Document Detail


Accuracy and Congruence of Patient and Physician Weight-Related Discussions: From Project CHAT (Communicating Health: Analyzing Talk).
MedLine Citation:
PMID:  24390888     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
METHODS: We audio-recorded encounters between physicians (n = 40) and their overweight/obese patients (n = 461) at 5 community-based practices. We coded weight-related content and surveyed patients and physicians immediately after the visit. Generalized linear mixed models assessed factors associated with accuracy.
RESULTS: Overall, accuracy was moderate: patient (67%), physician (70%), and congruence (62%). When encounters containing weight-related content were analyzed, patients (98%) and physicians (97%) were highly accurate and congruent (95%), but when weight was not discussed, patients and physicians were more inaccurate and incongruent (patients, 36%; physicians, 44%; 28% congruence). Physicians who were less comfortable discussing weight were more likely to misreport that weight was discussed (odds ratio, 4.5; 95% confidence interval, 1.88-10.75). White physicians with African American patients were more likely to report accurately no discussion about weight than white physicians with white patients (odds ratio, 0.30; 95% confidence interval, 0.13-0.69).
CONCLUSION: Physician and patient self-report of weight-related discussions were highly accurate and congruent when audio-recordings indicated weight was discussed but not when recordings indicated no weight discussions. Physicians' overestimation of weight discussions when weight is not discussed constitutes missed opportunities for health interventions.
Authors:
Michael E Bodner; Rowena J Dolor; Truls Fstbye; Pauline Lyna; Stewart C Alexander; James A Tulsky; Kathryn I Pollak
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Board of Family Medicine : JABFM     Volume:  27     ISSN:  1557-2625     ISO Abbreviation:  J Am Board Fam Med     Publication Date:    2014 Jan-Feb
Date Detail:
Created Date:  2014-01-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101256526     Medline TA:  J Am Board Fam Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  70-7     Citation Subset:  IM    
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