Evidence map›Paper›PMID 29310572›Full record

ArticleBMC family practice2018

Support needs of patients with obesity in primary care: a practice-list survey.

Elizabeth H Evans, Kirby Sainsbury, Dominika Kwasnicka, Alex Bolster, Vera Araujo-Soares, Falko F Sniehotta

Open access · goldAbstract read
In one paragraph

Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
5.9field-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, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Misclassification of Self-Reported Body Mass Index Categories.Deutsches Arzteblatt international · 2020
    Pooled it
  3. Article
  4. Article
  5. 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 · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Beneficial self-management support and user involvement in Healthy Life Centres-A qualitative interview study in persons afflicted by overweight or obesity.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
  12. Article
  13. Article
  14. Article
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

6 authors at 2 institutions in 2 countries.

Elizabeth H EvansInstitute of Health & Society, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK. elizabeth.evans@newcastle.ac.uk.
Kirby SainsburyInstitute of Health & Society, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK.
Dominika KwasnickaSchool of Psychology and Speech Pathology, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia.
Alex BolsterInstitute of Health & Society, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK.
Vera Araujo-SoaresInstitute of Health & Society, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK.
Falko F SniehottaInstitute of Health & Society, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK.
Newcastle University · GBCurtin University · AU

Funding

Biotechnology and Biological Sciences Research CouncilBritish Heart FoundationCancer Research UKChief Scientist OfficeDepartment of HealthMedical Research Council MR/J000477/1Medical Research Council MR/K02325X/1Wellcome Trust
6 · The paper itself

Abstract

backgroundUK guidelines recommend that patients with obesity in primary care receive opportunistic weight loss advice from health care professionals, but there is a lack of research into the characteristics and existing weight management practices of these patients. The aim of this study was to characterise primary care patients with obesity in England, to inform the screening, support, and referral options appropriate to this group.

methodsWe surveyed 1309 patients registered at 15 GP practices in North East England, aged ≥18 years and with objectively recorded obesity (BMI ≥ 30 kg/m

results62% of participants were actively trying to lose weight, and a further 15% had attempted and discontinued weight loss in the last 12 months. Only 20% of the sample had sought GP support for weight loss in the last 12 months; instead, most efforts to lose weight were self-guided and did not use evidence-based strategies. Those who sought GP weight loss support were likely to use it and find it motivating. Participants had attempted weight loss on multiple previous occasions and overall felt less confident and successful at maintaining weight loss than losing it. Participants at greatest clinical risk (higher BMI and more health conditions) reported particularly low confidence and multiple barriers to weight loss, but were nevertheless highly motivated to lose weight and keep it off.

conclusionsWe identified the need for informational, structural, and weight loss maintenance-specific support for GP patients with objectively-recorded obesity. Study participants were motivated to lose weight and keep it off, but lacked the confidence and understanding of effective strategies required to do this. GP weight loss support was acceptable and useful but underutilised, indicating that screening and brief referral interventions to structured programmes may augment patients' current weight management activities and meet key support needs whilst optimising limited primary care resources.

Indexed as

ObesityWeight Reduction ProgramsAdultBody Mass IndexCommunication BarriersDiagnostic Screening ProgramsFemaleHealth Status DisparitiesHumansInformation LiteracyMaleMiddle AgedMotivationNeeds AssessmentPrimary Health CarePsychosocial Support SystemsObesityOverweightPrimary health care

Identifiers

PMID29310572
PMCPMC5759249
OpenAlexW2782794198

What OpenQuestion holds

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LicenceCC BY
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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.