ArticlePatient education and counseling2016
Starting the conversation: Patient initiation of weight-related behavioral counseling during pregnancy.
Article in Patient education and counseling, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Conversation cards for pregnancy: a protocol for a multi-method study.Pilot and feasibility studies · 2026Article
- Eating Behaviors and Dietary Patterns of Women during Pregnancy: Optimizing the Universal 'Teachable Moment'.Nutrients · 2021Article
- Provider Counseling About and Risk Perception for Future Chronic Disease Among Women with Gestational Diabetes and Preeclampsia.Journal of women's health (2002) · 2020Article
- Investigating strategies used by hospital pharmacists to effectively communicate with patients during medication counselling.Health expectations : an international journal of public participation in health care and health policy · 2017Article
- Providing prenatal care to pregnant women with overweight or obesity: Differences in provider communication and ratings of the patient-provider relationship by patient body weight.Patient education and counseling · 2017Article
Corrections and comments
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Authors and funding
2 authors.
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Abstract
objectiveTo examine the relationship between patient initiation and weight-related behavioral counseling during pregnancy.
methodsWe examined audio recordings of prenatal visits between 22 obstetricians and 120 patients for behavioral counseling using the Roter Interaction Analysis System and the 5A's behavioral counseling framework. We used multivariate regression models to examine the relationship between patient initiation and communication outcomes.
resultsOverall, 55% of prenatal visits included any behavioral counseling. Patients initiated counseling episodes 45.5% of these visits. Patients were less verbally dominated by their clinicians in prenatal visits with patient-initiated behavioral counseling episodes (difference in clinician verbal dominance ratio=0.73, 95% CI=0.16-1.30). Patient-initiated counseling episodes included more socioemotional communication relative to those initiated by clinicians (p=0.02). The total duration of counseling was 28s longer (95% CI 0.27-56.0s) and clinicians were more likely to use two or more 5A's strategies (OR=3.61, 95% CI=1.01-12.88) when patients initiated discussions.
conclusionsPatient initiation may lead to behavioral counseling that is longer in duration and includes more 5A's strategies, possibly mediated by socioemotional communication. PRACTICE IMPLICATIONS: Participatory prenatal care communication may lead to more effective counseling that is responsive to women's concerns.
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