Evidence map›Paper›PMID 26254471›Full record

ArticleBMJ open2015

Raising the topic of weight in general practice: perspectives of GPs and primary care nurses.

Maxine Blackburn, Afroditi Stathi, Edmund Keogh, Christopher Eccleston

Abstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 5 pooled it
–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

65 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  5. Epidemiology of adult overweight recording and management by UK GPs: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
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  13. GPs' perspectives on GLP-1RAs for obesity management: a qualitative study in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
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5 more citing papers are in PubMed but not listed here.

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.

Maxine BlackburnDepartment for Health, University of Bath, Bath, UK.
Afroditi StathiDepartment for Health, University of Bath, Bath, UK.
Edmund KeoghDepartment of Psychology, University of Bath, Bath, UK.
Christopher EcclestonDepartment for Health, University of Bath, Bath, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore general practitioners' (GPs) and primary care nurses' perceived barriers to raising the topic of weight in general practice.

designA qualitative study using the Theoretical Domains Framework (TDF). 34 semistructured interviews were conducted to explore views, opinions and experiences of initiating a discussion about weight. Content and thematic analyses were used to analyse the interview transcripts.

settingGeneral practices located in one primary care trust in the South West of England.

participants17 GPs and 17 nurses aged between 32 and 66 years. The modal age range for GPs was 30-39 years and for nurses, 40-49 years.

resultsBarriers were synthesised into three main themes: (1) limited understanding about obesity care, (2) concern about negative consequences, and (3) having time and resources to raise a sensitive topic. Most barriers were related to raising the topic in more routine settings, rather than when dealing with an associated medical condition. GPs were particularly worried about damaging their relationship with patients and emphasised the need to follow their patient's agenda.

conclusionsUncertainty about obesity, concerns about alienating patients and feeling unable to raise the topic within the constraints of a 10 min consultation, is adding to the reluctance of GPs and nurses to broach the topic of weight. Addressing these concerns through training or by providing evidence of effective interventions that are feasible to deliver within consultations may lead to greater practitioner engagement and willingness to raise the topic.

Indexed as

Family PracticeHealth Knowledge, Attitudes, PracticePrimary Health CareAdultAgedEnglandFemaleGeneral PractitionersHumansInterviews as TopicMaleMiddle AgedNursesObesityProfessional-Patient RelationsQualitative ResearchMEDICAL EDUCATION & TRAININGPREVENTIVE MEDICINEPRIMARY CAREPUBLIC HEALTHQUALITATIVE RESEARCH

Identifiers

PMID26254471
PMCPMC4538258

What OpenQuestion holds

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LicenceCC BY-NC
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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.