Perceived Barriers to Weight Management in Primary Care—Perspectives of Patients and Providers

Ruelaz, Alicia; Diefenbach, Pamela; Simón, Barbara; Lanto, Andrew B.; Arterburn, David; Shekelle, Paul G

doi:10.1007/s11606-007-0125-4

Cited by 100 publications

(84 citation statements)

References 9 publications

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“…Failure to record heights as frequently as weights could be due to a number of factors, including lack of proper equipment, low perceived importance, time constraints, and competing clinical demands [11][12]18]. Heights may also be less likely to be measured and recorded for specific patient populations, such as amputees or those who are wheelchair-bound.…”

Section: Challengesmentioning

confidence: 99%

VHA Corporate Data Warehouse height and weight data: Opportunities and challenges for health services research

Noël¹,

Copeland²,

Perrin³

et al. 2010

JRRD

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Abstract-Within the Veterans Health Administration (VHA), anthropometric measurements entered into the electronic medical record are stored in local information systems, the national Corporate Data Warehouse (CDW), and in some regional data warehouses. This article describes efforts to examine the quality of weight and height data within the CDW and to compare CDW data with data from warehouses maintained by several of VHA's regional groupings of healthcare facilities (Veterans Integrated Service Networks [VISNs]). We found significantly fewer recorded heights than weights in both the CDW and VISN data sources. In spite of occasional anomalies, the concordance in the number and value of records in the CDW and the VISN warehouses was generally 97% to 99% or greater. Implausible variation in same-day and same-year heights and weights was noted, suggesting measurement or data-entry errors. Our work suggests that the CDW, over time and through validation, has become a generally reliable source of anthropometric data. Researchers should assess the reliability of data contained within any source and apply strategies to minimize the impact of data errors appropriate to their study population.

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Section: Challengesmentioning

confidence: 99%

VHA Corporate Data Warehouse height and weight data: Opportunities and challenges for health services research

Noël¹,

Copeland²,

Perrin³

et al. 2010

JRRD

View full text Add to dashboard Cite

show abstract

“…In a national survey of US adults, barriers to weight loss included inadequate energy (65%), will power (56%), time (44%), and social support (38%) for exercise, as well as high cost of healthy food (49%), preference for junk food (48%), and eating out (40%) [13]. Patients at a Veteran's Administration clinic believed that excess weight was caused by easy access to fattening foods (73%) and medical conditions (70%) [7]. Differences in prevalence of weight loss barriers are likely due to different study samples and designs.…”

Section: Discussionmentioning

confidence: 99%

“…We identified categories a priori from studies describing subjective explanations for obesity [7,[10][11][12][13][14], as well as from our clinical experience. We identified additional relevant categories by reviewing three sets of randomly selected responses consisting of 5%, 10%, and 15% of the total sample, respectively.…”

Section: Research Methods and Proceduresmentioning

confidence: 99%

“…With more than one third of US adults now obese [6], it is imperative not only to broaden access to and optimize surgical treatment of obesity but also to intervene earlier in the progression of obesity. Since patients and clinicians often disagree on the causes of obesity [7][8][9], it is important for clinicians to understand the perspectives of individuals who are sufficiently obese to seek bariatric surgery.…”

Section: Introductionmentioning

confidence: 99%

“…Studies in other populations have explored subjective explanations for unsuccessful weight loss [7,[10][11][12][13][14], but the topic has not been formally addressed among individuals seeking bariatric surgery. We utilized a combined qualitative and quantitative approach to analyze subjective explanations for unsuccessful weight loss among seekers of bariatric surgery.…”

Section: Introductionmentioning

confidence: 99%

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