Development of a six-factor questionnaire for use in weight management counseling

2016 ◽  
Vol 99 (12) ◽  
pp. 2018-2025 ◽  
Author(s):  
Robert F. Kushner ◽  
Seung W. Choi ◽  
James L. Burns
Keyword(s):  
Weight Management ◽  
Weight Management Counseling

scholarly journals Teaching Medical Students to Help Patients Manage Their Weight: Outcomes of an Eight-School Randomized Controlled Trial

2021 ◽  
Author(s):  
Judith K. Ockene ◽  
Lori Pbert ◽  
Sybil Crawford ◽  
Christine F. Frisard ◽  
Jyothi A. Pendharkar ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Medical Students ◽  
Weight Management ◽  
Management Education ◽  
Controlled Trial ◽  
Health Behavior Change ◽  
Medical Schools ◽  
Randomized Controlled ◽  
Weight Management Counseling ◽  
Overweight Or Obesity

ABSTRACT BACKGROUND Given the rising rates of obesity there is a pressing need for medical schools to better prepare students for intervening with patients who have overweight or obesity and for prevention efforts. OBJECTIVE To assess the effect of a multi-modal weight management curriculum on counseling skills for health behavior change. DESIGN A pair-matched, group-randomized controlled trial (2015-2020) included students enrolled in eight U.S. medical schools randomized to receive either multi-modal weight management education (MME) or traditional weight management education (TE). SETTING/PARTICIPANTS Students from the class of 2020 (N=1305) were asked to participate in an objective structured clinical examination (OSCE) focused on weight management counseling and complete pre and post surveys. A total of 70.1% of eligible students (N=915) completed the OSCE and 69.3% (N=904) completed both surveys. INTERVENTIONS: The MME implemented over three years included a web-based course, a role-play classroom exercise, a web-patient encounter with feedback, and an enhanced clerkship experience with preceptors trained in weight management counseling (WMC). Counseling focused on the 5As (Ask, Advise, Assess, Assist, Arrange) and patient-centeredness. MEASUREMENTS The outcome was student 5As WMC skills assessed using an objective measure, an OSCE, scored using a behavior checklist, and a subjective measure, student self-reported skills for performing the 5As. RESULTS Among MME students who completed two of three WMC components compared to those who completed none, exposure was significantly associated with higher OSCE scores and self-reported 5A skills. LIMITATIONS Variability in medical schools requiring participation in the WMC curriculum. CONCLUSIONS This trial revealed that medical students struggle with delivering weight management counseling to their patients who have overweight or obesity. Medical schools, though restrained in adding curricula, should incorporate should incorporate multiple WMC curricula components early in medical student education to provide knowledge and build confidence for supporting patients in developing individualized plans for weight management. NIH Trial Registry Number R01-194787

scholarly journals Students’ Report of Preceptor Weight Management Counseling at Eight U.S. Medical Schools

2018 ◽  
Vol 55 (5) ◽  
pp. e139-e145 ◽  
Author(s):  
Alan C. Geller ◽  
Judith K. Ockene ◽  
Mukti Kulkarni ◽  
Linda C. Churchill ◽  
Christine F. Frisard ◽  
...  
Keyword(s):  
Weight Management ◽  
Medical Schools ◽  
Weight Management Counseling

Primary Care Providers Welcome Smartphone Apps That Assist in Pediatric Weight Management

2019 ◽  
Vol 58 (6) ◽  
pp. 665-670 ◽  
Author(s):  
Christine B. SanGiovanni ◽  
Kristen Morella ◽  
James Russell Roberts
Keyword(s):  
Primary Care ◽  
Weight Management ◽  
Primary Care Providers ◽  
Obese Patients ◽  
Smartphone Apps ◽  
Care Providers ◽  
Use Of Resources ◽  
Weight Management Counseling ◽  
Pediatric Weight Management ◽  
Pediatric Providers

Primary care providers (PCPs) have few resources to manage their overweight/obese patients. The purpose of study was to determine if technological resources, such as smartphone apps, may be useful for weight management counseling. PCPs were surveyed about their current use of resources for obesity management and whether smartphone apps would be helpful. Seventy-four PCPs completed the survey. Only 15% currently referred patients to smartphone apps at least sometimes or more often. When asked about features of apps, 66% were not aware of apps with interactive healthy eating games, yet if aware, 45% reported they would refer patients. Providers reported a greater likelihood of being more effective using an app compared with their current ability to manage overweight/obesity, 3.19 versus 2.85, P < .01. The majority of pediatric providers surveyed do not provide technological resources for their overweight/obese patients; yet, they appear interested in using smartphone apps as a resource.

Evaluation of cancer patients’ perspectives on weight management counseling at a comprehensive cancer center.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e18041-e18041
Author(s):  
Damien Mikael Hansra ◽  
Cynthia Daniels ◽  
Ricardo H. Alvarez
Keyword(s):  
Weight Loss ◽  
Weight Management ◽  
Weight Reduction ◽  
Primary Treatment ◽  
Normal Weight ◽  
Comprehensive Cancer Center ◽  
Cancer Type ◽  
Weight Class ◽  
Educational Approach ◽  
Weight Management Counseling

e18041 Background: Over 2/3 of Americans are Overweight (OW) or obese (OB). Being OW or OB is a risk factor for a variety of cancers & denotes a worse prognosis for some. Evidenced based strategies on management of OW & OB patients (pts) are lacking. Data shows the majority of physicians are OW & OB and confidence in obesity counseling in these individuals is less compared with normal weight (NW) counterparts. Here we report the results of a survey on cancer pt’s opinions weight management counseling. Methods: An HRPP exemption was obtained. Pts asked to complete a 20-question (Q) survey. Clinical info collected: age, race, cancer type, weight class (underweight, NW, OW, OB, unsure but likely overweight). Survey Qs asked about optimal timing, type of weight counseling preferences. Also, Qs regarding importance of their oncologists (ONCO) BMI assessed. Secondary Qs about pt risk factors for obesity, pt willingness, & pt preferred modalities to change dietary & exercise habits also assessed. Statistical analysis: One-way ANOVA used to compare mean responses. P-values reported α = 0.05. Results: 245 cancer pts completed the survey. Demographics: 53% white, 37% black, 8% multiracial, 1% American Indian, 1% Asian. Majority of pts 51-65 years old (55%) and female ( > 75%). 71% (175/245) of pts were OW or OB vs. 29% (70/245) of pts with normal weight. 78% (191/245) of pts had breast cancer vs. 22% (54/245) other cancers. Main results: The best time for an ONCO to address weight reduction with pts is? “Anytime” = 45% (111/245), “First visit” = 27% (65/245), “After primary treatment” = 27% (65/245), “Never” = 1% (2/245) (p < 0.01). The approach pts prefer ONCO use to counsel on weight reduction is? “Educational approach” = 26% (65/245), “Direct approach” = 24% (59/245), “Passive approach” = 8% (20/245), “Passive & educational” = 18% (44/245), “Direct & educational” = 18% (43/245), “Other approaches” = 5% (12/245), “No approach, I don’t want counseling” = 1% (2/245) (p < 0.01). Who would you listen to MOST about weight loss advice? “Normal weight ONCO” = 41% (101/245), “The BMI of my ONCO does not matter” = 53% (131/245), “OB or OW” 5% (13/245) (p < 0.01). Results of secondary Qs included in presentation. Conclusions: Almost all pts would like to discuss weight loss with their oncologist on the first visit or after primary treatment has been completed. Also, most pts would like to receive counseling by their oncologist regardless of their oncologist’s weight. Furthermore, pts seem to prefer education about why weight loss is important be included in their weight loss counseling.

scholarly journals Pharmacist weight management counseling opens doors for enhanced services

2019 ◽  
Vol 25 (8) ◽  
pp. 31
Author(s):  
Cody Puzinski ◽  
Stefanie P. Ferreri
Keyword(s):  
Weight Management ◽  
Weight Management Counseling

Perceptions of weight management counseling among gynecologic cancer survivors: opportunities for enhancing survivorship care

2017 ◽  
Vol 25 (5) ◽  
pp. 1537-1545 ◽  
Author(s):  
Alexandra K. Zaleta ◽  
Robert Neff ◽  
Georgia A. McCann ◽  
David M. O’Malley ◽  
Kristen M. Carpenter
Keyword(s):  
Cancer Survivors ◽  
Weight Management ◽  
Gynecologic Cancer ◽  
Survivorship Care ◽  
Weight Management Counseling
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