. This thesis concludes by arguing that the Roundtable process has created a space to discuss the legacy of twentieth century federal policy and administration in a way that connects it directly to the roots of poverty in Nunavut.
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