Cited by 217Obesity and Health PracticesObesity, Physical Activity, DietPrimary Care and Health Outcomes

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Barriers to obesity management: a pilot study of primary care clinicians

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Forman-Hoffman, Valerie, Little, Amanda, Wahls, Terry·2006·BMC Family Practice

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Abstract

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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Authors: Forman-Hoffman, V., Little, A., & Wahls, T.
Affiliations: University of Iowa (US)
ORCID: Wahls, Terry
Venue: BMC Family Practice
Publisher: Springer Science and Business Media LLC
Published: 2006-06-06
Volume: 7
Issue: 1
Pages: 35-35
ISSN: 1471-2296 (ISSN-L)
DOI: 10.1186/1471-2296-7-35
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: cc-by
creativecommons.org/licenses/by/2.0 (tdm)
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 › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Family Practice › 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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Barriers to obesity management: a pilot study of primary care clinicians

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