Evidence map›Paper›PMID 29479467›Full record

ArticleObesity science & practice2018

Patient-provider relationship and perceived provider weight bias among American Indians and Alaska Natives.

K L Gonzales, G E Garcia, M M Jacob, C Muller, L Nelson, S M Manson

Abstract read
In one paragraph

Article in Obesity science & practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Sources of Stress Among Midwest American Indian Adults with Type 2 Diabetes.American Indian and Alaska native mental health research (Online) · 2019
    Article
  5. Article
  6. Article
  7. Article
  8. 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.

K L GonzalesOregon Health Sciences University-Portland State University School of Public Health Portland State University Portland OR USA.
G E GarciaDepartment of Sociology Portland State University Portland OR USA.
M M JacobDepartment of Education Studies, College of Education University of Oregon Eugene OR USA.
C MullerInitiative for Research and Education to Advance Community Health Washington State University Seattle WA USA.
L NelsonInitiative for Research and Education to Advance Community Health Washington State University Seattle WA USA.
S M MansonCenters for American Indian and Alaska Native Health University of Colorado Denver Aurora CO USA.

Funding

Research Education CoreP30AG015292 · NIA · UNIVERSITY OF COLORADO DENVER · PI MULLER, CLEMMA JACOBSEN · 1997 to 2022
$12.3M
NIA NIH HHS P30 AG015292
6 · The paper itself

Abstract

Objective: The objective of this study was to examine patient-provider relationships among American Indians and Alaska Native (AI/AN) patients by examining associations between patient activation, perceived provider weight bias and working alliance. Patient activation is generally defined as having the knowledge, skills and confidence to manage one's health. Methods: Among a sample of 87 AI/AN adults presenting for general medical care at an urban clinic in the north-west region of the USA, ordinary least squares regression analysis was completed to examine associations. Results: Better working alliance scores were associated with increased patient activation, while perceived provider weight bias was associated with reduced patient activation. In addition, those with class II obesity had decreased patient activation. Conclusion: These findings point to the importance of a positive patient-provider relationship in AI/ANs. Optimal patient engagement and subsequent health outcomes warrant additional consideration of patients' perceptions of provider weight bias within the context of health promotion and interventions.

Indexed as

American Indianpatient activationtherapeutic allianceweight bias

Identifiers

PMID29479467
PMCPMC5818742

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.