Evidence map›Paper›PMID 26217520›Full record

ArticleBMC obesity2015

Research protocol: Management of obesity in patients with low health literacy in primary health care.

Nighat Faruqi, Nigel Stocks, Catherine Spooner, Nouhad El Haddad, Mark F Harris

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC obesity, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

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  7. Application of validity theory and methodology to patient-reported outcome measures (PROMs): building an argument for validity.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
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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 2 countries.

Nighat FaruqiCentre for Obesity Management and Prevention Research Excellence in Primary Health Care, UNSW Australia, Sydney, Australia ; Centre for Primary Health Care and Equity, UNSW Australia, Sydney, Australia.
Nigel StocksCentre for Obesity Management and Prevention Research Excellence in Primary Health Care, UNSW Australia, Sydney, Australia ; Discipline of General Practice, University of Adelaide, Adelaide, Australia.
Catherine SpoonerCentre for Obesity Management and Prevention Research Excellence in Primary Health Care, UNSW Australia, Sydney, Australia ; Centre for Primary Health Care and Equity, UNSW Australia, Sydney, Australia.
Nouhad El HaddadCentre for Obesity Management and Prevention Research Excellence in Primary Health Care, UNSW Australia, Sydney, Australia ; Centre for Primary Health Care and Equity, UNSW Australia, Sydney, Australia.
Mark F HarrisCentre for Obesity Management and Prevention Research Excellence in Primary Health Care, UNSW Australia, Sydney, Australia ; Centre for Primary Health Care and Equity, UNSW Australia, Sydney, Australia.
Primary Health Care · QAThe University of Adelaide · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocioeconomically disadvantaged adults are both more likely to be obese and have lower levels of health literacy. Our trial evaluates the implementation and effectiveness of primary care nurses acting as prevention navigators to support obese patients with low health literacy to lose weight. METHODS/

designA pragmatic cluster randomised trial will be conducted. Twenty practices in socioeconomically deprived areas, 10 each in Sydney and Adelaide, will be recruited and randomised to intervention and control groups. Twenty to 40 eligible obese patients aged 40-70 years with a BMI ≥ 30 kg/m(2) and with low health literacy will be enrolled per practice. The intervention is based on the '5As' of the chronic disease model approach - Assess, Advise, Agree, Assist and Arrange - and the recommendations of the 2013 Clinical practice guidelines for the management of overweight and obesity in adults, adolescents and children in Australia. In the intervention practices, patients will be invited to attend a health check with the prevention navigator who will assess the patient's risk and provide brief advice, assistance with goal setting and referral navigation. Provider training and educational meetings will be held. The providers' attitudes to obesity, confidence in treating obesity and preventive care they provide to obese people with low health literacy will be evaluated through questionnaires and interviews. Patients' self-assessment of lifestyle risk factors, perception of preventive care received in general practice, health-related quality of life, and health literacy will be assessed in telephone interviews. Patients' anthropometric measures will be recorded and their health service usage will be determined via linkage to the Australian government-held medical and pharmaceutical data. DISCUSSION: Our trial will provide evidence for the effectiveness of practice nurses as prevention navigators to support better weight management for obese patients with low health literacy.

trial registrationThis trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614001021662). Date registered 24/09/2014.

Indexed as

Health literacyObesityPrevention navigationPrimary care nursesWeight management

Identifiers

PMID26217520
PMCPMC4511590
OpenAlexW2006640255

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.