Trial reportJournal of general internal medicine2014
Insights from the POWER practice-based weight loss trial: a focus group study on the PCP's role in weight management.
Trial report in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Health Care Professionals' Barriers and Facilitators for the Implementation of Lifestyle Interventions Targeting Weight Loss in Primary Care - A Systematic Review of Qualitative Studies.Current obesity reports · 2026Pooled it
- Acceptability and feasibility of weight management programmes for adults with severe obesity: a qualitative systematic review.BMJ open · 2019Pooled it
- Breast cancer survivors' experience of making weight, dietary and physical activity changes during participation in a weight loss intervention.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Trial
- Missing an opportunity: the embedded nature of weight management in primary care.Clinical obesity · 2015Trial
- Satisfaction with primary care provider involvement is associated with greater weight loss: Results from the practice-based POWER trial.Patient education and counseling · 2015Trial
- Barriers and enablers to effective weight management for people living with overweight and obesity: A rapid scoping review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- The Voice of Patients Really Matters: Using Patient-Reported Outcomes and Experiences Measures to Assess Effectiveness of Home-Based Integrated Care-A Scoping Review of Practice.Healthcare (Basel, Switzerland) · 2022Article
- Healthy for Two/Healthy for You: Design and methods for a pragmatic randomized clinical trial to limit gestational weight gain and prevent obesity in the prenatal care setting.Contemporary clinical trials · 2022Article
- Strategies used by providers to support individuals with spinal cord injury in weight management: a qualitative study of provider perspectives.Spinal cord series and cases · 2021Article
- Feasibility and acceptability of a remotely-delivered behavioural health coaching intervention to limit gestational weight gain.Obesity science & practice · 2020Article
- Perspectives of pregnant and postpartum women and obstetric providers to promote healthy lifestyle in pregnancy and after delivery: a qualitative in-depth interview study.BMC women's health · 2020Article
- Primary Care Patients' and Providers' Perspectives about an Online Weight Management Program: a Qualitative Study.Journal of general internal medicine · 2019Article
- Needs Assessment for Weight Management: The Learning Health System Network Experience.Mayo Clinic proceedings. Innovations, quality & outcomes · 2018Article
- Examining Patient Perspectives on Weight Management Support in the Primary Care Setting.The journal of primary prevention · 2018Article
- Patient perception matters in weight management.Primary health care research & development · 2018Article
- Role of the family doctor in the management of adults with obesity: a scoping review.BMJ open · 2018Article
- Evidence of a gap in understanding obesity among physicians.Obesity science & practice · 2018Article
- Treatment of Obesity in Patients With Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2017Article
- Providing online weight management in Primary Care: a mixed methods process evaluation of healthcare practitioners' experiences of using and supporting patients using POWeR.Implementation science : IS · 2017Article
- Impact of the 5As Team study on clinical practice in primary care obesity management: a qualitative study.CMAJ open · 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
4 authors.
Funding
Abstract
backgroundDespite U.S. Preventive Services Task Force recommendations, few primary care providers (PCPs) counsel obese patients about weight loss. The POWER practice-based weight loss trial used health coaches to provide weight loss counseling, but PCPs referred their patients and reviewed their patients' progress reports. This trial provided a unique opportunity to understand PCPs' actual and desired roles in a multi-component weight loss intervention.
objective1) To explore the PCP role, inclusive of and beyond the trial's intended role, in a practice-based weight loss trial; and 2) to elicit recommendations by PCPs for wider dissemination of the successful multi-component program.
designQualitative focus group study of PCPs with ≥ 4 patients enrolled in trial.
participantsTwenty-six out of 30 PCPs from six community practices participated between June and August 2010. MAIN MEASURES: We used a semi-structured moderator guide. Focus groups were audio-recorded and transcribed verbatim. Two investigators independently coded transcripts for thematic content, identified meaningful segments within the responses and assigned codes using an editing style analysis. Atlas.ti software was used for organization/analysis. MAIN
resultsWe identified five major themes related to the PCP's role in patients' weight management: (1) refer patients into program, provide endorsement; (2) provide accountability for patients; (3) "cheerlead" for patients during visits; (4) have limited role in weight management; and (5) maintain the long-term trusting relationship through the ups and downs. PCPs provided several recommendations for wider dissemination of the program into primary care practices, highlighting the need for specific feedback from coaches as well as efficient, integrated processes.
conclusionsWeight loss programs have the potential to partner with PCPs to build upon the patient-provider relationship to improve patient accountability and sustain behavior change. However, rather than directing the weight loss, PCPs preferred a peripheral role by utilizing health coaches.
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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.