The 5As team patient study: patient perspectives on the role of primary care in obesity management.

Abstract:

BACKGROUND:Over 60% of people have overweight or obesity, but only a third report receiving counselling from primary care providers. We explored patients' perspectives on the role of primary care in obesity management and their experience with existing resources, with a view to develop an improved understanding of this perspective, and more effective management strategies. METHODS:Qualitative study employing semi-structured interviews and thematic analysis, with a sample of 28 patients from a cohort of 255 patients living with obesity and receiving care to support their weight management in a large Primary Care Network of family practices in Alberta. RESULTS:Four illustrative themes emerged: (1) the patient-physician relationship plays an important role in the adequacy of obesity management; (2) patients have clear expectations of substantive conversations with their primary care team; (3) complex conditions affect weight and patients require assistance tailored to individual obesity drivers; (4) current services provide support in important ways (accessibility, availability, accountability, affordability, consistency of messaging), but are not yet meeting patient needs for individual plans, advanced education, and follow-up opportunities. CONCLUSIONS:Patients have clear expectations that their primary care physician asks them about weight within a supportive therapeutic relationship. They see obesity as a complex phenomenon with multiple drivers. They want their healthcare providers to assess and address their root causes - not simplistic advice to "eat less, move more". Patients felt that the current services were positive resources, but expressed needs for tailored weight management plans, and longer-term follow-up.

journal_name

BMC Fam Pract

journal_title

BMC family practice

authors

Torti J,Luig T,Borowitz M,Johnson JA,Sharma AM,Campbell-Scherer DL

doi

10.1186/s12875-017-0596-2

subject

Has Abstract

pub_date

2017-02-08 00:00:00

pages

19

issue

1

issn

1471-2296

pii

10.1186/s12875-017-0596-2

journal_volume

18

pub_type

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