ArticleSocial science & medicine (1982)2019
Moral discourse in general practitioners' accounts of obesity communication.
Article in Social science & medicine (1982), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- A systematic review and thematic synthesis of qualitative studies exploring GPs' and nurses' perspectives on discussing weight with patients with overweight and obesity in primary care.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- Weight Bias Interventions for Healthcare Professionals: An Integrative Review.Journal of advanced nursing · 2026Review
- Article
- A Virtual Simulator to Improve Weight-Related Communication Skills for Health Care Professionals: Mixed Methods Pre-Post Pilot Feasibility Study.JMIR medical education · 2025Article
- Experiences in healthcare for weight management - a qualitative interview study of retired individuals with obesity and low or high education.BMC health services research · 2024Article
- The Basis of Patient Resistance to Opportunistic Discussions About Weight in Primary Care.Health communication · 2024Article
- "Whatever I said didn't register with her": medical fatphobia and interactional and relational disconnect in healthcare encounters.Frontiers in sociology · 2024Article
- Changing the global obesity narrative to recognize and reduce weight stigma: A position statement from the World Obesity Federation.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2024Review
- Communication about weight-related issues with adult patients with obesity in general practice: A scoping review.Obesity science & practice · 2023Article
- The Effectiveness of eHealth Interventions for Weight Loss and Weight Loss Maintenance in Adults with Overweight or Obesity: A Systematic Review of Systematic Reviews.Current obesity reports · 2023Review
- ZoomForward2022: European Congress on Obesity.Obesity facts · 2022Article
- Weight assessment and the provision of weight management advice in primary care: a cross-sectional survey of self-reported practice among general practitioners and practice nurses in the United Kingdom.BMC family practice · 2020Article
- Yonder: Obesity communication, opioid deprescribing, actinic keratosis, and artificial intelligence.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Development of Trigger Films to Explore Nursing Students' Attitudes Toward Patients with Obesity.SAGE open nursingArticle
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Obesity is not addressed with a large proportion of patients presenting in general practice. An increasing body of evidence suggests that health professionals view body weight as a sensitive topic to include in routine consultations and face barriers in initiating weight loss discussions. This study examined the discursive power relations that shape how general practitioners (GPs) understand and talk about obesity using a novel methodology to elicit responses from GPs about raising the topic of weight. Twenty GPs from the South West of England reflected upon novel trigger films simulating doctor-patient interactions, in which a doctor either acknowledged or ignored their patient's body weight. Underpinned by a discourse analytic approach, our findings suggest that GPs both reproduce and resist moral discourse surrounding body weight. They construct obesity as an individual behavioural problem whilst simultaneously drawing on socio-cultural discourse which positions body weight as central to social identity, situating obesity within a context of stigma and positioning patients as powerless to lose weight. Our findings highlight a need for increased reflexivity about competing discursive frameworks at play during medical consultations about obesity, which we suggest, contribute to increased tension and powerlessness for GPs. Trigger films are an innovative method to elicit information and discuss competing discourses.
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Registered trials
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.