Evidence map›Paper›PMID 33677525›Full record

ArticleFamily practice2021

Primary care providers' perspectives on initiating childhood obesity conversations: a qualitative study.

Derek E Hersch, Marc James A Uy, Samantha M Ngaw, Katie A Loth

Abstract read
In one paragraph

Article in Family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

  1. Article
  2. 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
  3. Primary healthcare professionals' role in monitoring infant growth: A scoping review.Journal of child health care : for professionals working with children in the hospital and community · 2024
    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

4 authors.

Derek E HerschDepartment of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.ORCID 0000-0003-4867-1156
Marc James A UyDepartment of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.
Samantha M NgawEntira Family Clinics, Saint Paul, MN, USA.
Katie A LothDepartment of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.

Funding

An exploration of the momentary mechanisms of controlling food-related parenting practices among mothers and fathers of preschool childrenK23HD090324 · NICHD · UNIVERSITY OF MINNESOTA · PI LOTH, KATIE ANN · 2017 to 2020
$473k
NICHD NIH HHS K23 HD090324
6 · The paper itself

Abstract

backgroundPrimary care physicians (PCPs) are in a critical position for identifying, preventing and treating childhood obesity. However, a one-size-fits-all approach does not exist for having conversations about weight with families. A better understanding of how PCPs can address paediatric patients' weight concerns is needed in order to develop effective guidelines and trainings.

objectiveTo describe PCPs preferences and behaviours regarding weight-related conversations with paediatric patients' and their families.

methodsTwenty PCPs affiliated with the University of Minnesota, USA, were recruited to participate in semi-structured interviews. Transcripts were analysed using inductive thematic analysis.

resultsPCP's identified well-child visits as the most appropriate time for weight-related discussions with families. Physicians described what approaches/elements they perceived to work best during conversations: collaboration, empathy, health-focused and objective measures.

conclusionsOverall, PCPs were more comfortable with weight-related discussions during annual well-child visits and rarely initiated them during an acute visit or the first encounter with a patient. Objective measures, such as growth charts, were often utilized to start discussions. Considering a large proportion of well-child visits are missed, alternative opportunities to have discussions about healthy lifestyle behaviours should be explored. The integral role PCPs play in paediatric obesity warrants further research.

Indexed as

Pediatric ObesityPhysicians, Primary CareAttitude of Health PersonnelChildHumansPrimary Health CareQualitative ResearchAttitude of health personneldelivery of health carefamily practicepaediatric obesity/prevention & controlphysician–patient relationsqualitative research

Identifiers

PMID33677525
PMCPMC8414925

What OpenQuestion holds

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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.