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Raising the topic of weight in general practice:perspectives of GPs and primary care nurses


Reference:

Blackburn, M., Stathi, A., Keogh, E. and Eccleston, C., 2015. Raising the topic of weight in general practice:perspectives of GPs and primary care nurses. BMJ Open, 5 (8), e008546.

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    Abstract

    Objective To explore general practitioners’ (GPs) and primary care nurses’ perceived barriers to raising the topic of weight in general practice. Design A qualitative study using the Theoretical Domains Framework (TDF). 34 semistructured interviews were conducted to explore views, opinions and experiences of initiating a discussion about weight. Content and thematic analyses were used to analyse the interview transcripts. Setting General practices located in one primary care trust in the South West of England. Participants 17 GPs and 17 nurses aged between 32 and 66 years. The modal age range for GPs was 30–39 years and for nurses, 40–49 years. Results Barriers were synthesised into three main themes: (1) limited understanding about obesity care, (2) concern about negative consequences, and (3) having time and resources to raise a sensitive topic. Most barriers were related to raising the topic in more routine settings, rather than when dealing with an associated medical condition. GPs were particularly worried about damaging their relationship with patients and emphasised the need to follow their patient's agenda. Conclusions Uncertainty about obesity, concerns about alienating patients and feeling unable to raise the topic within the constraints of a 10 min consultation, is adding to the reluctance of GPs and nurses to broach the topic of weight. Addressing these concerns through training or by providing evidence of effective interventions that are feasible to deliver within consultations may lead to greater practitioner engagement and willingness to raise the topic.

    Details

    Item Type Articles
    CreatorsBlackburn, M., Stathi, A., Keogh, E. and Eccleston, C.
    DOI10.1136/bmjopen-2015-008546
    Related URLs
    URLURL Type
    http://dx.doi.org/10.1136/bmjopen-2015-008546Free Full-text
    DepartmentsFaculty of Humanities & Social Sciences > Health
    Research Centres & Institutes > Institute for Policy Research
    Faculty of Humanities & Social Sciences > Psychology
    Research CentresCentre for Pain Research
    Publisher StatementBlackburn_Stathi_Keogh_Eccleston_2015_BMJ_Open.pdf: This is the author's submitted version of an article published by the BMJ Publishing Group Limited in: Blackburn, M, Stathi, A, Keogh, E & Eccleston, C 2015, 'Raising the topic of weight in general practice: perspectives of GPs and primary care nurses' BMJ Open, vol 5, no. 8, e008546., available via: http://dx.doi.org/10.1136/bmjopen-2015-008546. Creative Commons License available at: http://creativecommons.org/licenses/by-nc/4.0/;Raising_the_topic_of_weight_in_general_practice.pdf: (C) 2015 The Authors. Published in: Blackburn, M, Stathi, A, Keogh, E & Eccleston, C 2015, 'Raising the topic of weight in general practice: perspectives of GPs and primary care nurses' BMJ Open, vol 5, no. 8, e008546, pp. 1 - 10., available online via: http://dx.doi.org/10.1136/bmjopen-2015-008546.
    RefereedYes
    StatusPublished
    ID Code46432

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