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Crucial conversations about weight management with healthcare providers: patients' perspectives and experiences.

Title: Crucial conversations about weight management with healthcare providers: patients' perspectives and experiences.
Authors: Koball AM; Department of Behavioral Health, Gundersen Health System, 1900 South Avenue, La Crosse, WI, 54601, USA. amkoball@gundersenhealth.org.; Mueller PS; Department of General Internal Medicine, Mayo Clinic, Rochester, MN, 55905, USA.; Craner J; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, 55905, USA.; Clark MM; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, 55905, USA.; Nanda S; Department of General Internal Medicine, Mayo Clinic, Rochester, MN, 55905, USA.; Kebede EB; Department of General Internal Medicine, Mayo Clinic, Rochester, MN, 55905, USA.; Grothe KB; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, 55905, USA.
Source: Eating and weight disorders : EWD [Eat Weight Disord] 2018 Feb; Vol. 23 (1), pp. 87-94. Date of Electronic Publication: 2016 Jul 29.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Springer Country of Publication: Germany NLM ID: 9707113 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1590-1262 (Electronic) Linking ISSN: 11244909 NLM ISO Abbreviation: Eat Weight Disord Subsets: MEDLINE
Imprint Name(s): Publication: 2013- : Heidelberg : Springer; Original Publication: Milano, Italy : Editrice Kurtis, c1996-
MeSH Terms: Motivation* ; Patient Preference* ; Physician-Patient Relations*; Body Weight/*physiology ; Obesity/*therapy ; Overweight/*therapy; Aged ; Aged, 80 and over ; Communication ; Female ; Health Personnel ; Humans ; Male ; Middle Aged
Abstract: Purpose: To elicit patient experiences of weight management discussions with providers and provide recommendations for future weight-related discussions.; Methods: 1000 patients who recently saw their provider for non-weight specific appointments were mailed measures of demographics, self-reported height and weight, activity level, adherence, perceptions of and recommendations for weight-related discussions, and internalized weight bias. This study was primarily descriptive and utilized a mixed method design including collection of quantitative and qualitative data.; Results: 242 patients responded (24 % response rate); 32.4 % overweight (N = 72), 41.9 % obese (N = 93). 47 % of overweight and 71 % of obese patients recalled that their provider discussed weight; 92 % were motivated to follow recommendations and 89 % felt confident doing so. Most patients (75 %) would like their provider to be "very direct/straightforward" when discussing weight, and 52 % would be "not at all offended" if they were diagnosed as "overweight/obese." Most patients (63 %) reported being "extremely comfortable" discussing weight with providers. Patients with higher BMI had higher levels of internalized weight bias (p 
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Contributed Indexing: Keywords: Communication; Obesity; Weight management
Entry Date(s): Date Created: 20160731 Date Completed: 20180814 Latest Revision: 20220330
Update Code: 20260130
DOI: 10.1007/s40519-016-0304-6
PMID: 27473870
Database: MEDLINE

Journal Article