TY - JOUR
T1 - Patient use of weight-management activities
T2 - A comparison of patient and physician assessments
AU - Bleich, Sara N.
AU - Huizinga, Mary Margaret
AU - Beach, Mary Catherine
AU - Cooper, Lisa A.
N1 - Funding Information:
Funding: This work was supported by the National Heart, Lung, and Blood Institute ( K24HL083113 , K01HL096409 , and R01HL069403 ).
PY - 2010/6
Y1 - 2010/6
N2 - Objective: Examine concordance between patient and physician assessments of patient self-reported use of weight-management activities. Methods: Analysis of baseline data from a randomized controlled trial of patient and physician interventions to improve patient-physician communication (41 physicians and 274 of their patients). Results: A majority of patients reported regular exercise (55.6%) and efforts to lose weight, such as eating less (63.1%) while physicians only perceived one-third of patients as engaging in those activities (exercise, 36.6%; weight loss, 33.3%). Kappa scores indicated small agreement between patient and physician assessments of patient self-reported use of exercise, mean kappa 0.28 (range 0.15 to 0.40) and no agreement between patient and physician assessments of patient self-reported efforts to lose weight, mean kappa -0.14 (range -0.26 to -0.01). Obese patients were more likely than non-obese patients to report trying to lose weight or exercising regularly (p<0.05), but physicians were less likely to perceive obese patients as engaging in those activities (p<0.05). Conclusions: Primary care physicians differed considerably from their patients, especially obese patients, in their assessments of patient use of weight-management activities. Practice implications: These results highlight the importance of improving patient-provider communication about weight-management activities, particularly among obese patients.
AB - Objective: Examine concordance between patient and physician assessments of patient self-reported use of weight-management activities. Methods: Analysis of baseline data from a randomized controlled trial of patient and physician interventions to improve patient-physician communication (41 physicians and 274 of their patients). Results: A majority of patients reported regular exercise (55.6%) and efforts to lose weight, such as eating less (63.1%) while physicians only perceived one-third of patients as engaging in those activities (exercise, 36.6%; weight loss, 33.3%). Kappa scores indicated small agreement between patient and physician assessments of patient self-reported use of exercise, mean kappa 0.28 (range 0.15 to 0.40) and no agreement between patient and physician assessments of patient self-reported efforts to lose weight, mean kappa -0.14 (range -0.26 to -0.01). Obese patients were more likely than non-obese patients to report trying to lose weight or exercising regularly (p<0.05), but physicians were less likely to perceive obese patients as engaging in those activities (p<0.05). Conclusions: Primary care physicians differed considerably from their patients, especially obese patients, in their assessments of patient use of weight-management activities. Practice implications: These results highlight the importance of improving patient-provider communication about weight-management activities, particularly among obese patients.
KW - Obesity
KW - Patient weight management
KW - Patient-physician assessments
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U2 - 10.1016/j.pec.2010.01.020
DO - 10.1016/j.pec.2010.01.020
M3 - Article
C2 - 20193998
AN - SCOPUS:77953357857
SN - 0738-3991
VL - 79
SP - 344
EP - 350
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 3
ER -