Patients Desire Personalized, Specific, and Continuous Advice on Weight Management.


OBJECTIVE:To deliver effective care, healthcare systems should understand patients' preferences for weight management across a spectrum of needs. Our objective was to describe patients' perceptions of what helps or hinders weight loss and maintenance. METHODS:Semistructured interviews were conducted with patients who accessed weight management services at a large integrated health system in 2018. The interview guide was developed and iteratively refined through a literature search and by consulting experts. Questions included the respondent's weight history, interactions with the health system, and current health status. The analysis used a grounded theory approach, and each transcript was double-coded in 2019. Codes were sorted into themes. All discrepancies were resolved through team discussion. RESULTS:Fifteen patients were interviewed. The majority of respondents (87%) reported multiple weight loss attempts. Three themes were identified. First, advice should be matched to a patient's knowledge and prior experience (eg, using bariatric deck cards). As patients progressed, clinician advice also needed to advance (eg, explaining how to expand food options instead of defining a healthy diet). Second, respondents had a variety of motivating factors, and understanding where motivation is generated from can inform how to design a weight management approach. Third, patients need continual and long-term advice. Some respondents feared becoming ineligible for services if their weight dropped too much. CONCLUSIONS:Health systems can support patients by developing processes for identifying the extent of a patient's knowledge and giving personalized advice based on the patient's preferences and experiences. Reassessing needs at defined intervals may help patients attain and sustain their goals.


South Med J


Southern medical journal


Pfoh ER,Flench R,Varghai NH,King M,Heinberg LJ




Has Abstract


2021-01-01 00:00:00














  • Asbestos-related lung disease.

    abstract::Asbestos is a versatile fibrous mineral that can cause lung disease and death. Asbestosis, benign pleural disease, lung cancer, and mesothelioma can all result from inhaling asbestos. The history of disease and exposure risks are discussed. The difficult assessment of risk and the long latency period for development o...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Westerfield BT

    更新日期:1992-06-01 00:00:00

  • Pancreaticoduodenectomy for duodenal bleeding due to hereditary hemorrhagic telangiectasia.

    abstract::A variant of hereditary hemorrhagic telangiectasia may be gastrointestinal bleeding with no other classical symptoms. This case demonstrates the effectiveness of surgical resection as treatment of duodenal bleeding from telangiectatic lesions. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Welling RE,Jain VK,Panke TW,Childs E

    更新日期:1987-03-01 00:00:00

  • Orthopedic surgery postgraduate year 1 intern curriculum improves initial orthopedic in-training examination performance.

    abstract:OBJECTIVE:To determine the efficacy of an educational curriculum designed for orthopedic surgery postgraduate year 1 (PGY-1) interns to improve initial Orthopedic In-Training Examination (OITE) performance. METHODS:A retrospective cohort study was performed that evaluated the PGY-1 intern OITE performance of one resid...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Roberts CS,Nyland J,Broome B

    更新日期:2012-04-01 00:00:00

  • The localization of multiple intra-abdominal abscesses by gallium scanning.

    abstract::A septic course suggestive of intra-abdominal abscess followed surgery in a small child with a perforated appendix. Usual diagnostic studies, fluoroscopy, and rectal and wound exploration failed to localized an abscess. The use of gallium 67 scanning accurately localized multiple abscesses which were successfully drai...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Aycock TM,Graivier L,Lugo C,McConnell RW

    更新日期:1976-10-01 00:00:00

  • Evaluation of extramural programs.

    abstract::Extramural programs may be evaluated in terms of effectiveness in achieving their particular goals. The components of structure, process, and outcome are examined as related sets of program elements. Goals influence appropriate structure in organization, facilities, and manpower. Structure in turn influences process o...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Chappell JA,Hain JD

    更新日期:1979-06-01 00:00:00

  • Arteriography with simultaneous gastric distention to detect insulin-secreting tumors of the pancreas.

    abstract::Gaseous distention of the stomach at the time of arteriography enhances the contrast of densities within the pancreatic parenchyma, resulting in excellent visualization and therefore precise preoperative localization of insulin-secreting tumors of the pancreas. This relatively simple modification of selective arteriog...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Aldrete JS,Han SY,Henao F

    更新日期:1983-12-01 00:00:00

  • Relation Between Physicians' Work Lives and Happiness.

    abstract:OBJECTIVES:Although we know much about work-related physician burnout and the subsequent negative effects, we do not fully understand work-related physician wellness. Likewise, the relation of wellness and burnout to physician happiness is unclear. The purpose of this study was to examine how physician burnout and well...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Eckleberry-Hunt J,Kirkpatrick H,Taku K,Hunt R,Vasappa R

    更新日期:2016-04-01 00:00:00

  • Chronic traumatic trigeminal neuralgia.

    abstract::Atypical facial pain or neuralgia and lower-half headache are confusing terms and should be discarded. Recurrent unilateral, throbbing, frontal headaches should be referred to as facial migraine. Patients whose trigeminal branches have been subjected to repeated surgical procedures and who have relentless unilateral f...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: McFarland HR

    更新日期:1982-07-01 00:00:00

  • Discovery method and stage of breast cancer in two different patient populations.

    abstract::Our purpose was to determine the discovery method and stage of newly discovered breast cancers at two different medical centers. To do this, we conducted a retrospective chart review at our urban and suburban teaching hospitals during 1991 through 1992 and 1992, respectively. Only 29 (26%) of 112 cancers at our urban ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Tigges S,Monticciolo DL,Kessler L

    更新日期:1995-11-01 00:00:00

  • Dynamic weight-bearing cervical magnetic resonance imaging: technical review and preliminary results.

    abstract:BACKGROUND:Conventional magnetic resonance imaging (MRI) of complex cervical spine disorders may underestimate the magnitude of structural disease because imaging is performed in a nondynamic non-weight-bearing manner. Myelography provides additional information but requires an invasive procedure. METHODS:This was a p...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章


    authors: Vitaz TW,Shields CB,Raque GH,Hushek SG,Moser R,Hoerter N,Moriarty TM

    更新日期:2004-05-01 00:00:00

  • Medial meniscectomy: a prospective clinical study.

    abstract::This is a prospective clinical study of 41 consecutive patients with isolated tears of the medial meniscus who underwent meniscectomy by conventional arthrotomy. The results are presented in terms of length of hospitalization, complications, analgesic requirements during hospitalization, and ability to regain muscle c...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Henard DC

    更新日期:1983-09-01 00:00:00

  • Appendicovesical fistula presenting as Klebsiella urosepsis.

    abstract::Appendicovesical fistula is an uncommon condition usually occurring in boys and young men and associated with chronic urinary tract infection. Diagnosis is based on cystoscopic findings that may be confirmed by a retrograde study. Treatment by appendectomy is usually successful. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Carson CC 3rd,Malek RS

    更新日期:1980-04-01 00:00:00

  • Tetany in a child with AIDS receiving intravenous tobramycin.

    abstract::Aminoglycosides have been reported to cause tetany by inducing renal wasting of magnesium and secondary hypocalcemia. A 9-year-old girl with AIDS was brought to the emergency department because of tetany. She had just finished a 3-week course of intravenous tobramycin for bronchiectasis and had an elevated serum tobra...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Slayton W,Anstine D,Lakhdir F,Sleasman J,Neiberger R

    更新日期:1996-11-01 00:00:00

  • Role of Rifaximin in Spontaneous Bacterial Peritonitis Prevention.

    abstract::Cirrhosis affects millions of people around the world and is associated with increased morbidity and mortality. Spontaneous bacterial peritonitis (SBP) is a common complication of liver disease with cirrhosis and accounts for up to 30% of infections in patients with cirrhosis. Patients with a history of SBP and those ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Oliver A,Wong M,Sanchez C

    更新日期:2018-11-01 00:00:00

  • Candida albicans meningitis in a parenteral drug abuser.

    abstract::We have described a patient with meningitis due to Candida albicans, in whom the only identifiable risk factor was a history of intravenous amphetamine abuse. Despite intravenous therapy with 2 gm of amphotericin B and concurrent 5-fluorocytosine, symptoms, CSF pleocytosis, and hypoglycorrhachia persisted. After a bri...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Kantor HL,Emsellem HA,Hogg JE,Simon GL

    更新日期:1984-03-01 00:00:00

  • Obturator hernia: a difficult diagnosis.

    abstract::We have presented the case of an elderly woman with severe kyphoscoliosis, osteoarthritis and left knee effusion who had symptoms and signs of intermittent intestinal obstruction. Operation showed a left-sided obturator hernia. In any elderly, debilitated, chronically ill woman, symptoms and signs of recurrent small-b...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Rizk TA,Deshmukh N

    更新日期:1990-06-01 00:00:00

  • Reconsideration of orchiectomy in the treatment of advanced prostatic carcinoma.

    abstract::The results of a large randomized prospective clinical trial conducted by the Veterans Administration Co-operative Urological Research Group (VACURG) in 1968 are updated and reevaluated. In this study, placebo, diethylstilbestrol (DES, 5 mg/day), orchiectomy plus placebo, and orchiectomy plus DES were compared in pati...

    journal_title:Southern medical journal

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Jordan WP Jr,Blackard CE,Byar DP

    更新日期:1977-12-01 00:00:00

  • Normeperidine-induced seizures in hereditary coproporphyria.

    abstract::Seizures are common in acute exacerbations of hepatic porphyria, even though the etiology is not identified in most cases. We have reported a case of normeperidine-induced seizures in a patient with hereditary coproporphyria. Although meperidine is commonly used for pain control during acute attacks in these patients,...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Deeg MA,Rajamani K

    更新日期:1990-11-01 00:00:00

  • Neuroleptospirosis with hydrocephalus and very elevated cerebrospinal fluid protein.

    abstract::To our knowledge, this is the first known case of a patient with leptospirosis and very elevated CSF, which caused hydrocephalus. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Sakellaridis N,Panagopoulos D,Androulis A

    更新日期:2009-05-01 00:00:00

  • Primary carcinoid tumor of the testis.

    abstract::We have presented a case of primary testicular carcinoid in an otherwise asymptomatic 50-year-old white man treated by right orchiectomy; a postoperative abdominal CT scan was normal. Histologically and cytologically the tumor resembled carcinoids of midgut origin. Most primary testicular carcinoid tumors are not clin...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Walker AN,White CR,Erickson DJ,Powell S

    更新日期:1988-02-01 00:00:00

  • Detection of specific antibodies in human blastomycosis by enzyme immunoassay.

    abstract::Serologic tests for the diagnosis of blastomycosis have had inadequate sensitivity, but results are improved with enzyme immunoassay (EIA) with A-antigen of Blastomyces dermatitidis. The Premier Blastomyces EIA kit (Meridian Diagnostics Inc, Cincinnati, Ohio) detected antibody against the B dermatitidis A-antigen in s...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Bradsher RW,Pappas PG

    更新日期:1995-12-01 00:00:00

  • Home dialysis program of the Nashville VA Hospital.

    abstract::Since 1965, 330 patients have received chronic dialysis treatment at the Nashville VA Hospital. Home hemodialysis training was established in 1968, and a unique class format has been used since 1970. Despite the national trend of fewer patients beginning home dialysis each year, more than 50 percent of our patients ha...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Latos DL,Spannuth CL,Stone WJ

    更新日期:1977-12-01 00:00:00

  • Bilateral endobronchial non-Hodgkin's lymphoma.

    abstract::Pulmonary involvement with non-Hodgkin's lymphoma, while well recognized, is less common than with Hodgkin's lymphoma. Endobronchial non-Hodgkin's lymphoma is even rarer and usually occurs in the presence of disseminated disease. We present a case of bilateral endobronchial non-Hodgkin's lymphoma. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Hardy K,Nicholson DP,Schaefer RF,Hsu SM

    更新日期:1995-03-01 00:00:00

  • Population-based study of the geographic variation in colon cancer incidence in Alabama: relationship to socioeconomic status indicators and physician density.

    abstract:OBJECTIVES:The objective of this population-based study was to examine the relationship between race, socioeconomic characteristics (socioeconomic status, SES), physician density, and colon cancer incidence in Alabama. METHODS:Data for 5,788 colon cancer cases from 1996 to 1999 provided by the Alabama Statewide Cancer...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Shipp MP,Desmond R,Accortt N,Wilson RJ,Fouad M,Eloubeidi MA

    更新日期:2005-11-01 00:00:00

  • The development, status, and future of healthcare chaplaincy.

    abstract::This review article provides insight into the evolution of professional healthcare chaplaincy. It identifies key historical developments identifying the training, qualifications, and competencies of chaplains. Consideration is given to both the unique character of the pastoral role in healthcare as well as the contrib...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Ford T,Tartaglia A

    更新日期:2006-06-01 00:00:00

  • Evaluating continuity of care in primary care internal medicine programs.

    abstract::One goal of primary care training programs is to provide "continuity experiences" for residents. Although programs funded by the Health Resources Administration are mandated to provide and evaluate such experiences, a wide variety may exist in both the concept and the evaluation of continuity in these training program...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Petrusa ER,Yunker R,Brink S

    更新日期:1983-06-01 00:00:00

  • Preoperative cardiac consultations in a teaching hospital.

    abstract::Perioperative consultations may play a major role in the care of surgical patients in an era of prospective payments. Since insurance reimbursement policy favors limitations in the number of consultants on a case, general medicine ("holistic") consultation services may become preferred perioperative consultants in the...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Golden WE,Lavender RC

    更新日期:1989-03-01 00:00:00

  • A Retrospective Study of Students Referred to a Psychiatric Clinic at a College Counseling Center in Appalachia.

    abstract:OBJECTIVES:This study describes the clinical problems and psychiatric diagnoses of college students who sought services at a student counseling clinic and were subsequently referred for evaluation by a psychiatrist. Several important psychiatric problems present before leaving for college that could mandate the selecti...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Lowe B,Bryant-Melvin K,Peterson M,Hussain N,Holroyd S

    更新日期:2020-05-01 00:00:00

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    abstract::This report describes the case of a 32-year-old male presenting with acute progressive bilateral carpal tunnel syndrome after a benign upper respiratory tract infection. Serial nerve conduction studies confirmed progressive entrapment of the median nerves in the carpal tunnel to the point of axonal damage. Surgical de...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: El Hajj II,Harb MI,Sawaya RA

    更新日期:2005-11-01 00:00:00

  • Paradoxically developed optochiasmatic tuberculoma and tuberculous lymphadenitis: a case report with 18-month follow up by MRI.

    abstract::We report the first case ofextracranial tuberculous lymphadenitis which paradoxically developed during treatment of intracranial tuberculoma. Our patient, a 15-year-old girl who initially presented with meningitis and intracranial tuberculomas, developed extracranial tuberculomas during treatment for central nervous s...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Kalkan A,Serhatlioglu S,Ozden M,Denk A,Demirdag K,Yilmaz T,Kilic SS

    更新日期:2006-04-01 00:00:00