ArticleInternational journal of obesity (2005)2013
The epidemiology of weight counseling for adults in the United States: a case of positive deviance.
Article in International journal of obesity (2005), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- What methods are used to apply positive deviance within healthcare organisations? A systematic review.BMJ quality & safety · 2016Pooled it
- A systematic review of motivational interviewing for weight loss among adults in primary care.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2015Pooled it
- A web-based intervention to increase weight loss treatment initiation: results of a cluster randomized feasibility and acceptability trial.Translational behavioral medicine · 2021Trial
- A Toolbox Approach to Obesity Treatment in Urban Safety-Net Primary Care Clinics: a Pragmatic Clinical Trial.Journal of general internal medicine · 2019Trial
- Trial
- The impact of physician weight discussion on weight loss in US adults.Obesity research & clinical practiceTrial
- Screening, Diagnosis, Evaluation, and Staging of Obesity in Adults: Standards of Care in Overweight and Obesity-2026.BMJ open diabetes research & care · 2026Review
- Leveraging the Positive Deviance Approach to Drive Behavior Change in Noncommunicable Diseases: A Scoping Review.Public health challenges · 2026Review
- Missed diagnosis-a major barrier to patient access to obesity healthcare in the primary care setting.International journal of obesity (2005) · 2024Article
- The use of positive deviance approach to improve health service delivery and quality of care: a scoping review.BMC health services research · 2024Article
- Positive deviance in health and medical research on individual level outcomes - a review of methodology.Annals of epidemiology · 2022Review
- Article
- Weight management counseling experiences of first year medical students before starting medical school and their self-perceived impact on treating patients with obesity.Preventive medicine reports · 2021Article
- Provider Advice and Patient Perceptions on Weight Across Five Health Systems.American journal of preventive medicine · 2020Article
- General Public's Information-Seeking Patterns of Topics Related to Obesity: Google Trends Analysis.JMIR public health and surveillance · 2020Article
- Nutrition and physical activity counselling by general practitioners in Lithuania, 2000-2014.BMC family practice · 2019Article
- A Patient-Centered PaTH to Address Diabetes: Protocol for a Study on the Impact of Obesity Counseling.JMIR research protocols · 2019Article
- Provider Advice About Weight Loss in a Primary Care Sample of Obese and Overweight Patients.Journal of primary care & community health · 2017Observational
- How is success achieved by individuals innovating for patient safety and quality in the NHS?BMC health services research · 2017Article
- Validation of clinic weights from electronic health records against standardized weight measurements in weight loss trials.Obesity (Silver Spring, Md.) · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
Weight counseling for adults is uncommonly performed by primary-care providers (PCPs), despite recommendations. In order to design effective primary-care interventions, a full understanding of the epidemiology of weight counseling in primary care is needed. Our objective was to measure the frequency of weight counseling at the level of the PCP. We performed a cross-sectional study of 21 220 US adult outpatient primary-care visits with 954 PCPs in 2007-2008, using data from the National Ambulatory Medical Care Survey (NAMCS). Most (58%) PCPs performed no weight counseling during any patient visits. A total of 85 (8.9%) PCPs provided 52% of all weight counseling and were categorized as 'positive deviant' (PD) physicians. Patients seeing PD physicians were older, less likely to be female and more likely to have hypertension, diabetes and obesity. Adjusting for patient characteristics strengthened the association between PD status and receipt of weight counseling during visits (adjusted odds ratio=13.2 (95% confidence interval 11.5-15.7)). In conclusion, a minority of PCPs provide the majority of primary-care weight counseling in the United States. Studies of these PCPs may help to identify practical methods to increase weight counseling in primary-care settings.
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Registered trials
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.