Barriers to obesity management: a pilot study of primary care clinicians
Open accessAbstract
BACKGROUND: Obesity is an increasing epidemic in both the US and veteran populations, yet it remains largely understudied in the Veteran's Health Administration (VHA) setting. The purpose of our study was to identify barriers to the effective management of obesity in VHA primary care settings. METHODS: Three focus groups of clinicians from a Veteran's Affairs Medical Center (VAMC) and an affiliated Community Based Outpatient Center (CBOC) were conducted to identify potential barriers to obesity management. The focus groups and previously published studies then informed the creation of a 47-item survey that was then disseminated and completed by 55 primary care clinicians. RESULTS: The focus groups identified provider, system, and patient barriers to obesity care. Lack of obesity training during medical school and residency was associated with lower rates of discussing diet and exercise with obese patients (p < 0.05). Clinicians who watched their own diets vigorously were more likely to calculate BMI for obese patients than other clinicians (42% vs. 13%, p < 0.05). Many barriers identified in previous studies (e.g., attitudes toward obese patients, lack of insurance payments for obesity care) were not prevalent barriers in the current study. CONCLUSION: Many VHA clinicians do not routinely provide weight management services for obese patients. The most prevalent barriers to obesity care were poor education during medical school and residency and the lack of information provided by the VHA to both clinicians and patients about available weight management services.
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Many providers say they omit the last 3 A's because they perceive them as time consuming and feel they lack the needed counseling skills.
“Many providers say they omit the last 3 A’s because they perceive them as time consuming and feel they lack the needed counseling skills.52,53”
From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [52]
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Cites
(1998) · PsycEXTRA Dataset · doi:10.1037/e565682010-001 · Cited by 9,452 · see citing works
Prevalence and trends in obesity among US adults, 1999–2000
Flegal, K. M. (2002) · JAMA · doi:10.1001/jama.288.14.1723 · Cited by 6,190 · see citing works
(1998) · PubMed · Cited by 2,737 · see citing works
Shaping perceptions to motivate healthy behavior: The role of message framing.
Rothman, A. J., & Salovey, P. (1997) · Psychological Bulletin · doi:10.1037/0033-2909.121.1.3 · Cited by 1,932 · see citing works
Primary Care Physicians’ Attitudes about Obesity and Its Treatment
Foster, G. D., Wadden, T. A., Makris, A. P., Davidson, D., Sanderson, R. S., Allison, D. B., & Kessler, A. (2003) · Obesity Research · doi:10.1038/oby.2003.161 · Cited by 744 · see citing works
Improving dietary behavior: the effectiveness of tailored messages in primary care settings.
Campbell, M. K., DeVellis, B. M., Strecher, V. J., Ammerman, A. S., DeVellis, R. F., & Sandler, R. S. (1994) · American Journal of Public Health · doi:10.2105/ajph.84.5.783 · Cited by 666 · see citing works
Barriers to Providing Nutrition Counseling by Physicians: A Survey of Primary Care Practitioners
Kushner, R. F. (1995) · Preventive Medicine · doi:10.1006/pmed.1995.1087 · Cited by 604 · cited 3× · see citing works
“These barriers include lack of formal training of primary care practitioners in nutrition, obesity, and counseling on weight-related topics [7-12], perceived inability to change patient behaviors [12], lack of known effectiveness of treatments [8,13,14], negative attitudes toward obese patients [15-17], beliefs that p…”
BackgroundResultEffect of Degree of Weight Loss on Health Benefits
Blackburn, G. L. (1995) · Obesity Research · doi:10.1002/j.1550-8528.1995.tb00466.x · Cited by 500 · see citing works
Physicians’ Weight Loss Counseling in Two Public Hospital Primary Care Clinics
Huang, J., Yu, H., Marin, E., Brock, S., Carden, D. L., & Davis, T. C. (2004) · Academic Medicine · doi:10.1097/00001888-200402000-00012 · Cited by 287 · see citing works
Family Practice Physicians’ Beliefs, Attitudes, and Practices Regarding Obesity
Price, J. H., Desmond, S. M., Krol, R. A., Snyder, F. F., & O’Connell, J. K. (1987) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(18)31234-0 · Cited by 257 · see citing works
Block, J. P., DeSalvo, K. B., & Fisher, W. P. (2003) · Preventive Medicine · doi:10.1016/s0091-7435(03)00055-0 · Cited by 201 · see citing works
Lifetime health and economic benefits of weight loss among obese persons.
Oster, G., Thompson, D., Edelsberg, J., Bird, A. P., & Colditz, G. A. (1999) · American Journal of Public Health · doi:10.2105/ajph.89.10.1536 · Cited by 193 · see citing works
A qualitative study of GPs' views of treating obesity.
Epstein, L., & Ogden, J. (2005) · Europe PMC (PubMed Central) · Cited by 189 · see citing works
Bray, G. A. (1996) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/s0889-8529(05)70361-3 · Cited by 170 · see citing works
Obesity Management: Australian General Practitioners’ Attitudes and Practices
Campbell, K. J., Engel, H., Timperio, A. F., Cooper, C., & Crawford, D. A. (2000) · Obesity Research · doi:10.1038/oby.2000.57 · Cited by 166 · see citing works
The "New VA": A National Laboratory for Health Care Quality Management
Kizer, K. W. (1999) · American Journal of Medical Quality · doi:10.1177/106286069901400103 · Cited by 156 · see citing works
Managing obesity: a survey of attitudes and practices among Israeli primary care physicians
Fogelman, Y., Vinker, S., Lachter, J., Biderman, A., Itzhak, B., & Kitai, E. (2002) · International Journal of Obesity · doi:10.1038/sj.ijo.0802063 · Cited by 146 · see citing works
Speaking of weight: how patients and primary care clinicians initiate weight loss counseling
Scott, J. G., Cohen, D. J., DiCicco‐Bloom, B., Orzano, A. J., Gregory, P., Flocke, S. A., Maxwell, L., & Crabtree, B. F. (2004) · Preventive Medicine · doi:10.1016/j.ypmed.2004.01.001 · Cited by 135 · see citing works
Practice nurses’ beliefs about obesity and weight related interventions in primary care
Hoppé, R., & Ogden, J. (1997) · International Journal of Obesity · doi:10.1038/sj.ijo.0800379 · Cited by 132 · see citing works
Personal and professional nutrition-related practices of US female physicians
Frank, E., Wright, E. H., Serdula, M. K., Elon, L., & Baldwin, G. T. (2002) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/75.2.326 · Cited by 130 · see citing works
Does Physician Weight Affect Perception of Health Advice?
Hash, R. B., Munna, R. K., Vogel, R. L., & Bason, J. J. (2002) · Preventive Medicine · doi:10.1006/pmed.2002.1124 · Cited by 116 · see citing works
(1995) · PubMed · Cited by 115 · see citing works
Treating the Obese Patient: Suggestions for Primary Care Practice
Anderson, D. A. (1999) · Archives of Family Medicine · doi:10.1001/archfami.8.2.156 · Cited by 95 · see citing works
Mercer, S. W., & Tessier, S. (2001) · PubMed · Cited by 75 · see citing works
Df, W. (1997) · PubMed · Cited by 61 · see citing works
Obesity and Weight Control Practices in 2000 Among Veterans Using VA Facilities
Wang, A., Kinsinger, L., Kahwati, L. C., Das, S. R., Gizlice, Z., Harvey, R. T., Burdick, M. B., & Yevich, S. J. (2005) · Obesity Research · doi:10.1038/oby.2005.170 · Cited by 50 · see citing works
Nutrition and the health care agenda: a primary care perspective
Moore, H. J., Adamson, A., Gill, T., & Waine, C. (2000) · Family Practice · doi:10.1093/fampra/17.2.197 · Cited by 44 · see citing works
Weight Management Practices Among Primary Care Providers
Timmerman, G. M., Reifsnider, E., & Allan, J. D. (2000) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.2000.tb00289.x · Cited by 38 · see citing works
The “New VA”: Delivering Health Care Value Through Integrated Service Networks
Kizer, K. W., & Pane, G. A. (1997) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(97)70053-2 · Cited by 29 · see citing works
The Challenge of Obesity Management in Primary Care
Billington, C. J. (2000) · The Journal of the American Board of Family Medicine · doi:10.3122/15572625-13-3-222 · Cited by 9 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Kizer KW: The new VA: a national laboratory for healthcare quality improvement. Am J Med Qual 2000, 14:3-20.
Cited by
Sorted by citations
Impact of weight bias and stigma on quality of care and outcomes for patients with obesity
Phelan, S. M., Burgess, D. J., Yeazel, M. W., Hellerstedt, W. L., Griffin, J. M., & van Ryn, M. (2015) · Obesity Reviews · doi:10.1111/obr.12266 · Cited by 1,361 · see citing works
Sabin, J. A., Marini, M., & Nosek, B. A. (2012) · PLoS ONE · doi:10.1371/journal.pone.0048448 · Cited by 439 · see citing works
Perceptions of Barriers to Effective Obesity Care: Results from the National ACTION Study
Kaplan, L. M., Golden, A., Jinnett, K., Kolotkin, R. L., Kyle, T. K., Look, M., Nadglowski, J., O'Neil, P. M., Parry, T., Tomaszewski, K. J., et al. (2018) · Obesity · doi:10.1002/oby.22054 · Cited by 312 · see citing works
Mauro, M., Taylor, V. H., Wharton, S., & Sharma, A. M. (2007) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2007.09.011 · Cited by 262 · see citing works
Physician Empathy and Listening: Associations with Patient Satisfaction and Autonomy
Pollak, K. I., Alexander, S. C., Tulsky, J. A., Lyna, P. R., Coffman, C. J., Dolor, R. J., Gulbrandsen, P., & Østbye, T. (2011) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2011.06.110025 · Cited by 218 · see citing works
Impact of Physician BMI on Obesity Care and Beliefs
Bleich, S. N., Bennett, W. L., Gudzune, K. A., & Cooper, L. A. (2012) · Obesity · doi:10.1038/oby.2011.402 · Cited by 218 · see citing works
Family Physicians' Practices and Attitudes Regarding Care of Extremely Obese Patients
Ferrante, J. M., Piasecki, A. K., Ohman‐Strickland, P., & Crabtree, B. F. (2009) · Obesity · doi:10.1038/oby.2009.62 · Cited by 204 · see citing works
Better Population Health Through Behavior Change in Adults: A Call to Action
Spring, B., Ockene, J. K., Gidding, S. S., Mozaffarian, D., Moore, S., Rosal, M. C., Brown, M. D., Vafiadis, D. K., Cohen, D. L., Burke, L. E., et al. (2013) · Circulation · doi:10.1161/01.cir.0000435173.25936.e1 · Cited by 195 · see citing works
U.S. Primary Care Physicians' Diet-, Physical Activity–, and Weight-Related Care of Adult Patients
Smith, A. W., Borowski, L. A., Liu, B., Galuska, D. A., Signore, C. C., Klabunde, C. N., Huang, T. T. ‐., Krebs‐Smith, S. M., Frank, E., Pronk, N., et al. (2011) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2011.03.017 · Cited by 192 · see citing works
Albury, C., Strain, W. D., Brocq, S. L., Logue, J., Lloyd, C., & Tahrani, A. (2020) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(20)30102-9 · Cited by 170 · see citing works
Diabetes Risk Reduction Behaviors Among U.S. Adults with Prediabetes
Geiss, L. S., James, C., Gregg, E. W., Albright, A. L., Williamson, D. F., & Cowie, C. C. (2010) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2009.12.029 · Cited by 169 · see citing works
Clinical review: modified 5 As: minimal intervention for obesity counseling in primary care.
Vallis, M., Piccinini‐Vallis, H., Sharma, A. M., & Freedhoff, Y. (2013) · Europe PMC (PubMed Central) · Cited by 154 · see citing works
Jay, M. R., Kalet, A. L., Ark, T. K., McMacken, M. M., Messito, M. J., Richter, R., Schlair, S., Sherman, S. E., Zabar, S. R., & Gillespie, C. C. (2009) · BMC Health Services Research · doi:10.1186/1472-6963-9-106 · Cited by 152 · see citing works
van Wier, M. F., Ariëns, G. A., Dekkers, J. C., Hendriksen, I. J. M., Smid, T., & van Mechelen, W. (2009) · BMC Public Health · doi:10.1186/1471-2458-9-6 · Cited by 137 · see citing works
Do Internists, Pediatricians, and Psychiatrists Feel Competent in Obesity Care?
Jay, M. R., Gillespie, C. C., Ark, T. K., Richter, R., McMacken, M. M., Zabar, S. R., Paik, S., Messito, M. J., Lee, J. D., & Kalet, A. L. (2008) · Journal of General Internal Medicine · doi:10.1007/s11606-008-0519-y · Cited by 133 · see citing works
Effect of web-based lifestyle modification on weight control: a meta-analysis
Kodama, S., Saito, K., Tanaka, S., Horikawa, C., Fujiwara, K., Hirasawa, R., Yachi, Y., Iida, K., Shimano, H., Ohashi, Y., et al. (2011) · International Journal of Obesity · doi:10.1038/ijo.2011.121 · Cited by 130 · see citing works
The mixed impact of medical school on medical students’ implicit and explicit weight bias
Phelan, S. M., Puhl, R. M., Burke, S. E., Hardeman, R. R., Dovidio, J. F., Nelson, D. B., Przedworski, J. M., Burgess, D. J., Perry, S., Yeazel, M. W., et al. (2015) · Medical Education · doi:10.1111/medu.12770 · Cited by 119 · see citing works
Blame, Shame, and Lack of Support
Kirk, S., Price, S. L., Penney, T. L., Rehman, L. A., Lyons, R., Piccinini‐Vallis, H., Vallis, M., Curran, J., & Aston, M. L. (2014) · Qualitative Health Research · doi:10.1177/1049732314529667 · Cited by 119 · see citing works
Bleich, S. N., Bennett, W. L., Gudzune, K. A., & Cooper, L. A. (2012) · BMJ Open · doi:10.1136/bmjopen-2012-001871 · Cited by 118 · see citing works
Hivert, M., Arena, R. A., Forman, D. E., Kris‐Etherton, P. M., McBride, P. E., Pate, R. R., Spring, B. J., Trilk, J., Horn, L. V., & Kraus, W. E. (2016) · Circulation · doi:10.1161/cir.0000000000000442 · Cited by 115 · see citing works
Technology-Assisted Weight Loss Interventions in Primary Care: A Systematic Review
Levine, D. M., Savarimuthu, S., Squires, A., Nicholson, J., & Jay, M. (2015) · Journal of General Internal Medicine · doi:10.1007/s11606-014-2987-6 · Cited by 105 · see citing works
Warr, W., Aveyard, P., Albury, C., Nicholson, B., Tudor, K., Hobbs, R., Roberts, N., & Ziebland, S. (2021) · Obesity Reviews · doi:10.1111/obr.13151 · Cited by 102 · see citing works
A fuzzy cognitive map of the psychosocial determinants of obesity
Giabbanelli, P. J., Torsney-Weir, T., & Mago, V. (2012) · Applied Soft Computing · doi:10.1016/j.asoc.2012.02.006 · Cited by 98 · see citing works
Sargent, G. M., Pilotto, L., & Baur, L. A. (2010) · Obesity Reviews · doi:10.1111/j.1467-789x.2010.00777.x · Cited by 89 · see citing works
Clinical Assessment and Management of Obesity in Individuals With Spinal Cord Injury: A Review
Rajan, S., McNeely, M. J., Warms, C. A., & Goldstein, B. (2008) · Journal of Spinal Cord Medicine · doi:10.1080/10790268.2008.11760738 · Cited by 88 · see citing works
Dewhurst, A., Peters, S., Devereux‐Fitzgerald, A., & Hart, J. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2016.12.017 · Cited by 81 · see citing works
Physician knowledge about and perceptions of obesity management
Glauser, T. A., Roepke, N., Stevenin, B., Dubois, A. M., & Ahn, S. M. (2015) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2015.02.011 · Cited by 79 · see citing works
Okorodudu, D. E., Bosworth, H. B., & Corsino, L. (2015) · Annals of Medicine · doi:10.3109/07853890.2014.931102 · Cited by 75 · see citing works
Factors Influencing Primary Care Physicians' Referral for Bariatric Surgery
Tork, S., Meister, K. M., Uebele, A., Hussain, L. R., Kelley, S. R., Kerlakian, G., & Tymitz, K. M. (2015) · JSLS Journal of the Society of Laparoscopic & Robotic Surgeons · doi:10.4293/jsls.2015.00046 · Cited by 75 · see citing works
Cox, M. E., Yancy, W. S., Coffman, C. J., Østbye, T., Tulsky, J. A., Alexander, S. C., Brouwer, R. J. N., Dolor, R. J., & Pollak, K. I. (2011) · Patient Education and Counseling · doi:10.1016/j.pec.2011.01.024 · Cited by 74 · see citing works
Zhu, D.-Q., Norman, I. J., & While, A. (2011) · Obesity Reviews · doi:10.1111/j.1467-789x.2010.00821.x · Cited by 72 · see citing works
Salinas, G. D., Glauser, T. A., Williamson, J. C., Rao, G., & Abdolrasulnia, M. (2011) · Postgraduate Medicine · doi:10.3810/pgm.2011.09.2477 · Cited by 71 · see citing works
Trilk, J., Nelson, L. F., Briggs, A., & Muscato, D. (2019) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2018.10.034 · Cited by 70 · see citing works
African Americans’ Perceptions of Physician Attempts to Address Obesity in the Primary Care Setting
Ward, S. H., Gray, A. M., & Paranjape, A. (2009) · Journal of General Internal Medicine · doi:10.1007/s11606-009-0922-z · Cited by 70 · see citing works
Nurses’ self-efficacy and practices relating to weight management of adult patients: a path analysis
Zhu, D. Q., Norman, I. J., & While, A. (2013) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-10-131 · Cited by 63 · see citing works
The prevalence of obesity documentation in Primary Care Electronic Medical Records
Mattar, A., Carlston, D. L., Sariol, G., Yu, T., Almustafa, A., Melton, G. B., & Ahmed, A. (2017) · Applied Clinical Informatics · doi:10.4338/aci-2016-07-ra-0115 · Cited by 56 · see citing works
What do physicians recommend to their overweight and obese patients?
Phelan, S., Nallari, M., Darroch, F. E., & Wing, R. R. (2009) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2009.02.080081 · Cited by 54 · see citing works
Importance of Lifestyle Modification on Cardiovascular Risk Reduction
Franklin, B. A., MYERS, J. N., & Kokkinos, P. F. (2020) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000496 · Cited by 54 · see citing works
Impact of diet and exercise on lipid management in the modern era
Franklin, B. A., Durstine, J. L., Roberts, C. K., & Barnard, R. J. (2014) · Best Practice & Research Clinical Endocrinology & Metabolism · doi:10.1016/j.beem.2014.01.005 · Cited by 54 · see citing works
How does physician BMI impact patient trust and perceived stigma?
Bleich, S. N., Gudzune, K. A., Bennett, W. L., Jarlenski, M., & Cooper, L. A. (2013) · Preventive Medicine · doi:10.1016/j.ypmed.2013.05.005 · Cited by 50 · see citing works
Greaney, M. L., Cohen, S. A., Xu, F., Ward‐Ritacco, C. L., & Riebe, D. A. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-039295 · Cited by 47 · see citing works
You, L., Sadler, G., Majumdar, S., Burnett, D., & Evans, C. (2012) · Physiotherapy Canada · doi:10.3138/ptc.2011-01 · Cited by 47 · see citing works
A Randomized Controlled Trial of a Community-based Behavioral Counseling Program
Johnston, C. A., Rost, S., Miller‐Kovach, K., Moreno, J. P., & Foreyt, J. P. (2013) · The American Journal of Medicine · doi:10.1016/j.amjmed.2013.04.025 · Cited by 47 · see citing works
ESI Clinical Practice Guidelines for the Evaluation and Management of Obesity In India
Madhu, S., Kapoor, N., Das, S., Nishant, R., & Sanjay, K. (2022) · Indian Journal of Endocrinology and Metabolism · doi:10.4103/2230-8210.356236 · Cited by 46 · see citing works
Dorsey, R. R., & Songer, T. J. (2011) · Europe PMC (PubMed Central) · Cited by 46 · see citing works
The Impact of Primary Care Resident Physician Training on Patient Weight Loss at 12 Months
Jay, M. R., Gillespie, C. C., Schlair, S., Savarimuthu, S. M., Sherman, S. E., Zabar, S. R., & Kalet, A. L. (2012) · Obesity · doi:10.1002/oby.20237 · Cited by 45 · see citing works
Family physician attitudes in managing obesity: a cross-sectional survey study
Epling, J. W., Morley, C. P., & Ploutz-Snyder, R. J. (2011) · BMC Research Notes · doi:10.1186/1756-0500-4-473 · Cited by 44 · see citing works
Crenças e práticas dos profissionais de saúde face à obesidade: uma revisão sistemática
Teixeira, F., Ribeiro, J. L. P., & Maia, Â. (2012) · Revista da Associação Médica Brasileira · doi:10.1590/s0104-42302012000200024 · Cited by 44 · see citing works
Ashman, F., Sturgiss, E., & Haesler, E. (2016) · International Journal of Family Medicine · doi:10.1155/2016/8212837 · Cited by 43 · see citing works
Hamdy, O., & Yusof, B. N. M. (2016) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/j.ecl.2016.06.010 · Cited by 45 · see citing works
Baum, C., Andino, K., Wittbrodt, E. T., Stewart, S. S., Szymanski, K. A., & Turpin, R. S. (2015) · PharmacoEconomics · doi:10.1007/s40273-015-0264-0 · Cited by 42 · see citing works
Medical students' self-perceived competence and prescription of patient-centered physical activity
Vallance, J. K., Wylie, M., & MacDonald, R. P. (2008) · Preventive Medicine · doi:10.1016/j.ypmed.2008.12.006 · Cited by 42 · see citing works
Holtz, K. A., Kokotilo, K. J., Fitzgerald, B. E., & Frank, E. (2013) · Europe PMC (PubMed Central) · Cited by 42 · see citing works
U.S. Health Professionals’ Views on Obesity Care, Training, and Self-Efficacy
Bleich, S. N., Bandara, S. N., Bennett, W. L., Cooper, L. A., & Gudzune, K. A. (2015) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.11.002 · Cited by 41 · see citing works
Rurik, I., Torzsa, P., Ilyés, I., Szigethy, E., Halmy, E., Iski, G., Kolozsvári, L. R., Mester, L., Móczár, C., Rinfel, J., et al. (2013) · BMC Family Practice · doi:10.1186/1471-2296-14-156 · Cited by 41 · see citing works
Bennett, W. L., Gudzune, K. A., Appel, L. J., & Clark, J. M. (2013) · Journal of General Internal Medicine · doi:10.1007/s11606-013-2562-6 · Cited by 38 · see citing works
Office-based strategies for the management of obesity.
Rao, G. (2010) · PubMed · Cited by 38 · see citing works
Lee, N., Chen, E. S., Currie, L. M., Donovan, M. L., Hall, E., Jia, H., John, R. M., & Henry, S. B. (2009) · Advances in Nursing Science · doi:10.1097/ans.0b013e3181b0d6bf · Cited by 37 · see citing works
Winfield, R. D., Delano, M. J., Lottenberg, L. L., Cendan, J. C., Moldawer, L. L., Maier, R. V., & Cuschieri, J. (2010) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/ta.0b013e3181caab6c · Cited by 37 · see citing works
Carrasco, D., Thulesius, H., Jakobsson, U., & Memarian, E. (2022) · BMC Primary Care · doi:10.1186/s12875-022-01811-x · Cited by 36 · see citing works
Attitudes towards obesity treatment in GP training practices: a focus group study
der Leeuw, H. G. A. R. J.-V., van Dijk, N., & Waard, M. W. (2011) · Family Practice · doi:10.1093/fampra/cmq110 · Cited by 36 · see citing works
Steeves, J. A., Liu, B., Willis, G., Lee, R., & Smith, A. W. (2014) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2014.08.002 · Cited by 36 · see citing works
Dixon, J. B., Hayden, M. J., O'Brien, P. E., & Piterman, L. (2008) · Australian Journal of Primary Health · doi:10.1071/py08031 · Cited by 36 · see citing works
Ogunleye, A. A., Osunlana, A. M., Asselin, J. D., Cave, A., Sharma, A. M., & Campbell-Scherer, D. L. (2015) · BMC Research Notes · doi:10.1186/s13104-015-1685-8 · Cited by 35 · see citing works
Sebiany, A. M. (2013) · Journal of Family and Community Medicine · doi:10.4103/2230-8229.121972 · Cited by 33 · see citing works
The Global Pandemic of Overweight and Obesity
Ryan, D. H., Barquera, S., Cavalcanti, O. B., & Ralston, J. (2021) · Springer eBooks · doi:10.1007/978-3-030-45009-0_39 · Cited by 32 · see citing works
Senders, A., Sando, K., Wahbeh, H., Hiller, A., & Shinto, L. H. (2014) · Journal of Health Psychology · doi:10.1177/1359105314562084 · Cited by 35 · see citing works
Koball, A. M., Mueller, P. S., Craner, J. R., Clark, M. M., Nanda, S., Kebede, E. B., & Grothe, K. B. (2016) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-016-0304-6 · Cited by 32 · see citing works
Burton, A. M., Agne, A. A., Lehr, S. M., Davis, N. J., Willett, L. L., & Cherrington, A. (2011) · Journal of Graduate Medical Education · doi:10.4300/jgme-03-03-34 · Cited by 31 · see citing works
Luig, T., Wicklum, S., Heatherington, M., Vu, A., Li, S., Cameron, E., Klein, D., Sharma, A. M., LaFrance, R., Connors, A., et al. (2020) · BMC Medical Education · doi:10.1186/s12909-019-1908-0 · Cited by 31 · see citing works
Asselin, J. D., Salami, E., Osunlana, A. M., Ogunleye, A. A., Cave, A., Johnson, J. A., Sharma, A. M., & Campbell-Scherer, D. L. (2017) · CMAJ Open · doi:10.9778/cmajo.20160090 · Cited by 29 · see citing works
Obesity management in gynecologic cancer survivors: provider practices and attitudes
Jernigan, A. M., Tergas, A. I., Satin, A. J., & Fader, A. N. (2013) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2013.02.002 · Cited by 28 · see citing works
Padwal, R. S., Majumdar, S. R., Klarenbach, S. W., Birch, D. W., Karmali, S., McCargar, L., Fassbender, K., & Sharma, A. M. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-139 · Cited by 28 · see citing works
Secular Trends in the Diagnosis and Treatment of Obesity Among US Adults in the Primary Care Setting
Yates, E. A., Macpherson, A., & Kuk, J. L. (2011) · Obesity · doi:10.1038/oby.2011.271 · Cited by 27 · see citing works
Legislative approaches to tackling the obesity epidemic
Eisenberg, M. J., Atallah, R., Grandi, S. M., Windle, S. B., & Berry, E. M. (2011) · Canadian Medical Association Journal · doi:10.1503/cmaj.101522 · Cited by 27 · see citing works
Enhancing the role of nutrition professionals in weight management: A cross-sectional survey
Bleich, S. N., Bandara, S. N., Bennett, W. L., Cooper, L. A., & Gudzune, K. A. (2014) · Obesity · doi:10.1002/oby.20945 · Cited by 29 · see citing works
Tremblett, M., Poon, A. Y. X., Aveyard, P. N., & Albury, C. (2022) · Family Practice · doi:10.1093/fampra/cmac137 · Cited by 26 · see citing works
Bleich, S. N., Gudzune, K. A., Bennett, W. L., & Cooper, L. A. (2013) · Preventive Medicine · doi:10.1016/j.ypmed.2013.01.012 · Cited by 26 · see citing works
A qualitative study of GPs' views towards obesity: are they fighting or giving up?
Teixeira, F. V., Ribeiro, J. L. P., & Maia, Â. (2015) · Public Health · doi:10.1016/j.puhe.2015.01.004 · Cited by 25 · see citing works
Wagenschutz, H., Ross, P. T., Purkiss, J. A., Yang, J., Middlemas, S., & Lypson, M. L. (2010) · Patient Education and Counseling · doi:10.1016/j.pec.2010.07.047 · Cited by 25 · see citing works
Bennett, E., Kolko, R. P., Chia, L., Elliott, J. P., & Kalarchian, M. A. (2017) · Western Journal of Nursing Research · doi:10.1177/0193945917697664 · Cited by 24 · see citing works
Carretero‐Gómez, J., Ena, J., Arévalo‐Lorido, J. C., Ripoll, J. M. S., Carrasco-Sánchez, F. J., Gómez‐Huelgas, R., Soto, M. I. P., Delgado‐Lista, J., & Martínez, P. P. (2021) · Revista Clínica Española (English Edition) · doi:10.1016/j.rceng.2020.06.013 · Cited by 23 · see citing works
Improving residents’ clinical approach to obesity: impact of a multidisciplinary didactic curriculum
Acosta, A. J., Azzalin, A., Emmons, C. J., Shuster, J. J., Jay, M. R., & Lo, M. C. (2014) · Postgraduate Medical Journal · doi:10.1136/postgradmedj-2014-132821 · Cited by 23 · see citing works
Pilnick, A., & Coleman, T. J. (2010) · Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine · doi:10.1177/1363459309347489 · Cited by 22 · see citing works
Falvo, A. M., Philp, F. H., & Eid, G. M. (2018) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2018.05.002 · Cited by 22 · see citing works
Improving Obesity Prevention and Management in Primary Care in Canada
Campbell-Scherer, D. L., & Sharma, A. M. (2016) · Current Obesity Reports · doi:10.1007/s13679-016-0222-y · Cited by 21 · see citing works
Jadczak, A. D., Dollard, J., Mahajan, N., & Visvanathan, R. (2017) · Family Practice · doi:10.1093/fampra/cmx108 · Cited by 21 · see citing works
Prediabetes awareness, healthcare provider’s advice, and lifestyle changes in American adults
Okosun, I. S., & Lyn, R. (2010) · International Journal of Diabetes Mellitus · doi:10.1016/j.ijdm.2010.12.001 · Cited by 21 · see citing works
Baker, A. M., Smith, K. C., Coa, K. I., Helzlsouer, K. J., Caulfield, L. E., Peairs, K. S., Shockney, L. D., & Klassen, A. C. (2015) · Integrative Cancer Therapies · doi:10.1177/1534735415572882 · Cited by 21 · see citing works
Jay, M. R., Chintapalli, S., Squires, A. P., Mateo, K. F., Sherman, S. E., & Kalet, A. L. (2015) · BMC Family Practice · doi:10.1186/s12875-015-0383-x · Cited by 20 · see citing works
Woodruff, R. C., Schauer, G. L., Addison, A. R., Gehlot, A., & Kegler, M. C. (2016) · BMC Obesity · doi:10.1186/s40608-016-0123-3 · Cited by 20 · see citing works
Can our residents carry the weight of the obesity crisis? A mixed methods study
Ibrahim, H., Awadhi, A. A., Shaban, S. F., & Nair, S. C. (2014) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2014.09.004 · Cited by 19 · see citing works
Powell‐Wiley, T. M., Ayers, C. R., Banks, K., Berry, J. D., Khera, A., Gilchrist, S. C., McGuire, D. K., de Lemos, J. A., & Das, S. R. (2011) · Obesity · doi:10.1038/oby.2011.242 · Cited by 19 · see citing works
Addressing Obesity in the Hospitalized Patient: A Needs Assessment
Howe, E. E., Wright, S. M., Landis, R., & Kisuule, F. (2010) · Southern Medical Journal · doi:10.1097/smj.0b013e3181dfd715 · Cited by 19 · see citing works
Do images of a personalised future body shape help with weight loss? A randomised controlled study
Ossolinski, G., Jiwa, M., McManus, A., & Parsons, R. W. (2017) · Trials · doi:10.1186/s13063-017-1907-6 · Cited by 18 · see citing works
Identifying Opportunities for Advancing Weight Management in Primary Care
Croghan, I. T., Ebbert, J. O., Njeru, J. W., Rajjo, T. I., Lynch, B. A., DeJesus, R. S., Jensen, M. D., Fischer, K. M., Phelan, S. M., Kaufman, T. K., et al. (2019) · Journal of Primary Care & Community Health · doi:10.1177/2150132719870879 · Cited by 18 · see citing works
Evaluation of a workshop to improve residents' patient-centred obesity counselling skills
Burton, A. M., Brezausek, C. M., Agne, A. A., Hankins, S. L. R., Willett, L. L., & Cherrington, A. (2016) · Postgraduate Medical Journal · doi:10.1136/postgradmedj-2015-133590 · Cited by 18 · see citing works
Training Health Professionals to Deliver Healthy Living Medicine
Hivert, M., McNeil, A., Lavie, C. J., & Arena, R. A. (2017) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2017.02.004 · Cited by 17 · see citing works
Felix, H. C., West, D. S., & Bursac, Z. (2008) · Preventive Medicine · doi:10.1016/j.ypmed.2008.06.002 · Cited by 17 · see citing works
Aboueid, S., Bourgeault, I. L., & Giroux, I. (2018) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2018.04.003 · Cited by 17 · see citing works
- Authors
- Forman-Hoffman, V., Little, A., & Wahls, T.
- Affiliations
- University of Iowa (US)
- ORCID
- Wahls, Terry
- Venue
- BMC Family Practice
- Published
- 2006-06-06
- Volume
- 7
- Issue
- 1
- Pages
- 35-35
- ISSN
- 1471-2296 (ISSN-L)
- OpenAlex
- W2136628545
- Cited by
- 217
- References
- 30
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 6 · 2022: 12 · 2021: 8 · 2020: 16 · 2019: 8 · 2018: 10 · 2017: 16 · 2016: 16 · 2015: 20 · 2014: 21 · 2013: 18 · 2012: 12
- FWCI
- 14.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Family Practice (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- U.S. Department of Veterans Affairs
- Health Services Research and Development
- Iowa City Veterans Affairs Medical Center
- Topics
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Keywords
- obesity treatment, primary care providers, veterans, medical education, weight management services, body mass index, clinician attitudes
- MeSH terms
- Adult, Ambulatory Care Facilities, Attitude of Health Personnel, Clinical Competence, Counseling, Family Practice, Female, Hospitals, Veterans, Humans, Iowa, Male, Middle Aged, Obesity, Practice Patterns, Physicians', Pilot Projects, Primary Health Care, United States, United States Department of Veterans Affairs, Veterans, Weight Loss, Body Mass Index, Focus Groups
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