Evidence map›Paper›PMID 31910854›Full record

ArticleBMC medical education2020

Improving obesity management training in family medicine: multi-methods evaluation of the 5AsT-MD pilot course.

Thea Luig, Sonja Wicklum, Melanie Heatherington, Albert Vu, Erin Cameron, Doug Klein, Arya M Sharma, Denise L Campbell-Scherer

Abstract read
In one paragraph

Article in BMC medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Efficacy of interventions aimed at reducing explicit and implicit weight bias in healthcare students: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  14. Effective strategies in ending weight stigma in healthcare.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
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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

8 authors.

Thea LuigOffice of Lifelong Learning & Physician Learning Program, University of Alberta, Edmonton, Canada.
Sonja WicklumCummings School of Medicine, University of Calgary, Calgary, Canada.
Melanie HeatheringtonOffice of Lifelong Learning & Physician Learning Program, University of Alberta, Edmonton, Canada.
Albert VuCore Internal Medicine, University of Alberta, Edmonton, Canada.
Erin CameronDepartment of Human Sciences, Northern Ontario School of Medicine, Sudbury, Canada.
Doug KleinDepartment of Family Medicine, University of Alberta, Edmonton, Canada.
Arya M SharmaDepartment of Medicine, Division of Endocrinology, University of Alberta, Edmonton, Canada.
Denise L Campbell-SchererOffice of Lifelong Learning & Physician Learning Program, University of Alberta, Edmonton, Canada. dlcampbe@ualberta.ca.ORCID http://orcid.org/0000-0002-2500-8207

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuality, evidence-based obesity management training for family medicine residents is needed to better support patients. To address this gap, we developed a comprehensive course based on the 5As of Obesity Management™ (ASK, ASSESS, ADVISE, AGREE, ASSIST), a framework and suite of resources to improve residents' knowledge and confidence in obesity counselling. This study assessed the course's impact on residents' attitudes, beliefs, and confidence with obesity counselling.

methodsThe course combines lectures with a bariatric empathy suit experience, standardized and in-clinic patient practice, and narrative reflections. Using a multi-methods design we measured changes in 42 residents' attitudes, beliefs, and self-confidence and thematically analyzed the narrative reflections to understand residents' experience with the course content and pedagogy.

resultsFollowing the course, residents reported improved attitudes towards people living with obesity and improved confidence for obesity counselling. Pre/post improvement in BAOP scores (n = 32) were significant (p < .001)., ATOP scores did not change significantly. Residents showed improvement in assessing root causes of weight gain (p < .01), advising patients on treatment options (p < .05), agreeing with patients on health outcomes (p < .05), assisting patients in addressing their barriers (p < .05), counseling patients on weight gain during pregnancy, (p < .05), counseling patients on depression and anxiety (p < .01), counseling patients on iatrogenic causes of weight gain (p < .01), counseling patients who have children with obesity (p < .05), and referring patients to interdisciplinary providers for care (p < .05). Qualitative analysis of narrative reflections illustrates that experiential learning was crucial in increasing residents' ability to empathically engage with patients and to critically reflect on implications for their practice.

conclusionThe 5AsT-MD course has the potential to increase residents' confidence and competency in obesity prevention and management. Findings reflect the utility of the 5As to improve residents' confidence and competency in obesity management counselling.

Indexed as

Clinical CompetenceCurriculumInternship and ResidencyObesity ManagementAdultAttitude of Health PersonnelCounselingFamily PracticeFemaleHumansMaleSelf ConceptYoung AdultEducation, medicalEvaluation studyObesityPrimary health care

Identifiers

PMID31910854
PMCPMC6947955

What OpenQuestion holds

Textmetadata
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.