Restricted accessResearch articleFirst published online 2016-9
When is it ok to tell patients they are overweight? General public’s views of the role of doctors in supporting patients’ dieting and weight management
The objective was to explore the general public’s views on the role of health professionals in the management of weight with diet and the implementation of behaviour change. Semi-structured interviews were conducted. An inductive grounded theory approach utilised a coding framework; recurring concepts/themes explored in future interviews and thematic saturation achieved. Two themes summarised views on the role of health professionals in supporting dieting and weight management: responsibility to initiate talk and what patients expect. Individuals perceive health professionals as having a role in their weight management. Individuals have disparate views about responsibility for initiation of weight management talk.
BefortCAGreinerKAHallS. (2006) Weight-related perceptions among patients and physicians. Journal of General Internal Medicine21: 1086–1090.
2.
BleichSNHuizingaMMBeachMC. (2010) Patient use of weight management activities: A comparison of patient and physician assessments. Patient Education and Counseling79: 344–350.
3.
ChisholmAHartJLamV. (2012) Current challenges of behavior change talk for medical professionals and trainees. Patient Education and Counseling87(3): 389–394.
4.
GibbsHDBroomJBrownJ. (2004) Current approaches to obesity management in UK Primary Care: The Counterweight Programme. Journal of Human Nutrition and Dietetics17: 183–190.
HeintzeCMetzUHahnD. (2010) Counseling overweight in primary care: An analysis of patient-physician encounters. Patient Education and Counseling80: 71–75.
7.
HuangJYuHMarinE. (2004) Physicians’ weight loss counseling in two public hospital primary care clinics. Academic Medicine79: 156–161.
8.
JebbSAAhernALOlsonAD. (2011) Patient care referral to a commercial provider for weight loss treatment versus standard care: A randomised controlled trial. The Lancet378(9801): 1485–1492.
9.
KoJYBrownDRGaluskaDA. (2008) Weight loss advice U.S. obese adults receive from health care professionals. Preventative Medicine47: 587–592.
10.
MalterudKTonstadS (2009) Preventing obesity: Challenges and pitfalls for health promotion. Patient Education and Counseling76: 254–259.
11.
National Institute for Health and Clinical Excellence (NICE) (2006) Obesity: Guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children. Available at: https://www.nice.org.uk/guidance/cg43 (accessed 17 February 2015).
NoëlPHPughJA (2002) Management of overweight and obese adults. British Medical Journal325: 757–761.
14.
PetersS (2010) Qualitative research methods in mental health. Evidence Based Mental Health13: 35–40.
15.
PollakKIAlexanderSCCoffmanCJ. (2010) Physician communication techniques and weight loss in adults. American Journal of Preventative Medicine39(4): 321–328.
16.
PotterMBVuJDCroughan-MinihaneM (2001) Weight management: What patients want from their primary care physicians. Journal of Family Practice50: 513–518.
17.
StraussALCorbinJ (1998) Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. Los Angeles, CA: SAGE.
18.
TanDZwarNADennisSM. (2006) Weight management in general practice: What do patients want?Medical Journal of Australia185(2): 73–75.
19.
World Health Organization (WHO) (2000) Obesity: Preventing and Managing the Global Epidemic. Geneva: WHO.
