Patient use of weight-management activities: A comparison of patient and physician assessments

Bleich, Sara N.; Huizinga, Mary Margaret; Beach, Mary Catherine; Cooper, Lisa A.

doi:10.1016/j.pec.2010.01.020

Cited by 10 publications

(7 citation statements)

References 44 publications

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“…The final theme focused on the issue of responsibility. Physicians lack consistency when discussing weight [94,95,28,96] and the belief that weight management is their patients' responsibility may be one cause [35,27]. Insufficient medical options, poor patient motivation and insufficient training were factors.…”

Section: "One Gp Called Himself a 'Gathering Place' (Gp2) For All Heamentioning

confidence: 99%

Physicians’ views and experiences of discussing weight management within routine clinical consultations: A thematic synthesis

Dewhurst

Peters

Devereux-Fitzgerald

et al. 2017

Patient Education and Counseling

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Improving training, providing clearer guidelines and placing a greater emphasis on collaboration within and between clinicians will help reduce barriers for both physicians and patients. In particular, there is an urgent need for more specialised training for physicians about weight management to promote knowledge and skills in behaviour change techniques and ways to broach sensitive topics without damaging patient relationships.

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Section: "One Gp Called Himself a 'Gathering Place' (Gp2) For All Heamentioning

confidence: 99%

Physicians’ views and experiences of discussing weight management within routine clinical consultations: A thematic synthesis

Dewhurst

Peters

Devereux-Fitzgerald

et al. 2017

Patient Education and Counseling

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show abstract

“…Patient–physician communication and relationship problems may influence obesity care. For example, obese patients are more likely to report trying to lose weight or exercising regularly than nonobese patients, but physicians are less likely to perceive obese patients as engaging in those activities (9). Groups who are at higher risk for obesity are not more likely to receive exercise, diet, or weight‐reduction counseling from their physician (7).…”

Section: Introductionmentioning

confidence: 99%

Impact of Patient–Doctor Race Concordance on Rates of Weight‐Related Counseling in Visits by Black and White Obese Individuals

Bleich

Simon

Cooper

2012

Obesity

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The objective of this study was to assess the impact of patient-provider race concordance on weight-related counseling among visits by obese patients. We hypothesized that race concordance would be positively associated with weight-related counseling. We used clinical encounter data obtained from the 2005–2007 National Ambulatory Medical Care Surveys (NAMCS). The sample size included 2,231 visits of black and white obese individuals (ages 20 and older) to their black and white physicians from the specialties of general/family practice and general internal medicine. Three outcome measures of weight-related counseling were explored: weight reduction, diet/nutrition, and exercise. Logistic regression was used to model the outcome variables of interest. Wald tests were used to statistically compare whether physicians of each race provided counseling at different rates for obese patients of different races. We did not observe a positive association between patient–physician race concordance and weight-related counseling. We found that visits by black obese patients to white doctors had a lower odds of exercise counseling as compared to visits by white obese patients to white doctors (odds ratio (OR) = 0.54; 95% confidence interval (CI): 0.31, 0.95), and visits by black obese patients to black physicians had lower odds of receiving weight-reduction counseling than visits among white obese patients seeing black physicians (OR = 0.34; 95% CI: 0.13, 0.90). Black obese patients receive less exercise counseling than white obese patients in visits to white physicians and may be less likely than white obese patients to receive weight-reduction counseling in visits to black physicians.

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“…A residential program differs from out-patient intervention by length and intensity, and in that the participants are removed from their everyday lives. A residential program also offers more time for communication between participants and personnel [20] . Therefore, residential weight-loss programs are arenas for close interaction between participants and personnel, and with a broad range of opportunities provided for personnel to teach and support participants in their endeavour to change behaviour.…”

Section: Introductionmentioning

confidence: 99%

Personnel and Participant Experiences of a Residential Weight-Loss Program. A Qualitative Study

et al. 2014

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BackgroundResidential weight-loss programs aim to help persons with obesity lose weight and maintain a long-term healthy lifestyle. Knowledge is needed on the different actors’ perceptions and experiences from such programs. The aim of this study was to describe how personnel argued for and perceived a residential weight-loss program, to investigate how the participants experienced the program, and to contrast these perspectives.MethodsThis qualitative study took place in an 18-week residential weight-loss program. Exercise, diet, and personal development were the main components in the program. Data was collected through participant observation and individual and focus group interviews with participants and personnel.ResultsProgram personnel characterized persons with obesity in specific terms, and these formed the basis of the educational aims, teaching principles, and content of the program. According to personnel, persons with obesity typically had problems acknowledging their own resources, lived unstructured lives, had a distorted relationship to food, experienced a range of social problems and featured a lack of personal insight. Program participants reported enthusiasm about their experiences of exercise and appreciated measures of success with the exercise program. They had, however, very different experiences regarding the usefulness and appropriateness of the parts of the program focused on social and personal development. Some felt that weight loss required an engagement with personal development while others viewed it as unnecessary and inappropriate.ConclusionThe reliance in personnel accounts on particular characteristics of persons with obesity as a rationale for the program might lead to stigmatizing and stereotyping. Program activities focused on social and personal development need to be better understood by participants if they are to be viewed as helpful. To achieve this personnel must carefully consider how these parts of the program are communicated and conducted.

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Patient use of weight-management activities: A comparison of patient and physician assessments

Cited by 10 publications

References 44 publications

Physicians’ views and experiences of discussing weight management within routine clinical consultations: A thematic synthesis

Physicians’ views and experiences of discussing weight management within routine clinical consultations: A thematic synthesis

Impact of Patient–Doctor Race Concordance on Rates of Weight‐Related Counseling in Visits by Black and White Obese Individuals

Personnel and Participant Experiences of a Residential Weight-Loss Program. A Qualitative Study

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