Evidence map›Paper›PMID 34514059›Full record

ArticleGlobal pediatric health2021

First, Do No Harm: Understanding Primary Care Providers' Perception of Risks Associated With Discussing Weight With Pediatric Patients.

Katie A Loth, Jocelyn Lebow, Marc James Abrigo Uy, Samantha M Ngaw, Dianne Neumark-Sztainer, Jerica M Berge

Open access · goldAbstract read
In one paragraph

Article in Global pediatric health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

6 citing papers in PubMed, 18 citations in OpenAlex.

  1. Weight Stigma in Adolescents With Obesity From Low-Income Backgrounds: Qualitative Perspectives From Adolescents and Caregivers.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
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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

6 authors at 3 institutions in 1 country.

Katie A LothUniversity of Minnesota Medical School, Minneapolis, MN, USA.ORCID https://orcid.org/0000-0001-8934-2522
Jocelyn LebowMayo Clinic, Rochester, MN, USA.
Marc James Abrigo UyUniversity of Minnesota Medical School, Minneapolis, MN, USA.ORCID https://orcid.org/0000-0003-2234-6785
Samantha M NgawEntira Family Clinics, Saint Paul, MN, USA.
Dianne Neumark-SztainerSchool of Public Health, University of Minnesota, Minneapolis, MN, USA.
Jerica M BergeUniversity of Minnesota Medical School, Minneapolis, MN, USA.ORCID https://orcid.org/0000-0003-3371-351X
University of Minnesota Medical Center · USMayo Clinic in Arizona · USUniversity of Minnesota · US

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

Many health care providers struggle with if- and how-to discuss weight with their pediatric patients. This study used one-on-one interviews with primary care providers (n = 20) to better understand their: (1) perception of risks associated with talking about weight with pediatric patients, (2) commitment to adhering to best practices of pediatric weight management, and (3) approaches to mitigate perceived risks. Providers felt concerned that discussing weight with children during clinic visits may have unintended negative impacts. Despite perceived risks, providers continued regular BMI screening and weight-focused conversations, but took care with regard to language and approach with the goal of mitigating perceived risks. Findings suggest that pediatric primary care providers perceive that engaging in weight-related discussions with their patients has the potential to lead to negative, unintended consequences. Future research is needed to understand if weight-focused conversations should be avoided altogether or if there are approaches that can effectively mitigate risks.

Indexed as

pediatricsphysician educationprimary carequalitativeweight management

Identifiers

PMID34514059
PMCPMC8427925
OpenAlexW3197521950

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.