| Title |
Provider Counseling and Weight Loss Outcomes in a Primary Care-Based Digital Obesity Treatment
|
|---|---|
| Published in |
Journal of General Internal Medicine, March 2019
|
| DOI | 10.1007/s11606-019-04944-5 |
| Pubmed ID | |
| Authors |
Megan McVay, Dori Steinberg, Sandy Askew, Gary G. Bennett |
| Abstract |
Primary care-based digital health weight loss interventions offer promise for addressing obesity in underserved populations. To determine if primary care providers' weight counseling is associated with weight change during a weight loss intervention. This is a secondary analysis of a randomized clinical trial testing a 12-month primary care-based digital health weight loss intervention. Participants were community health center patients with body mass indexes of 30-44.9 kg/m2. The weight loss intervention included tailored behavioral goal setting; weekly goal monitoring via text messaging or interactive voice response calls; counseling calls; skills training material; and participant-tailored recommendations for provider counseling. At 6 and 12 months, participants' weight was measured and they reported if their provider delivered weight counseling (general or intervention-specific) at their most recent visit and their perception of providers' empathy. Providers' documentation of weight counseling was extracted from health records. Participants (n = 134-141) were predominantly female (70%) and African American (55%) with a mean age of 51 years and BMI of 36 kg/m2. Participant-reported provider weight counseling was not associated with weight change. However, participants whose providers documented intervention-specific counseling at any point during the intervention (n = 35) lost 3.1 kg (95% CI 0.4 to 5.7 kg) more than those whose providers documented only general weight counseling (n = 82) and 4.0 kg (95% CI 0.1 to 7.9 kg) more than those whose providers did not document weight counseling (n = 17). Perceptions of provider empathy were associated with greater weight loss from 6 to 12 months (0.8 kg per measure unit, 95% CI 0.07 to 1.5 kg, p = .03). Provider counseling that focuses specifically on engagement in a weight loss intervention may enhance weight loss outcomes relative to more general weight loss advice. Counseling that enhances patients' perceptions of empathy may be most beneficial for patients' weight loss. NCT 01827800. |
X Demographics
The data shown below were collected from the profiles of 12 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 4 | 33% |
| United Kingdom | 1 | 8% |
| Colombia | 1 | 8% |
| Russia | 1 | 8% |
| Netherlands | 1 | 8% |
| Unknown | 4 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 6 | 50% |
| Scientists | 4 | 33% |
| Science communicators (journalists, bloggers, editors) | 1 | 8% |
| Practitioners (doctors, other healthcare professionals) | 1 | 8% |
Mendeley readers
The data shown below were compiled from readership statistics for 105 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 105 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 12 | 11% |
| Student > Master | 10 | 10% |
| Student > Bachelor | 10 | 10% |
| Student > Doctoral Student | 8 | 8% |
| Professor | 8 | 8% |
| Other | 17 | 16% |
| Unknown | 40 | 38% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 18 | 17% |
| Medicine and Dentistry | 14 | 13% |
| Social Sciences | 9 | 9% |
| Psychology | 6 | 6% |
| Computer Science | 3 | 3% |
| Other | 12 | 11% |
| Unknown | 43 | 41% |
Attention Score in Context
This research output has an Altmetric Attention Score of 70. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 March 2023.
All research outputs
#612,352
of 25,490,562 outputs
Outputs from Journal of General Internal Medicine
#486
of 8,208 outputs
Outputs of similar age
#14,159
of 364,742 outputs
Outputs of similar age from Journal of General Internal Medicine
#12
of 158 outputs
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