2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Background: Obesity management in primary care has been suboptimal due
|
|
|
|
|
|
|
|
to lack of access to allied health professionals, time, and resources.
|
|
|
|
|
|
|
|
Purpose: To understand the weight management approaches used by primary
|
|
|
|
|
|
|
|
care providers working in team-based settings and how they assess the
|
|
|
|
|
|
|
|
most suitable approach for a patient.
|
|
|
|
|
|
|
|
Methods: A total of 20 primary care providers (13 nurse practitioners
|
|
|
|
|
|
|
|
and 7 family physicians) working in 6 multidisciplinary clinics in
|
|
|
|
|
|
|
|
Ontario were interviewed. All interviews were recorded, transcribed
|
|
|
|
|
|
|
|
verbatim, and coded using NVivo qualitative software. Conventional
|
|
|
|
|
|
|
|
content analysis was used to inductively elucidate codes, which were
|
|
|
|
|
|
|
|
then clustered into categories.
|
|
|
|
|
|
|
|
Results: A referral to on-site programming was the most frequent weight
|
|
|
|
|
|
|
|
management approach used. The pharmacological approach was underutilized
|
|
|
|
|
|
|
|
due to adverse side effects and cost to patients. Primary care providers
|
|
|
|
|
|
|
|
assessed the most suitable weight management approach based on
|
|
|
|
|
|
|
|
patients'': preference, level of motivation, income status and access to
|
|
|
|
|
|
|
|
resources, body mass index and comorbidities, and previous weight loss
|
|
|
|
|
|
|
|
attempts. Primary care providers perceived that referring to health
|
|
|
|
|
|
|
|
professionals and educational resources were the approaches preferred by
|
|
|
|
|
|
|
|
patients.
|
|
|
|
|
|
|
|
Conclusions: The team-based nature of these clinics allowed for
|
|
|
|
|
|
|
|
referrals to various on-site professionals and/or programs. Some
|
|
|
|
|
|
|
|
barriers to pursuing weight management avenues with patients were
|
|
|
|
|
|
|
|
patient dependent.'
|
|
|
|
affiliation: 'Aboueid, S (Corresponding Author), Univ Ottawa, Telfer Sch Management,
|
|
|
|
Dept Hlth Syst, 55 Laurier Ave East, Ottawa, ON K1N 6N5, Canada.
|
|
|
|
|
|
|
|
Aboueid, Stephanie; Jasinska, Monika; Bourgeault, Ivy, Univ Ottawa, Telfer Sch Management,
|
|
|
|
Ottawa, ON, Canada.
|
|
|
|
|
|
|
|
Giroux, Isabelle, Univ Ottawa, Fac Hlth Sci, Sch Nutr Sci, Ottawa, ON, Canada.'
|
|
|
|
author: Aboueid, Stephanie and Jasinska, Monika and Bourgeault, Ivy and Giroux, Isabelle
|
|
|
|
author-email: sabou095@uottawa.ca
|
|
|
|
author_list:
|
|
|
|
- family: Aboueid
|
|
|
|
given: Stephanie
|
|
|
|
- family: Jasinska
|
|
|
|
given: Monika
|
|
|
|
- family: Bourgeault
|
|
|
|
given: Ivy
|
|
|
|
- family: Giroux
|
|
|
|
given: Isabelle
|
|
|
|
da: '2023-09-28'
|
|
|
|
doi: 10.1177/0844562118769229
|
|
|
|
eissn: 1705-7051
|
|
|
|
files: []
|
|
|
|
issn: 0844-5621
|
|
|
|
journal: CANADIAN JOURNAL OF NURSING RESEARCH
|
|
|
|
keywords: 'Multiprofessional practice; obesity; Canadian health services; primary
|
|
|
|
|
|
|
|
care; qualitative approaches'
|
|
|
|
keywords-plus: 'OBESITY; ADULTS; INTERVENTIONS; PERSPECTIVES; PREVENTION; OVERWEIGHT;
|
|
|
|
|
|
|
|
ATTITUDES; NUTRITION'
|
|
|
|
language: English
|
|
|
|
month: DEC
|
|
|
|
number: '4'
|
|
|
|
number-of-cited-references: '42'
|
|
|
|
orcid-numbers: 'Giroux, Isabelle/0000-0003-4933-5162
|
|
|
|
|
|
|
|
Bourgeault, Ivy/0000-0002-5113-9243'
|
|
|
|
pages: 169-178
|
|
|
|
papis_id: 4746d58fff87de8e562ea357fee7cde3
|
|
|
|
ref: Aboueid2018currentweight
|
|
|
|
times-cited: '5'
|
|
|
|
title: Current Weight Management Approaches Used by Primary Care Providers in Six
|
|
|
|
Multidisciplinary Healthcare Settings in Ontario
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000459375200002
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
usage-count-since-2013: '3'
|
|
|
|
volume: '50'
|
|
|
|
web-of-science-categories: Nursing
|
|
|
|
year: '2018'
|