Cargando…
Missing an opportunity: the embedded nature of weight management in primary care
The 5As Team study was designed to create, implement and evaluate a flexible intervention to improve the quality and quantity of weight management visits in primary care. The objective of this portion of the study was to explore how primary care providers incorporate weight management in their pract...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5049595/ https://www.ncbi.nlm.nih.gov/pubmed/26303812 http://dx.doi.org/10.1111/cob.12115 |
_version_ | 1782457747376177152 |
---|---|
author | Asselin, J. Osunlana, A. M. Ogunleye, A. A. Sharma, A. M. Campbell‐Scherer, D. |
author_facet | Asselin, J. Osunlana, A. M. Ogunleye, A. A. Sharma, A. M. Campbell‐Scherer, D. |
author_sort | Asselin, J. |
collection | PubMed |
description | The 5As Team study was designed to create, implement and evaluate a flexible intervention to improve the quality and quantity of weight management visits in primary care. The objective of this portion of the study was to explore how primary care providers incorporate weight management in their practice. 5AsT is a randomized controlled trial (RCT) on the implementation of a 6‐month 5 As Team (5AsT) intervention designed to operationalize the 5As of obesity management in primary care. Data for the qualitative portion of the study presented here included semi‐structured interviews with 29 multidisciplinary team providers and field notes of intervention sessions. Thematic analysis was undertaken. A key pattern that emerged from the data was that healthcare providers usually do not address obesity as a primary focus for a visit. Rather, obesity is embedded in a wide range of primary care encounters for other conditions. Implications were it can take extra time to discuss weight, it can be inappropriate to bring up weight as a topic, and treating risk factors and root causes of obesity have indirect benefits to patient weight management. Our findings have implications for obesity treatment approaches and tools that assume a discreet weight management visit. The embedded nature of obesity management in primary care can be harnessed to leverage multiple opportunities for asking and assessing root causes of obesity, and working longitudinally towards individual health goals. |
format | Online Article Text |
id | pubmed-5049595 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-50495952016-10-06 Missing an opportunity: the embedded nature of weight management in primary care Asselin, J. Osunlana, A. M. Ogunleye, A. A. Sharma, A. M. Campbell‐Scherer, D. Clin Obes Original Articles The 5As Team study was designed to create, implement and evaluate a flexible intervention to improve the quality and quantity of weight management visits in primary care. The objective of this portion of the study was to explore how primary care providers incorporate weight management in their practice. 5AsT is a randomized controlled trial (RCT) on the implementation of a 6‐month 5 As Team (5AsT) intervention designed to operationalize the 5As of obesity management in primary care. Data for the qualitative portion of the study presented here included semi‐structured interviews with 29 multidisciplinary team providers and field notes of intervention sessions. Thematic analysis was undertaken. A key pattern that emerged from the data was that healthcare providers usually do not address obesity as a primary focus for a visit. Rather, obesity is embedded in a wide range of primary care encounters for other conditions. Implications were it can take extra time to discuss weight, it can be inappropriate to bring up weight as a topic, and treating risk factors and root causes of obesity have indirect benefits to patient weight management. Our findings have implications for obesity treatment approaches and tools that assume a discreet weight management visit. The embedded nature of obesity management in primary care can be harnessed to leverage multiple opportunities for asking and assessing root causes of obesity, and working longitudinally towards individual health goals. John Wiley and Sons Inc. 2015-08-25 2015-12 /pmc/articles/PMC5049595/ /pubmed/26303812 http://dx.doi.org/10.1111/cob.12115 Text en © 2015 The Authors. Clinical Obesity published by John Wiley & Sons Ltd on behalf of World Obesity. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Asselin, J. Osunlana, A. M. Ogunleye, A. A. Sharma, A. M. Campbell‐Scherer, D. Missing an opportunity: the embedded nature of weight management in primary care |
title | Missing an opportunity: the embedded nature of weight management in primary care |
title_full | Missing an opportunity: the embedded nature of weight management in primary care |
title_fullStr | Missing an opportunity: the embedded nature of weight management in primary care |
title_full_unstemmed | Missing an opportunity: the embedded nature of weight management in primary care |
title_short | Missing an opportunity: the embedded nature of weight management in primary care |
title_sort | missing an opportunity: the embedded nature of weight management in primary care |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5049595/ https://www.ncbi.nlm.nih.gov/pubmed/26303812 http://dx.doi.org/10.1111/cob.12115 |
work_keys_str_mv | AT asselinj missinganopportunitytheembeddednatureofweightmanagementinprimarycare AT osunlanaam missinganopportunitytheembeddednatureofweightmanagementinprimarycare AT ogunleyeaa missinganopportunitytheembeddednatureofweightmanagementinprimarycare AT sharmaam missinganopportunitytheembeddednatureofweightmanagementinprimarycare AT campbellschererd missinganopportunitytheembeddednatureofweightmanagementinprimarycare |