African Americans’ Perceptions of Physician Attempts to Address Obesity in the Primary Care Setting

Ward, Stephanie; Gray, Anastasia M.; Paranjape, Anuradha

doi:10.1007/s11606-009-0922-z

Cited by 57 publications

(91 citation statements)

References 24 publications

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“…A study examining patient motivation suggests that physicians play an important role in motivating patients to lose weight. 37 Findings show that an acknowledgment by physicians of modest weight loss was a motivating factor. [38][39][40][41] Conversely, physicians who were perceived as disrespectful and insincere were perceived by patients as being less motivating, ineffective in encouraging behavior change, and left patients feeling hopeless.…”

Section: Discussionmentioning

confidence: 96%

“…[38][39][40][41] Conversely, physicians who were perceived as disrespectful and insincere were perceived by patients as being less motivating, ineffective in encouraging behavior change, and left patients feeling hopeless. 35,37 This underscores the need for implementing the clinical strategy of "motivational interviewing" to address the Institute of Medicine's aim for improving the health care delivery system through patient-centered approaches. 42 It can be inferred that physicians in the current study had similar interactions with patients.…”

Section: Discussionmentioning

confidence: 99%

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Facilitating Factors and Barriers to Weight Management in Women: Physician Perspectives

Walker¹,

Kusch²,

Fink³

et al. 2018

Journal of Patient-Centered Research and Reviews

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Journal of Patient-Centered Research and Reviews ( JPCRR) is a peerreviewed scientific journal whose mission is to communicate clinical and bench research findings, with the goal of improving the quality of human health, the care of the individual patient, and the care of populations. Recommended CitationWalker RE, Kusch J, Fink JT, Nelson DA, Morris G 3rd, Skalla J, Cisler RA. Facilitating factors and barriers to weight management in women: physician perspectives. J Patient Cent Res Rev. 2018;5:18-27. doi: 10.17294/2330-0698 4,5 For women, prevalence of overweight and obesity has varied from 64.1% to 65.8% to 63.7% in 2007-2008, 2009-2010, and 2011-2012, respectively. 4-6 Addressing overweight and obesity in both men and women has been a challenge for medical and public health practice, but perhaps more so in women given the race-by-sex differences observed for these conditions. 5,6 Using national data from 2011-2012, Ogden and colleagues reported age-adjusted overweight and obesity prevalence of 69.2%, 78.6%, PurposeThe complexity of addressing overweight and obesity in women has been an ongoing public health and health care challenge. While the mechanism for addressing overweight and obesity in women remains unclear, it has been speculated that disparities in overweight and obesity by race and gender contribute to the complexity. The purpose of the present study was to examine perceptions of primary care physicians when discussing weight management with their patients. MethodsWe conducted focus group discussions exploring facilitators and barriers to discussing weight management and weight loss among women patients. Participants included 18 family medicine and internal medicine physicians who were recruited using a snowball sampling technique from two large urban institutions. Focus group discussions were transcribed verbatim. Responses were then codified and analyzed in frequency of occurrence using specialized computer software. ResultsNine themes emerged from group discussions. These recurring themes reflected three overarching critical points: 1) potential utility of the primary care setting to address weight management; 2) the importance of positive patient-provider communication in supporting weight loss efforts; and 3) acknowledgement of motivation as intrinsic or extrinsic, and its role in obesity treatment. ConclusionsPhysician perceptions of their own lack of education or training and their inability to influence patient behaviors play crucial roles in discussing weight management with patients. (J Patient Cent Res Rev.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Facilitating Factors and Barriers to Weight Management in Women: Physician Perspectives

Walker¹,

Kusch²,

Fink³

et al. 2018

Journal of Patient-Centered Research and Reviews

View full text Add to dashboard Cite

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“…The goal is to use language that is free from stigma (see Table 4). Ward et al (15) found that when physicians were perceived as disrespectful, insincere, or emotionless, African Americans with weight problems were less likely to engage in behavior change or seek the help they need. African American study participants wanted health care providers to demonstrate respect, nonjudgment, and concern for their well-being (15).…”

Section: Use Language That Is Free From Stigmamentioning

confidence: 99%

“…In addition, other key aspects of communication, including design and layout of information, health literacy, and health numeracy are beyond the scope of this article and have been discussed elsewhere. In health care, the way in which something is said is equally important as what is actually being said (15,16). Words, which "are inseparable from the concepts they refer to" (5), are powerful.…”

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confidence: 99%

The Use of Language in Diabetes Care and Education

et al. 2017

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Language is powerful and can have a strong impact on perceptions as well as behavior. A task force, consisting of representatives from the American Association of Diabetes Educators (AADE) and the American Diabetes Association (ADA), convened to discuss language in diabetes care and education. This document represents the expert opinion of the task force. The literature supports the need for a language movement in diabetes care and education. There are effective ways of communicating about diabetes. This article provides recommendations for language used by health care professionals and others when discussing diabetes through spoken or written words—whether directed to people with diabetes, colleagues, or the general public, as well as research questions related to language and diabetes.

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“…Two studies of adults seeking treatment for overweight and obesity revealed that "obese" and "fat" were rated as undesirable terms, and "weight" and "BMI" were preferred. 32,33 Others studies have revealed that "obese" may be perceived as a negative term, 34,35 perhaps because of implications of more serious medical consequences and a sense of confusion it may invoke. 30 Among parents, in 1 qualitative study parents were found to prefer that physicians call their children "overweight" and "obese" instead of more colloquial terms (eg, "chubby" or "plump"), 36 and another reported study "obese" and "fat" were found to be parents' least preferred terms.…”

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confidence: 99%

Parental Perceptions of Weight Terminology That Providers Use With Youth

2011

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OBJECTIVES: Little research has been performed to examine patient perceptions of weight-related language, especially related to childhood obesity. In this study we assessed parental perceptions of weight-based terminology used by health care providers to describe a child's excess weight and assessed perceived connotations associated with these terms including stigma, blame, and motivation to reduce weight. METHODS: A national sample of American parents with children aged 2 to 18 years (N = 445) completed an online survey to assess their perceptions of 10 common terms to describe excess body weight in youth (including “extremely obese,” “high BMI,” “weight problem,” “unhealthy weight,” “weight,” “heavy,” “obese,” “overweight,” “chubby,” and “fat”). Parents were asked to use a 5-point rating scale to indicate how much they perceived each term to be desirable, stigmatizing, blaming, or motivating to lose weight. RESULTS: Regression models revealed that the terms “weight” and “unhealthy weight” were rated as most desirable, and “unhealthy weight” and “weight problem” were rated as the most motivating to lose weight. The terms “fat,” “obese,” and “extremely obese” were rated as the most undesirable, stigmatizing, blaming, and least motivating. Parents' ratings were consistent across sociodemographic variables, body weight, and child's body weight. CONCLUSIONS: The results of this study have important implications for the improvement of health care for youth with obesity; it may be advantageous for health care providers to use or avoid using specific weight-based language during discussions about body weight with families. Pediatricians play a key role in obesity prevention and treatment, but their efforts may be undermined by stigmatizing or offensive language that can hinder important discussions about children's health.

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African Americans’ Perceptions of Physician Attempts to Address Obesity in the Primary Care Setting

Cited by 57 publications

References 24 publications

Facilitating Factors and Barriers to Weight Management in Women: Physician Perspectives

Facilitating Factors and Barriers to Weight Management in Women: Physician Perspectives

The Use of Language in Diabetes Care and Education

Parental Perceptions of Weight Terminology That Providers Use With Youth

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