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














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    abstract::Most of the surgical procedures proposed for the treatment of fecal incontinence associated with prolapse are associated with considerable morbidity and mortality. We used a modified Thiersch procedure with a Silastic mesh implant (Dow-Corning 501-3) on a series of 12 patients over a period of 2 1/2 years. Nine patien...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Larach SW,Vazquez B

    更新日期:1986-03-01 00:00:00

  • Nerve root cut-off on metrizamide-enhanced computerized tomography.

    abstract::The "wink" sign of nerve root cut-off seen on metrizamide-enhanced computerized tomography correlates well with compression of a lumbar nerve by a herniated disk. Seven of 46 patients had normal or equivocal myelograms, but had definite nerve root cut-off on metrizamide-enhanced CT scan. All seven patients were found ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Smith GR

    更新日期:1986-05-01 00:00:00

  • Continuous spinal blockade: an old technique revisited.

    abstract::In this paper we describe a technique for continuous spinal anesthesia, first described at the turn of the 20th century and long thought to have become obsolete. We discuss reasons for discontinuance and neglect of the technique, as well as its indications, applications, and specific advantages, and we report a signif...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Shroff PK,Skerman JH,Blass NH

    更新日期:1988-02-01 00:00:00

  • Perioperative antibiotic prophylaxis against vascular graft infection.

    abstract::This study investigated the efficacy of perioperative antibiotics in preventing bacteremic infection of vascular suture lines, Dacron grafts, and bovine heterografts. One hundred forty-nine dogs had either segmental excision of the abdominal aorta with primary repair, Dacron prosthesis, or bovine heterograft placement...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Wilson SE,Wang S,Gordon HE

    更新日期:1977-10-01 00:00:00

  • Mobile Health (mHealth) Use or Non-Use by Residents of West Virginia.

    abstract:OBJECTIVE:To compare mobile health (mHealth) usage by residents of West Virginia with national estimates. METHODS:Pew Research Center data from its Internet and American Life Project were accessed for secondary data analysis. These data, available to the public, are a probability sample of Internet use in the United S...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Giacobbi P Jr,Cushing P,Popa A,Haggerty T,Hansell A,Sedney C

    更新日期:2018-10-01 00:00:00

  • Paraspinous abscess with Mycobacterium avium-intracellulare in a patient without AIDS.

    abstract::This paper reports the case of a young woman with SLE whose paraspinous abscess due to Mycobacterium avium-intracellulare was metastatic to the breast. Surgical drainage and 18 months of treatment with rifampin, cycloserine, ethambutol, and streptomycin failed to eradicate the infection. This case illustrates that MAI...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Brodkin H

    更新日期:1991-11-01 00:00:00

  • Exceptionally high arterial oxygen tension in diabetic ketoacidosis.

    abstract::We recently managed a patient with diabetic ketoacidosis who had an exceptionally high arterial oxygen tension of 144 mm Hg while breathing room air. This was higher than the calculated alveolar oxygen tension and suggested the impossible situation of an uphill diffusion gradient. We were surprised to find this is a r...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Kelton JG,Collins FF

    更新日期:1979-09-01 00:00:00

  • Combination chemotherapy and radiation therapy of undifferentiated small cell bronchogenic carcinoma.

    abstract::We reviewed 76 cases of small cell bronchogenic carcinoma seen at the University of South Florida Medical Center. One third of the 55 patients who have subsequently died did so within one month of diagnosis. Thirty-five patients were treated with cyclophosphamide, adriamycin, vincristine, and radiation therapy includi...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Lyman GH,Hartmann RC,Saba HI,Preston D,Shukovsky L,Jensen R,Knight M

    更新日期:1978-05-01 00:00:00

  • Hemolytic-uremic syndrome without evidence of microangiopathic hemolytic anemia on peripheral blood smear.

    abstract::We report the case of an 18-year old man with hemolytic-uremic syndrome (HUS) having a classic clinical presentation and diagnostic renal pathology without evidence of microangiopathic hemolytic anemia (MAHA) by peripheral blood smear. Indirect evidence of hemolysis was suggested by mild anemia, elevation of serum lac...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Brilliant SE,Lester PA,Ohno AK,Carlon MJ,Davis BJ,Cushner HM

    更新日期:1996-03-01 00:00:00

  • Pseudoaneurysms and related complications of aortic bypass grafts.

    abstract::During a recent five-year period 14 patients had pseudoaneurysms as late complications of aortic bifurcation grafts. Severe atherosclerosis had been present at the time of the aortic grafts, and subsequent progression of arterial disease appeared to be the usual cause of the pseudoaneurysms which occurred from two to ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Harbrecht PJ,Ahmad W,Fry DE

    更新日期:1980-12-01 00:00:00

  • Relationship between menarcheal age and adult height.

    abstract::Many factors contribute to the attainment of adult height, including genetic and environmental variables. To assess the relationship between menarcheal age and adult height, measured adult height and recalled menarcheal age were compared by regression analysis in 425 women. The overall regression equation, Height = 15...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Shangold MM,Kelly M,Berkeley AS,Freedman KS,Groshen S

    更新日期:1989-04-01 00:00:00

  • Combined paraesophageal and sliding hiatal hernia.

    abstract::We have reported a case of a large paraesophageal herniation with a small sliding component. Abnormal positioning of the esophagogastric junction or the necessity for mobilizing it during repair requires the addition of an antireflux procedure to the standard reduction and repair. Elective repair of a paraesophageal h...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Chapman JE Jr,Kamath MV,Wilson BW

    更新日期:1988-09-01 00:00:00

  • Acute Page kidney phenomenon: a cause of reversible renal allograft failure.

    abstract::We have reported a case of reversible acute renal transplant failure due to the Page kidney phenomenon, which followed routine diagnostic needle biopsy. Duplex Doppler ultrasonography differentiated between allograft rejection and graft failure due to perirenal and mechanical abnormalities. Renal transplant failure ma...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Dempsey J,Gavant ML,Cowles SJ,Gaber AO

    更新日期:1993-05-01 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

  • Current status and future role of health screening.

    abstract::To date, screening has largely failed to fulfill the hope that early detection would lead to more effective early treatment and to improved health status in the population served. The future role of screening can be much more positive but only if (1) screening is directed only at diseases and conditions for which earl...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: North AF Jr

    更新日期:1977-10-01 00:00:00

  • Comparison of the use and accuracy of methods for determining pleural fluid pH.

    abstract:BACKGROUND:The blood gas analyzer (BGA) has been considered the "gold standard" for pleural fluid pH determination. METHODS:We report the various methods used to measure pleural fluid pH by 277 acute care institutions who responded to a mailed questionnaire. The techniques used included the BGA (32%), dip stick or pH ...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Chandler TM,McCoskey EH,Byrd RP Jr,Roy TM

    更新日期:1999-02-01 00:00:00

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Doucet H,Shah MK,Cummings TL,Kahn MJ

    更新日期:1999-03-01 00:00:00

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Alexopoulou A,Deutsch M,Dourakis SP

    更新日期:2003-09-01 00:00:00

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    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Gultekin SH,Cody HS 3rd,Hoda SA

    更新日期:1996-02-01 00:00:00

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Barron KR,Lai JC,MenkinSmith LP,Lee JS,Humphrey ME,Hall JW

    更新日期:2018-07-01 00:00:00

  • Ruptured ovarian artery aneurysm complicating a term vaginal delivery.

    abstract::Ruptured ovarian artery aneurysm is rare. Of the eight cases previously reported, seven were diagnosed postpartum. Our case of a ruptured right ovarian artery aneurysm was associated with massive retroperitoneal bleeding. The probable time of rupture could be traced to the second stage of labor. This case indicates th...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Belfort MA,Simon T,Kirshon B,Howell JF

    更新日期:1993-09-01 00:00:00

  • Ruptured right atrium from nonpenetrating trauma of the chest.

    abstract::As with our case, patients with rupture of the atrium may survive untreated for prolonged periods. Although three survivors have been reported after rupture of the right or left ventricle, ventricular injuries are usually fatal. With improvements in transportation methods, rapid recognition and diagnosis, and early op...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Tobin HM,Hiratzka LF,Vargish T

    更新日期:1986-04-01 00:00:00

  • Improving Underrepresented Minority in Medicine Representation in Medical School.

    abstract:OBJECTIVES:Despite the efforts of various leading organizations in medical education, representation of black students in US medical schools has declined since the mid-1990s. The Florida State University College of Medicine (FSUCOM) has undertaken efforts to increase black and other underrepresented minority in medicin...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Campbell KM,Brownstein NC,Livingston H,Rodríguez JE

    更新日期:2018-04-01 00:00:00

  • Superior vena cava syndrome: experience in a teaching hospital.

    abstract::Between 1972 and 1985, 39 patients with superior vena cava syndrome were admitted to the Medical College of Georgia Hospitals. I have reviewed the hospital courses of these patients and compared clinical and laboratory findings with those reported in previous series. The syndrome was malignant in 34 patients (mean age...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Fincher RM

    更新日期:1987-10-01 00:00:00

  • Canine-Assisted Therapy in Hospitalized Patients Awaiting Heart Transplantation.

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Snipelisky D,Smidt J,Gallup S,Myrick J,Bauer B,Burton MC

    更新日期:2019-06-01 00:00:00

  • Acute upper gastrointestinal bleeding in patients with portal hypertension: a correlation of endoscopic findings with etiology.

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Schoppe LE,Roark GD,Patterson M

    更新日期:1983-04-01 00:00:00

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Kalter S,Dhingra HM,Farha P

    更新日期:1985-02-01 00:00:00

  • Rubella: pattern of outbreak in a university.

    abstract::During the spring term of 1975, rubella was diagnosed in 23 students at Georgetown University in Washington, DC. The cases were concentrated among students from the School of Foreign Service and their close contacts; outbreaks did not appear in other divisions of the university. Rubella immunization of susceptible fem...

    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Chretien JH,Esswein JG,McGarvey MA,deStwolinski A

    更新日期:1976-08-01 00:00:00

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    journal_title:Southern medical journal

    pub_type: 杂志文章,评审


    authors: Lin AC,Chapman SW,Turner HR,Wofford JD Jr

    更新日期:1987-07-01 00:00:00

  • Hematologic Malignancies Discovered on Investigation of Breast Abnormalities.

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    journal_title:Southern medical journal

    pub_type: 杂志文章


    authors: Alsadi A,Lin D,Alnajar H,Brickman A,Martyn C,Gattuso P

    更新日期:2017-10-01 00:00:00