Do primary care physicians use the 5As in counselling obese patients? A qualitative study:

Proceedings of Singapore Healthcare

Jean-Jasmin Mi-LiLee¹ 

关键词: Obesity;    primary care physicians;    qualitative research;    counselling;    5As;   

DOI  :  10.1177/2010105816688030

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:Obesity is a global public health problem. A systematic review showed that intensive behavioural counselling is effective in weight management amongst patients with obesity, but little is known if primary care physicians (PCPs) are involved in delivering such counselling. Studies revealed that patients had weight reduction if they were counselled by PCPs who used the 5As (Ask, Assess, Advise, Agree and Assist) method, but PCPs varied in their use of this tool. We aimed to explore the local PCP modalities of obesity counselling and if their approaches and methods corresponded to the 5As tool.Methods:Qualitative data were obtained from interviews with 50 PCPs from public and private primary care practices during six focus group discussions and seven in-depth interviews. The interviews were audio-recorded, transcribed, audited and analysed iteratively based on the grounded theory. Emergent themes were first externally validated, and then finalized after rounds of deliberations amongst the investig...

【 授权许可】

CC BY