OBJECTIVE: Examine concordance between patient and physician assessments of patient self-reported use of weight-management activities. METHODS: Analysis of baseline data from a randomized controlled trial of patient and physician interventions to improve patient-physician communication (41 physicians and 274 of their patients). RESULTS: A majority of patients reported regular exercise (55.6%) and efforts to lose weight, such as eating less (63.1%) while physicians only perceived one-third of patients as engaging in those activities (exercise, 36.6%; weight loss, 33.3%). Kappa scores indicated small agreement between patient and physician assessments of patient self-reported use of exercise, mean kappa 0.28 (range 0.15 to 0.40) and no agreement between patient and physician assessments of patient self-reported efforts to lose weight, mean kappa -0.14 (range -0.26 to -0.01). Obese patients were more likely than non-obese patients to report trying to lose weight or exercising regularly (p<0.05), but physicians were less likely to perceive obese patients as engaging in those activities (p<0.05). CONCLUSIONS: Primary care physicians differed considerably from their patients, especially obese patients, in their assessments of patient use of weight-management activities. PRACTICE IMPLICATIONS: These results highlight the importance of improving patient-provider communication about weight-management activities, particularly among obese patients. Copyright 2010 Elsevier Ireland Ltd. All rights reserved.
RCT Entities:
OBJECTIVE: Examine concordance between patient and physician assessments of patient self-reported use of weight-management activities. METHODS: Analysis of baseline data from a randomized controlled trial of patient and physician interventions to improve patient-physician communication (41 physicians and 274 of their patients). RESULTS: A majority of patients reported regular exercise (55.6%) and efforts to lose weight, such as eating less (63.1%) while physicians only perceived one-third of patients as engaging in those activities (exercise, 36.6%; weight loss, 33.3%). Kappa scores indicated small agreement between patient and physician assessments of patient self-reported use of exercise, mean kappa 0.28 (range 0.15 to 0.40) and no agreement between patient and physician assessments of patient self-reported efforts to lose weight, mean kappa -0.14 (range -0.26 to -0.01). Obesepatients were more likely than non-obesepatients to report trying to lose weight or exercising regularly (p<0.05), but physicians were less likely to perceive obesepatients as engaging in those activities (p<0.05). CONCLUSIONS: Primary care physicians differed considerably from their patients, especially obesepatients, in their assessments of patient use of weight-management activities. PRACTICE IMPLICATIONS: These results highlight the importance of improving patient-provider communication about weight-management activities, particularly among obesepatients. Copyright 2010 Elsevier Ireland Ltd. All rights reserved.
Authors: Andrea Charbonneau Ely; K Allen Greiner; Wendi Born; Sandra Hall; Paula C Rhode; Aimee S James; Nicole Nollen; Jasjit S Ahluwalia Journal: J Rural Health Date: 2006 Impact factor: 4.333
Authors: Mary Margaret Huizinga; Sara N Bleich; Mary Catherine Beach; Jeanne M Clark; Lisa A Cooper Journal: Obesity (Silver Spring) Date: 2010-02-25 Impact factor: 5.002
Authors: Aram V Chobanian; George L Bakris; Henry R Black; William C Cushman; Lee A Green; Joseph L Izzo; Daniel W Jones; Barry J Materson; Suzanne Oparil; Jackson T Wright; Edward J Roccella Journal: Hypertension Date: 2003-12-01 Impact factor: 10.190
Authors: Lisa A Cooper; Debra L Roter; Lee R Bone; Susan M Larson; Edgar R Miller; Michael S Barr; Kathryn A Carson; David M Levine Journal: Implement Sci Date: 2009-02-19 Impact factor: 7.327