TY - JOUR
T1 - Weight Can’t Wait
T2 - A Guide to Discussing Obesity and Organizing Treatment in the Primary Care Setting
AU - Gallagher, Christine
AU - Corl, Amelia
AU - Dietz, William H.
AU - Schoof, Bellinda
AU - Hester, Christina
AU - Peterson, Eric D.
AU - Gables, Lisa
AU - Lentz, Michele
AU - Agarwal, Monica
AU - Crump, Margaret
AU - Padden, Diane
AU - Kushner, Robert
AU - Cody Stanford, Fatima
AU - Casanova, Danielle
AU - Ciemins, Elizabeth
AU - Scott, John
AU - Northup, Joe
AU - Lash, Robert
AU - Dyer, Meredith
AU - Nadglowski, Joe
AU - Nece, Patty
AU - Kyle, Ted
AU - Primack, Craig
AU - Horn, Deborah
AU - Morton, Kathleen
AU - Winston, Ginger
AU - Kahan, Scott
AU - Ryan, Donna
AU - Comuzzie, Tony
AU - Butsch, Scott
N1 - Funding Information:
The authors report funding from Novo Nordisk, WW, Ethicon, Seca, and Sanofi outside the submitted work. In addition, WHD reports personal fees from WW and JPB Foundation and consulting fees from the Roundtable on Obesity Solutions of the National Academy of Medicine outside the submitted work. The roundtable meetings were supported by an Independent Medical Education Grant from Novo Nordisk, Inc. (grant MED-OBE-26490). Novo Nordisk had no role in the content, development, or review of the manuscript. In 2018, a Novo Nordisk Obesity Specialty and Primary Care Association Advisory Board meeting that included representatives of primary care and obesity organizations discussed the need for a tool for obesity management in primary care settings. Attendees were asked to identify the key steps for obesity management in primary care while recognizing the significant time constraints on such provider/patient encounters. The Strategies to Overcome and Prevent (STOP) Obesity Alliance convened representatives from these organizations and others for two roundtable meetings to continue the discussion and to develop a guide that expanded and refined the essential steps necessary to deliver quality obesity care in primary care. A clinical practice guideline, defined as a ?systematically developed statement to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances? (17), would be ideal for defining how primary care counseling of obesity should be delivered. However, after discussion, the roundtable agreed that a ?guide? was the only option to reach a timely consensus by all participating organizations. A guide is distinct from a clinical practice guideline, which has various requirements for review and endorsement for each participating organization. Because we were unable to locate any clinical trials about how providers should discuss obesity with patients and plan their care, the final guide was based on the recommendations of the expert committee. Roundtable attendees recognized a need for a guide for primary care providers that would be useful to members of each organization. Attendees identified the key steps for obesity management in primary care that incorporated the significant time constraints on such provider/patient encounters.
Funding Information:
The roundtable meetings were supported by an Independent Medical Education Grant from Novo Nordisk, Inc. (grant MED‐OBE‐26490). Novo Nordisk had no role in the content, development, or review of the manuscript.
Publisher Copyright:
© 2021 The Obesity Society
PY - 2021/5
Y1 - 2021/5
N2 - Objective: The objective of this study was to develop a simple and practical guide for discussing and managing obesity in primary care settings. Methods: This study convened representatives from 12 primary care and obesity specialty organizations for a series of roundtable meetings to discuss the key components of obesity treatment in primary care. Attendees identified the need for a guide for primary care providers that outlined the key steps for discussing obesity with patients and managing their care while recognizing the significant time constraints on such provider/patient encounters. Results: Prevailing themes from the roundtable sessions suggested that the key components of addressing obesity in primary care settings are obtaining patient permission, addressing weight bias, providing a diagnosis, and emphasizing shared decision-making. A modified "6A" framework with the steps “Ask,” “Assess,” “Advise,” “Agree,” “Assist,” and “Arrange” was deemed appropriate to organize the process of weight management in primary care. An algorithm was developed to provide a script for the patient/provider encounter. Conclusions: The expert panel developed a short, accessible, practical, and informative guide for obesity management by primary care clinicians. Efforts are under way to disseminate the guide to primary care providers through the 11 participating organizations that have endorsed it.
AB - Objective: The objective of this study was to develop a simple and practical guide for discussing and managing obesity in primary care settings. Methods: This study convened representatives from 12 primary care and obesity specialty organizations for a series of roundtable meetings to discuss the key components of obesity treatment in primary care. Attendees identified the need for a guide for primary care providers that outlined the key steps for discussing obesity with patients and managing their care while recognizing the significant time constraints on such provider/patient encounters. Results: Prevailing themes from the roundtable sessions suggested that the key components of addressing obesity in primary care settings are obtaining patient permission, addressing weight bias, providing a diagnosis, and emphasizing shared decision-making. A modified "6A" framework with the steps “Ask,” “Assess,” “Advise,” “Agree,” “Assist,” and “Arrange” was deemed appropriate to organize the process of weight management in primary care. An algorithm was developed to provide a script for the patient/provider encounter. Conclusions: The expert panel developed a short, accessible, practical, and informative guide for obesity management by primary care clinicians. Efforts are under way to disseminate the guide to primary care providers through the 11 participating organizations that have endorsed it.
UR - http://www.scopus.com/inward/record.url?scp=85104880182&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85104880182&partnerID=8YFLogxK
U2 - 10.1002/oby.23154
DO - 10.1002/oby.23154
M3 - Article
C2 - 33899338
AN - SCOPUS:85104880182
SN - 1930-7381
VL - 29
SP - 821
EP - 824
JO - Obesity
JF - Obesity
IS - 5
ER -