Evidence map›Paper›PMID 17767720›Full record

ArticleBMC family practice2007

A qualitative study of primary care clinicians' views of treating childhood obesity.

Olivia Walker, Mark Strong, Rebecca Atchinson, Joanna Saunders, Jo Abbott

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in BMC family practice, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
9.4field-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

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 152 citations in OpenAlex.

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  5. Evaluating the transferability of a hospital-based childhood obesity clinic to primary care: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012
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  6. Barriers engaging families and GPs in childhood weight management strategies.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Olivia WalkerUniversity of Sheffield Medical School, Beech Hill Road, Sheffield, S10 2RX, UK. owalker@doctors.org.uk
Mark Strong
Rebecca Atchinson
Joanna Saunders
Jo Abbott
The Rotherham NHS Foundation Trust · GBUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of childhood obesity is rising and the UK Government have stated a commitment to addressing obesity in general. One method has been to include indicators relating to obesity within the GP pay-for-performance Quality and Outcomes Framework (QOF) contract. This study aimed to explore general practitioners' and practice nurses' views in relation to their role in treating childhood obesity.

methodsWe interviewed eighteen practitioners (twelve GPs and six nurses) who worked in general practices contracting with Rotherham Primary Care Trust. Interviews were face to face and semi structured. The transcribed data were analysed using framework analysis.

resultsGPs and practice nurses felt that their role was to raise the issue of a child's weight, but that ultimately obesity was a social and family problem. Time constraint, lack of training and lack of resources were identified as important barriers to addressing childhood obesity. There was concern that the clinician-patient relationship could be adversely affected by discussing what was often seen as a sensitive topic. GPs and practice nurses felt ill-equipped to tackle childhood obesity given the lack of evidence for effective interventions, and were sceptical that providing diet and exercise advice would have any impact upon a child's weight.

conclusionGPs and practice nurses felt that their role in obesity management was centred upon raising the issue of a child's weight, and providing basic diet and exercise advice. Clinicians may find it difficult to make a significant impact on childhood obesity while the evidence base for effective management remains poor. Until the lack of effective interventions is addressed, implementing additional targets (for example through the QOF) may not be effective.

Indexed as

Attitude of Health PersonnelChildContinuity of Patient CareCounselingHumansInterviews as TopicNurse-Patient RelationsNurse PractitionersObesityOutcome and Process Assessment, Health CarePhysician-Patient RelationsPhysicians, FamilyPrimary Health CareProfessional-Family RelationsReferral and ConsultationSocial Class

Identifiers

PMID17767720
PMCPMC2008193
OpenAlexW2161231716

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.