ArticlePloS one2023
Primary care providers' perceived barriers to obesity treatment and opportunities for improvement: A mixed methods study.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
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Who cites it
43 citing papers in PubMed.
- Peer Coaching to Support Weight Management in Primary Care: A Cluster Randomized Clinical Trial.JAMA network open · 2025Trial
- A survey of primary care physicians' views on supporting patients who lose insurance coverage for Glucagon-Like Peptide-1-based drugs for weight management.Obesity pillars · 2026Article
- Knowledge and perceptions of obesity care among general practice nurses in the Republic of Ireland.Primary health care research & development · 2026Article
- Beyond Single Anthropometric Measures: Integrating Waist Circumference and Body Mass Index to Stratify Obesity-Related Health Risk.Current obesity reports · 2026Review
- Screening, Diagnosis, Evaluation, and Staging of Obesity in Adults: Standards of Care in Overweight and Obesity-2026.BMJ open diabetes research & care · 2026Review
- Factors influencing patient preferences for obesity pharmacotherapy: The triangulation of semi-structured interviews, photovoice study and focus group discussions.Obesity pillars · 2026Article
- One size does not fit all: Qualitative interviews with individuals with overweight or obesity and healthcare providers on navigating and supporting weight management.Obesity pillars · 2026Article
- Uncovering Gaps in Obesity Medicine Competencies: Insights from Ten U.S. Medical Schools.Medical science educator · 2026Article
- Reduced risk of liver-related events among patients receiving individualized nutrition-focused remote care in the United States.Hepatology (Baltimore, Md.) · 2026Article
- Exploring Racial and Ethnic Differences in Utilization of Medications for Obesity Management in a Nationally Representative Survey.Journal of racial and ethnic health disparities · 2026Article
- Pharmacologic treatment of obesity in adults: Standards of care in overweight and obesity.BMJ open diabetes research & care · 2026Review
- Developing a Weight Management and Metabolic Health Program to support patient-centred, effective, and efficient treatment for veterans with overweight or obesity: protocol for a quality improvement programme.Primary health care research & development · 2026Article
- Patient characteristics and early experiences with anti-obesity medications: the CAMP study.Frontiers in nutrition · 2026Article
- Providing diabetes prevention services and navigating care transitions: perspectives from primary care providers.BMC primary care · 2025Article
- Article
- Perceived barriers and facilitators to implementing a weight management programme in a primary care setting in Singapore: a qualitative study.BMC primary care · 2025Article
- Novel Strategies to Conquer Residual Adiposity Risk in Cardiovascular Disease.Current atherosclerosis reports · 2025Review
- Obesity care knowledge and practice among primary care physicians in Klang valley: a cross-sectional study.BMC primary care · 2025Article
- Concomitant mortality trends due to obesity and hypertension in the U.S.: a 20-year retrospective analysis of the CDC WONDER database.BMC cardiovascular disorders · 2025Article
- Opportunities for General Internal Medicine to Promote Equity in Obesity Care.Journal of general internal medicine · 2025Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundPrimary care patients with obesity seldom receive effective weight management treatment in primary care settings. This study aims to understand PCPs' perspectives on obesity treatment barriers and opportunities to overcome them. STUDY
designThis is an explanatory sequential mixed methods study in which survey data was collected and used to inform subsequent qualitative interviews. SETTINGS AND
participantsPCPs who provide care to adult patients in an academic medical center in the Midwestern US. METHODOLOGY: PCPs (n = 350) were invited by email to participate in an online survey. PCPs were subsequently invited to participate in semi-structured interviews to further explore survey domains. ANALYTIC APPROACH: Survey data were analyzed using descriptive statistics. Interviews were analyzed using directed content analysis.
resultsAmong 107 survey respondents, less than 10% (n = 8) used evidence-based guidelines to inform obesity treatment decisions. PCPs' identified opportunities to improve obesity treatment including (1) education on local obesity treatment resources (n = 78, 73%), evidence-based dietary counseling strategies (n = 67, 63%), and effective self-help resources (n = 75, 70%) and (2) enhanced team-based care with support from clinic staff (n = 53, 46%), peers trained in obesity medicine (n = 47, 44%), and dietitians (n = 58, 54%). PCPs also desired increased reimbursement for obesity treatment. While 40% (n = 39) of survey respondents expressed interest in obesity medicine training and certification through the American Board of Obesity Medicine, qualitative interviewees felt that pursuing training would require dedicated time (i.e., reduced clinical effort) and financial support.
conclusionsOpportunities to improve obesity treatment in primary care settings include educational initiatives, use of team-based care models, and policy changes to incentivize obesity treatment. Primary care clinics or health systems should be encouraged to identify PCPs with specific interests in obesity medicine and support their training and certification through ABOM by reimbursing training costs and reducing clinical effort to allow for study and board examination.
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