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Direct observation of weight-related communication in primary care : a systematic review

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McHale_et_al_Systematic_review_Manuscript_FP_Clean_Copy_FINAL_230516.pdf (499.5Kb)
Date
08/2016
Author
McHale, Calum Thomas
Laidlaw, Anita Helen
Cecil, Joanne Elizabeth
Keywords
RA0421 Public health. Hygiene. Preventive Medicine
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Abstract
Background. Primary care is ideally placed to play an effective role in patient weight management however patient weight is seldom discussed in this context. A synthesis of studies that directly observe weight discussion in primary care is required to more comprehensively understand and improve primary care weight-related communication. Objective. To systematically identify and examine primary care observational research that investigates weight-related communication and its relationship to patient weight outcomes. Methods. A systematic review of literature published up to August 2015, using seven electronic databases (including MEDLINE, Scopus, and PsycINFO), was conducted using search terms such as overweight, obese, doctor patient communication. Results. Twenty papers were included in the final review. Communication analysis focused predominantly on practitioner use of specific patient-centred communication. Practitioner use of motivational interviewing was associated with improved patient weight-related outcomes, including patient weight loss and increased patient readiness to lose weight; however few studies measured patient weight-related outcomes. Conclusion. Studies directly observing weight-related communication in primary care are scarce and limited by a lack of focus on patient communication and patient weight-related outcomes. Future research should measure practitioner and patient communications during weight discussion, and their impact on patient weight-related outcomes. This knowledge may inform the development of a communication intervention to assist practitioners to more effectively discuss weight with their overweight and/or obese patients.
Citation
McHale , C T , Laidlaw , A H & Cecil , J E 2016 , ' Direct observation of weight-related communication in primary care : a systematic review ' , Family Practice: the International Journal for Research in Primary Care , vol. 33 , no. 4 , pp. 327-345 . https://doi.org/10.1093/fampra/cmw045
Publication
Family Practice: the International Journal for Research in Primary Care
Status
Peer reviewed
DOI
https://doi.org/10.1093/fampra/cmw045
ISSN
1460-2229
Type
Journal item
Rights
© The Authors 2016. Published by Oxford University Press. This work is made available online in accordance with the publisher’s policies. This is the author created, accepted version manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at fampra.oxfordjournals.org / https://dx.doi.org/10.1093/fampra/cmw045
Description
Funding: Review was carried out as part of a PhD funded by the University of St Andrews 600th Anniversary Scholarship.
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  • University of St Andrews Research
URI
http://hdl.handle.net/10023/10987

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