Patient motivation to lose weight: Importance of healthcare professional support, goals and self-efficacy

Dicker, Dror; Alfadda, Assim A.; Coutinho, Walmir; Cuevas, Ada; Halford, Jason C.G.; Hughes, Carly A; Iwabu, Masato; Kang, Jae-Heon; Nawar, Rita; Reynoso, Ricardo; Rhee, Nicolai; Rigas, Georgia; Salvador, Javier; Sbraccia, Paolo; Vázquez‐Velázquez, Verónica; Caterson, Ian D.

doi:10.1016/j.ejim.2021.01.019

Cited by 25 publications

(23 citation statements)

References 43 publications

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“…These results are in line with the study by Dicker et al [18] in which a survey was carried out of people with obesity to identify perceived barriers to weight management, finding that at the time of the interview half of the respondents reported they were not motivated [18]. In the above study, the variables associated with the likelihood of patients being motivated to lose weight fell broadly into three key themes: self-efficacy, setting specific weight loss goals and having a positive and trusting relationship with healthcare professionals [18]. The latter is of the utmost importance, given the social stigma that people with obesity often suffer.…”

Section: Discussionsupporting

confidence: 94%

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Motivation and Limiting Factors for Adherence to Weight Loss Interventions among Patients with Obesity in Primary Care

Trujillo-Garrido

Cano

2022

Nutrients

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The cornerstones of obesity management are diet, physical activity and behavioral change. However, there is considerable scientific evidence that lifestyle interventions to treat obesity are rarely implemented in primary care. The aim of this study is to analyze motivation to lose weight among patients with obesity, the resources implemented by primary care centers to promote behavioral change and the limiting factors reported by the patients themselves when attempting to lose weight. A total of 209 patients diagnosed with obesity were interviewed. The variables were obtained from both electronic clinical records (sex, age, BMI, diagnosis of metabolic syndrome and records of activities prescribed to promote behavioral change) and a self-administered personal questionnaire. A total of 67.5% of the respondents reported not having sufficient motivation to adhere to a weight loss program. Records of behavioral change activities were identified in only 3% of the clinical records reviewed. The barriers to adherence to diet and exercise plans most frequently mentioned by patients were not having a prescribed diet (27.8%), joint pain (17.7%), getting tired or bored of dieting (14.8%) and laziness (11.5%). Both the high percentage of patients reporting insufficient motivation to lose weight and the barriers to weight loss identified suggest that patients feel the need to improve their motivation, which should be promoted through primary care.

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Section: Discussionsupporting

confidence: 94%

“…Finally, although the study population has an average age of 65 years, the results obtained are similar to those of other studies [18,21,24,35], so the results obtained could be considered generalizable.…”

Section: Discussionsupporting

confidence: 84%

Motivation and Limiting Factors for Adherence to Weight Loss Interventions among Patients with Obesity in Primary Care

Trujillo-Garrido

Cano

2022

Nutrients

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“…Studies have also demonstrated the important role health professionals play in enhancing their patients’ confidence to manage health conditions, such as chronic diseases and obesity, through education, encouragement and ongoing guidance. 54 , 55 Health professionals may adopt similar approaches to support their patients in developing their confidence for menstrual self-care.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies on health behaviours have highlighted how confidence in one’s ability to perform a behaviour increases the likelihood they will enact it. 54 , 63 Those who are confident to change their menstrual products at university will therefore do so, reflecting reverse causation.…”

Section: Discussionmentioning

confidence: 99%

Confidence to manage menstruation among university students in Australia: Evidence from a cross-sectional survey

Munro

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Hunter

et al. 2022

Womens Health (Lond Engl)

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Objectives: There has been increased attention to university students’ experiences of menstrual disorders, and access to menstrual products, in high-income countries. Less attention has been directed to other aspects of their menstrual experience, including confidence for menstrual management. This study aimed to understand the factors affecting university students’ confidence to manage menstruation at university. Methods: An online survey was completed by 410 participants (age range: 16–46 years, mean = 20.1 years) who menstruate and study at an Australian university. Participants reported demographic characteristics, confidence to manage menstruation at university, and personal, physical and environmental factors. A Mann–Whitney U-test analysed differences in confidence between groups of students. Pearson’s correlation coefficient and bivariate linear regressions determined associations between factors and confidence. Statistically significant associations were inputted into a multiple linear regression model. P-values less than 0.05 were considered significant. Results: A minority of students (16.2%) felt completely confident to manage their menstruation at university. Menstrual knowledge, positive perceptions of menstruation and comfort to discuss menstruation with others positively predicted confidence. Physical menstrual symptoms, negative perceptions of menstruation, perceived stigma and using a menstrual cup or period underwear predicted lower confidence. In multiple regression, private and clean and sanitary university bathroom facilities, changing menstrual products at university, perceived stigma and negative perceptions of menstruation remained significant predictors. Conclusion: Most students did not have complete confidence to manage their menstruation at university. Several personal, physical and environmental factors were related to students’ confidence to manage menstruation. Assessment of these factors in future research with university students is recommended to enable a comprehensive understanding of their menstrual needs, and inform interventions aimed at improving their menstrual management confidence at university.

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“…While patients prefer a holistic approach 50,160,161 , and policymakers demand the HA role 162 , this thesis indicates the internists' predominant role is the medical expert role. This role is embedded in the biomedical model of health and illness-the default model in healthcare 34 .…”

Section: Researchmentioning

confidence: 93%

Internists' interactions with chronically ill patients

Kromme¹

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Patient motivation to lose weight: Importance of healthcare professional support, goals and self-efficacy

Cited by 25 publications

References 43 publications

Motivation and Limiting Factors for Adherence to Weight Loss Interventions among Patients with Obesity in Primary Care

Motivation and Limiting Factors for Adherence to Weight Loss Interventions among Patients with Obesity in Primary Care

Confidence to manage menstruation among university students in Australia: Evidence from a cross-sectional survey

Internists' interactions with chronically ill patients

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