| Speaking of weight: how patients and primary care clinicians initiate weight loss counseling. | |
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MedLine Citation:
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PMID: 15193904 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Obesity is epidemic in the US and other industrialized countries and contributes significantly to population morbidity and mortality. Primary care physicians see a substantial portion of the obese population, yet rarely counsel patients to lose weight. METHODS: Descriptive field notes of outpatient visits collected as part of a multimethod comparative case study were used to study patterns of physician-patient communication around weight control in 633 encounters in family practices in a Midwestern state. RESULTS: Sixty-eight percent of adults and 35% of children were overweight. Excess weight was mentioned in 17% of encounters with overweight patients, while weight loss counseling occurred with 11% of overweight adults and 8% of overweight children. In weight loss counseling encounters, patients formulated weight as a problem by making it a reason for visit or explicitly or implicitly asking for help with weight loss. Clinicians did so by framing weight as a medical problem in itself or as an exacerbating factor for another medical problem. CONCLUSIONS: Strategies that increase the likelihood of patients identifying weight as a problem, or that provide clinicians with a way to "medicalize" the patient's obesity, are likely to increase the frequency of weight loss counseling in primary care visits. |
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Authors:
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John G Scott; Deborah Cohen; Barbara DiCicco-Bloom; A John Orzano; Patrice Gregory; Susan A Flocke; Lisa Maxwell; Benjamin Crabtree |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Preventive medicine Volume: 38 ISSN: 0091-7435 ISO Abbreviation: Prev Med Publication Date: 2004 Jun |
Date Detail:
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Created Date: 2004-06-14 Completed Date: 2004-09-14 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0322116 Medline TA: Prev Med Country: United States |
Other Details:
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Languages: eng Pagination: 819-27 Citation Subset: IM |
Affiliation:
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Department of Family Medicine, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, New Brunswick, NJ 08901, USA. scottjg@umdnj.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Child Child, Preschool Counseling* Diet Exercise Female Humans Infant Male Middle Aged Obesity / therapy* Physician-Patient Relations* Weight Loss* |
| Grant Support | |
ID/Acronym/Agency:
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HS09788/HS/AHRQ HHS; K07CA86046/CA/NCI NIH HHS; PE1011/PE/BHP HRSA HHS; R01HS08776/HS/AHRQ HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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