Evidence map›Paper›PMID 20193998›Full record

Trial reportPatient education and counseling2010

Patient use of weight-management activities: a comparison of patient and physician assessments.

Sara N Bleich, Mary Margaret Huizinga, Mary Catherine Beach, Lisa A Cooper

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Patient education and counseling, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Patient Activation: A Primary Care Tool to Tackle Overweight and Obesity.Clinical diabetes : a publication of the American Diabetes Association · 2015
    Article
  3. Article
  4. Article
  5. Obesity, stigma, and responsibility in health care: A synthesis of qualitative studies.International journal of qualitative studies on health and well-being · 2011
    Article
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

4 authors.

Sara N BleichDepartment of Health Policy and Management, Baltimore,MD 21205, USA. sbleich@jhsph.edu
Mary Margaret Huizinga
Mary Catherine Beach
Lisa A Cooper

Funding

Patient-Physician Partnership to Improve HBP AdherenceR01HL069403 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A · 2001 to 2004
$2.5M
Patient-Oriented Research in Cardiovascular DisparitiesK24HL083113 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI COOPER, LISA A · 2006 to 2015
$2.0M
Racial Disparities in Physician Practice Patterns and Self-Management of ObesityK01HL096409 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BLEICH, SARA NAOMI · 2009 to 2013
$699k
NHLBI NIH HHS K01 HL096409NHLBI NIH HHS K01HL096409NHLBI NIH HHS K24 HL083113NHLBI NIH HHS K24HL083113NHLBI NIH HHS R01 HL069403NHLBI NIH HHS R01HL069403
6 · The paper itself

Abstract

objectiveExamine concordance between patient and physician assessments of patient self-reported use of weight-management activities.

methodsAnalysis 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).

resultsA 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).

conclusionsPrimary 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.

Indexed as

CommunicationPatient Acceptance of Health CarePatient Education as TopicPhysician-Patient RelationsWeight LossAdultAgedAged, 80 and overBody Mass IndexConfidence IntervalsExerciseFemaleHealth BehaviorHumansMaleMiddle Aged

Identifiers

PMID20193998
PMCPMC2879463

What OpenQuestion holds

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Registered trials

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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.