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
type: article
unique-id: WOS:000459375200002
usage-count-last-180-days: '0'
usage-count-since-2013: '3'
volume: '50'
web-of-science-categories: Nursing
year: '2018'