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A Randomized Controlled Pilot Study of a Patient-Initiated Approach to Increasing Weight Communication in Primary Care

A Randomized Controlled Pilot Study of a Patient-Initiated Approach to Increasing Weight Communication in Primary Care

Recruiting
18 years and older
All
Phase N/A

Overview

This study tests the feasibility, acceptability, and preliminary efficacy of using a brief pamphlet in the primary care waiting room focused on promoting patient-initiated weight-related discussions in primary care appointments.

Description

Obesity is a chronic and complex disease that many national and professional organizations recommend be discussed frequently in primary care. However, rates of weight-related communication in primary care are suboptimal. When patients and physicians communicate about weight (defined as usage of any the 5Asask, assess, advise, agree, and/or assistin a weight-related conversation), patients are more likely to improve dietary habits, demonstrate more motivation for health behavior change, attempt weight loss treatment, and lose more weight as compared to patients who do not engage in weight-related communication with their physicians. Interventions have attempted to increase the rates of weight-related communication in primary care. However, they have focused solely on physicians and have only yielded modest efficacy. Intervention with patients on proposed patient-related barriers may be key to improving the rate of weight-related communication in primary care. The waiting room prior to appointments is an underutilized intervention setting. Prior waiting room interventions have shown promising results for increasing health communication between patients and physicians. However, no prior study has focused on weight-related communication. Thus, this study aims to test the feasibility, acceptability, and preliminary efficacy of an experiential pamphlet delivered in the waiting room targeting patient-related barriers to weight communication.

Eligibility

Inclusion Criteria:

  • Present for an appointment at the Family Medicine Office
  • Indicate that they can speak and read English
  • Indicate that their Shape is > or = 5 on measure (Stunkard, Srensen, & Schulsinger, 1983)
  • Indicate that they are 18 years or older

Exclusion Criteria:

  • Indicate that they are Pregnant

Study details
    Health Communication
    Obesity
    Obesity
    Primary Care

NCT04486235

Drexel University

5 August 2020

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