Literature DB >> 19962848

Counseling overweight in primary care: an analysis of patient-physician encounters.

Christoph Heintze1, Ulrike Metz, Daphne Hahn, Jörg Niewöhner, Ulrich Schwantes, Julia Wiesner, Vittoria Braun.   

Abstract

OBJECTIVE: The aim of this study was to assess general practitioners' (GPs') and patients' practices and attitudes regarding overweight encountered during preventive counseling talks.
METHODS: Twelve GPs audiotaped their preventive counseling talks with overweight patients, including the assessment of individual risk profiles and further medical recommendations. Fifty-two dialogues were transcribed and submitted to qualitative content analysis.
RESULTS: Dietary advice and increased physical activity are mostly discussed during talks. Recommendations appear to be more individual if patients are given the chance to reflect on causes of their overweight during counseling talks.
CONCLUSIONS: A dialogue approach affects the strength and quality of weight loss counseling in primary care. However, physicians and overweight patients rarely agreed on weight loss goals during the physician-patient talks. PRACTICAL IMPLICATIONS: Patient centeredness, particularly the integration of patients' perceptions towards weight management, might be an important step towards improving weight counseling in primary care. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.

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Mesh:

Year:  2009        PMID: 19962848     DOI: 10.1016/j.pec.2009.10.016

Source DB:  PubMed          Journal:  Patient Educ Couns        ISSN: 0738-3991


  12 in total

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Authors:  Thea Luig; Louanne Keenan; Denise L Campbell-Scherer
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8.  Initiating discussions about weight in a non-weight-specific setting: What can we learn about the interactional consequences of different communication practices from an examination of clinical consultations?

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9.  Effects of Education and Experience on Primary Care Providers' Perspectives of Obesity Treatments during a Pragmatic Trial.

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