Evidence map›Paper›PMID 27473870›Full record

ArticleEating and weight disorders : EWD2018

Crucial conversations about weight management with healthcare providers: patients' perspectives and experiences.

Afton M Koball, Paul S Mueller, Julia Craner, Matthew M Clark, Sanjeev Nanda, Esayas B Kebede, Karen B Grothe

Abstract read
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In one paragraph

Article in Eating and weight disorders : EWD, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 4% 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  3. Weight bias internalization and health: a systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2018
    Pooled it
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  13. Needs Assessment for Weight Management: The Learning Health System Network Experience.Mayo Clinic proceedings. Innovations, quality & outcomes · 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

7 authors at 4 institutions in 1 country.

Afton M KoballDepartment of Behavioral Health, Gundersen Health System, 1900 South Avenue, La Crosse, WI, 54601, USA. amkoball@gundersenhealth.org.
Paul S MuellerDepartment of General Internal Medicine, Mayo Clinic, Rochester, MN, 55905, USA.
Julia CranerDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, 55905, USA.
Matthew M ClarkDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, 55905, USA.
Sanjeev NandaDepartment of General Internal Medicine, Mayo Clinic, Rochester, MN, 55905, USA.
Esayas B KebedeDepartment of General Internal Medicine, Mayo Clinic, Rochester, MN, 55905, USA.
Karen B GrotheDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, 55905, USA.
Mayo Clinic in Florida · USWinnMed · USGundersen Health System · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo elicit patient experiences of weight management discussions with providers and provide recommendations for future weight-related discussions.

methods1000 patients who recently saw their provider for non-weight specific appointments were mailed measures of demographics, self-reported height and weight, activity level, adherence, perceptions of and recommendations for weight-related discussions, and internalized weight bias. This study was primarily descriptive and utilized a mixed method design including collection of quantitative and qualitative data.

results242 patients responded (24 % response rate); 32.4 % overweight (N = 72), 41.9 % obese (N = 93). 47 % of overweight and 71 % of obese patients recalled that their provider discussed weight; 92 % were motivated to follow recommendations and 89 % felt confident doing so. Most patients (75 %) would like their provider to be "very direct/straightforward" when discussing weight, and 52 % would be "not at all offended" if they were diagnosed as "overweight/obese." Most patients (63 %) reported being "extremely comfortable" discussing weight with providers. Patients with higher BMI had higher levels of internalized weight bias (p < .001) and wanted their provider to "discuss weight sensitively" (p < .05).

conclusionThis study suggests that patients have important preferences that providers should be mindful of when discussing weight. While these discussions can be challenging, most patients report that they would be comfortable having these conversations directly and most would have enhanced motivation and confidence following these conversations. Communicating about weight is needed and desired by patients; doing so sensitively with those at higher weight is essential.

Indexed as

MotivationPatient PreferencePhysician-Patient RelationsAgedAged, 80 and overBody WeightCommunicationFemaleHealth PersonnelHumansMaleMiddle AgedObesityOverweightCommunicationObesityWeight management

Identifiers

PMID27473870
OpenAlexW2506955357

What OpenQuestion holds

Textmetadata
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.