Evidence map›Paper›PMID 17372803›Full record

ArticleJournal of general internal medicine2007

Perceived barriers to weight management in primary care--perspectives of patients and providers.

Alicia R Ruelaz, Pamela Diefenbach, Barbara Simon, Andy Lanto, David Arterburn, Paul G Shekelle

Erratum issuedOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in Journal of general internal medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
11.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 128 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Effect of weight loss on cardiometabolic risk: observational analysis of two randomised controlled trials of community weight-loss programmes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
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  7. Evaluating Approaches for Communication About Genomic Influences on Body Weight.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2015
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Alicia R RuelazCedars-Sinai Medical Center, Los Angeles, CA 90048, USA. ruelaza@cshs.org
Pamela Diefenbach
Barbara Simon
Andy Lanto
David Arterburn
Paul G Shekelle
Health Services Research & Development · USCedars-Sinai Medical Center · USCenter for the Study of Healthcare Provider Behavior · USHealth Center · USVA Greater Los Angeles Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the consequences of overweight and obesity, effective weight management is not occurring in primary care.

objectiveTo identify beliefs about obesity that act as barriers to weight management in primary care by surveying both patients and providers and comparing their responses.

designAnonymous, cross-sectional, self-administered survey of patients and providers of a Veteran's Administration Primary Care Clinic, distributed at the clinic site. SUBJECTS: Forty-eight Internal Medicine providers and 488 patients. MEASUREMENTS: Beliefs, attitudes, and experiences with weight management as well as demographic characteristics were collected through a questionnaire.

resultsProviders and patients differed significantly on many beliefs about weight. Providers were more likely than patients to perceive that patients lack self-control to stay on a diet and that fattening food in society and lack of time for exercise were prime factors in weight gain. They also expressed more interest in helping patients with weight management than patients desiring this. Patients were more likely to state that weight problems should be managed on one's own, talking to a provider is not helpful, providers blame them for their weight problem, and that appointments contain sufficient time for weight discussion.

conclusionProviders and patients emphasize different barriers to weight management. Providers need to be aware of the beliefs that their patients hold to improve weight management discussions and interventions in primary care.

Indexed as

Attitude of Health PersonnelHealth PersonnelPatient Acceptance of Health CarePerceptionWeight LossAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedObesityPhysician-Patient RelationsPrimary Health Care

Identifiers

PMID17372803
PMCPMC1829430
OpenAlexW2015737566

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.