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dc.contributor.authorMcHale, Calum T.
dc.contributor.authorCecil, Joanne E.
dc.contributor.authorLaidlaw, Anita H.
dc.identifier.citationMcHale , C T , Cecil , J E & Laidlaw , A H 2019 , ' An analysis of directly observed weight communication processes between primary care practitioners and overweight patients ' , Patient Education and Counseling , vol. 102 , no. 12 , pp. 2214-2222 .
dc.identifier.otherORCID: /0000-0003-1214-4100/work/59953651
dc.identifier.otherORCID: /0000-0002-9274-7261/work/60196512
dc.identifier.otherORCID: /0000-0003-4779-6037/work/60196858
dc.descriptionThis research was funded by a University of St Andrews 600th Anniversary Doctoral Scholarship.en
dc.description.abstractObjective To analyse weight-related communication prevalence and processes (content/context) between primary care practitioners (PCPs) and overweight patients within routine primary healthcare consultations. Methods Consultations between 14 PCPs and 218 overweight patients (BMI ≥25 kg/m2) were video recorded. Weight communication was coded using the Roter Interaction Analysis System (RIAS) and the novel St Andrews Issue Response Analysis System (SAIRAS). Communication code frequencies were analysed. Results Weight discussion occurred in 25% of consultations with overweight patients; 26% of these had weight-related consultation outcomes (e.g. weight-related counselling and referrals, stated weight-related intention from patients). Weight discussions were more likely to occur if PCPs provided space to patient attempts to discuss weight (p = 0.013). Longer weight discussions (p < 0.001) and contextualising weight as problematic when PCP/patient-initiated weight discussion (p < 0.001) were associated with weight-related consultation outcomes. Conclusion Weight was rarely discussed with overweight patients, however PCP space provision to patient weight-discussion initiation attempts increased weight discussion. When weight was discussed, increased time and/or contextualising weight as a problem increased the likelihood of weight-related consultation outcomes. Practical implication PCP use of specific communication approaches when discussing, contextualising and responding to patient weight may facilitate weight-related discussion and consultation outcomes and could lead to more effective patient weight management.
dc.relation.ispartofPatient Education and Counselingen
dc.subjectDirect observationen
dc.subjectPrimary healthcareen
dc.subjectWeight managementen
dc.subjectPrimary care communicationen
dc.subjectWeight-related communicationen
dc.subjectCommunication codingen
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.subjectSDG 3 - Good Health and Well-beingen
dc.titleAn analysis of directly observed weight communication processes between primary care practitioners and overweight patientsen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews. Health Psychologyen
dc.contributor.institutionUniversity of St Andrews. Education Divisionen
dc.description.statusPeer revieweden

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