Weight-related perceptions among patients and physicians

Befort, Christie A.; Greiner, K. Allen; Hall, Sandra; Pulvers, Kim; Nollen, Nicole L.; Charbonneau, Andrea; Kaur, Harsohena; Ahluwalia, Jasjit S.

doi:10.1111/j.1525-1497.2006.00567.x

Cited by 66 publications

(23 citation statements)

References 36 publications

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“…Concerns raised by the two groups were different. This study, similar to Befort’s (2006), illustrated how patients readiness to have weight management addressed, was higher than anticipated by clinicians [ 29 ].…”

Section: Discussionsupporting

confidence: 66%

Recipients’ and providers’ perspectives of obesity and potential barriers to weight management programmes in patients with Rheumatoid Arthritis (RA): a qualitative study

2017

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BackgroundThe UK rheumatology community serves an ageing and ethnically diverse population, with a growing public health concern about obesity. Overweight and obesity contribute to 2.8 million preventable deaths annually. A raised Body Mass Index (BMI) in those with Rheumatoid Arthritis (RA) can have a significant negative impact on clinical outcomes. The aim of the study was to examine patients’ and providers’ perceptions of obesity and potential barriers to participation in a future weight management programme to contribute to an appropriate intervention design.MethodQualitative semi-structured interviews were carried out with 11 patients with RA and one focus group was held with 8 members of a multi-disciplinary team working in one Rheumatology outpatient clinic. Framework analysis (FA) contributed to the inductive thematic analysis, and was employed to assist with the identification of the emergent codes and final themes.ResultsThree core themes were ascertained from the semi-structured interviews: i) The psychosocial impact of living with RA and obesity, ii) Challenges of living with RA and obesity and iii) Considerations for future weight management programmes. The Focus group analysis also identified three core themes: i) Micro-dynamics between patient and provider, ii) The relationship between the provider and the host institution in relation to the development of a future weight management programme and iii) The social and political context of obesity as a public health concern.ConclusionPerceptions of obesity and weight gain and associated barriers to participating in weight management programmes, differ significantly between patients and providers. Patients, require a holistic approach to weight management by clinicians and the acknowledgement of the significant psychosocial impact of a dual diagnosis of RA and being overweight or obese. In contrast, providers seem reluctant to address weight increase with patients and require education and support at an individual and institutional level to integrate weight management into routine care.

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Section: Discussionsupporting

confidence: 66%

Recipients’ and providers’ perspectives of obesity and potential barriers to weight management programmes in patients with Rheumatoid Arthritis (RA): a qualitative study

2017

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“…23, 24 Unfortunately, when compared to the patients themselves, physicians tend to perceive a lower motivation level relating to patients’ desire to lose weight. 25 These mismatched perceptions of patient and physician may hinder the supportive interaction our respondents desire. Physicians should be encouraged to provide support to all obese patients and use strategies such as the 5 As framework ( A ssess risk/current behavior/readiness to change, A dvise change of specific behaviors, A gree and collaboratively set goals, A ssist in addressing barriers and securing support, A rrange for follow up), as it are associated with higher patient motivation and higher amount of weight loss.…”

Section: Discussionmentioning

confidence: 99%

Women Weigh In: Obese African American and White Women's Perspectives on Physicians' Roles in Weight Management

Chugh

Friedman

Clemow

et al. 2013

The Journal of the American Board of Family Medicine

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Background There is little qualitative research on the type of weight loss counseling patients prefer from their physicians and whether preferences differ by race. Methods This qualitative study used semi-structured in-depth interviews of 33 moderately to severely obese white and African-American (AA) women to elucidate and compare their perceptions regarding their primary care physician’s approach to weight loss counseling. Data were analyzed using a grounded theory approach and a series of immersion/crystallization cycles. Results White and AA women appeared to internalize weight stigma differently. AA participants spoke about their pride and positive body image, while white women more frequently expressed self-deprecation and feelings of depression. Despite these differences, both groups of women desired similar physician interactions and weight management counseling, including: (1) giving specific weight loss advice and individualized plans for weight management; (2) addressing weight in an empathetic, compassionate, nonjudgmental, and respectful manner; and (3) providing encouragement to foster self-motivation for weight loss. Conclusion While both AA and white women desired specific strategies from physicians in weight management, some white women may first need assistance in overcoming their stigma, depression and low self-esteem before attempting weight loss.

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“…Furthermore, physicians appear to have negative attitudes and beliefs about their overweight or obese patients and their ability to adhere to medical recommendations. (13-14) Physicians also feel inadequately prepared to offer weight counseling to their patients and may be unaware of suitable initial weight loss targets. (15-16)…”

Section: Introductionmentioning

confidence: 99%

The impact of physician weight discussion on weight loss in US adults

Pool

Kraschnewski

Cover

et al. 2014

Obesity Research & Clinical Practice

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Problem-The increasing prevalence of overweight and obesity in the United States and worldwide is at epidemic levels. Physicians may play a vital role in addressing this epidemic. We aimed to examine the association of a physician's discussion of patients' weight status with selfreported weight loss. We hypothesized that physician discussion of patients" being overweight is associated with increased weight loss in patients with overweight and obesity. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Results-Overweight and obese participants were significantly more likely to report a 5% weight loss in the past year if their doctor had told them they were overweight (adjusted OR (AOR) 1.88; 95% CI 1.45-2.44; AOR 1.79; 95% CI 1.30-2.46, respectively). NIH Public AccessConclusions-Physicians' direct discussion of their patients' weight status is associated with clinically significant patient weight loss and may be a targetable intervention. Further studies are needed to determine if increasing physician discussion of patients' weight status leads to significant weight loss.

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Weight-related perceptions among patients and physicians

Abstract: BACKGROUND: Prior studies suggest that patients and physicians have different perceptions and expectations surrounding weight; however, few studies have directly compared patients' and physicians' perspectives.

Cited by 66 publications

References 36 publications

Recipients’ and providers’ perspectives of obesity and potential barriers to weight management programmes in patients with Rheumatoid Arthritis (RA): a qualitative study

Recipients’ and providers’ perspectives of obesity and potential barriers to weight management programmes in patients with Rheumatoid Arthritis (RA): a qualitative study

Women Weigh In: Obese African American and White Women's Perspectives on Physicians' Roles in Weight Management

The impact of physician weight discussion on weight loss in US adults

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