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- Title
Overcoming Obesity: A Mixed Methods Study of the Impact of Primary Care Physician Counseling on Low-Income African American Women Who Successfully Lost Weight.
- Authors
Banerjee, Elaine Seaton; Herring, Sharon J.; Hurley, Katelyn E.; Puskarz, Katherine; Yebernetsky, Kyle; LaNoue, Marianna
- Abstract
<bold>Purpose: </bold>Low-income, African American women are disproportionately impacted by obesity. Little is known about the interactions between low-income, African American women who successfully lost weight and their primary care physicians (PCPs).<bold>Design: </bold>Mixed methods, positive deviance study.<bold>Setting: </bold>Urban university-based family medicine practice.<bold>Participants: </bold>The positive deviance group comprised low-income, African American women who were obese, lost 10% body weight, and maintained this loss for 6 months.<bold>Measures: </bold>The PCP- and patient-reported weight-related variables collected through the electronic medical record (EMR), surveys, and interviews.<bold>Analysis: </bold>Logistic regression of quantitative variables. Qualitative analysis using modified grounded theory.<bold>Results: </bold>The EMR documentation by PCPs of dietary counseling and a weight-related medical problem were significant predictors of positive deviant group membership. Qualitative analyses of interviews revealed 5 major themes: framing obesity in the context of other health problems provided motivation; having a full discussion around weight management was important; an ongoing relationship with the physician was valuable; celebrating small successes was beneficial; and advice was helpful but self-motivation was necessary.<bold>Conclusion: </bold>The PCP counseling may be an important factor in promoting weight loss in low-income, African American women. Patients may benefit from their PCPs drawing connections between obesity and weight-related medical conditions and enhancing intrinsic motivation for weight loss.
- Subjects
OBESITY statistics; HEALTH counseling; HEALTH of African American women; WEIGHT loss; PRIMARY care; OBESITY treatment; BLACK people; COMPARATIVE studies; COUNSELING; HEALTH status indicators; INTERVIEWING; RESEARCH methodology; MEDICAL cooperation; PHYSICIAN-patient relations; POVERTY; RESEARCH; LOGISTIC regression analysis; SOCIOECONOMIC factors; EVALUATION research
- Publication
American Journal of Health Promotion, 2018, Vol 32, Issue 2, p374
- ISSN
0890-1171
- Publication type
journal article
- DOI
10.1177/0890117117690853