Climb on the scale! Weight in consultations and adult patient’s experiences: Exploratory study in general practice (notice n° 587255)

détails MARC
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100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Prod’homme, Laurène
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Title Climb on the scale! Weight in consultations and adult patient’s experiences: Exploratory study in general practice
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Date of publication, distribution, etc. 2019.<br/>
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General note 97
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Summary, etc. Background: Overweight patients feel stigmatized and are reluctant to talk about weight. Physicians question the efficiency of weight management. This work explored how the weight topic was initiated in GP consultations and the experience of patients about this action, whatever their weight or reason for consultation. Methods: Mixed method study conducted in parallel with direct observation of GPs’ consultations by trainees (with a standardized observation grid) and semi directive interview (with guide) after the consultation. Analyses were descriptive on quantitative data, and thematic on verbatim (double blind coding). Results: 187 consultations were observed and 81 patients interviewed. In consultation, GPs initiated the majority of the weight discussions, with three types of approach: discussion alone, discussion and/or weighing, and weighing alone. GP’s demands of weighing were very directive and sometimes seemed to make patients feel uncomfortable. The discussion about weight without weighing seemed to enhance a reflection on a possible change of patient’s behavior.The joint analysis questions the scale’s role in consultation since the discussion approach to the weight debate led to more patient mobilization and, according to them, “the weight is seen”. For the patient, the eye appeared as a tool to measure weight, especially since the doctor could see variations. Conclusion: Comparing the results of the two exploratory studies, in order to better understand this little studied phenomenon, allowed for the emergence of hypotheses and questions the role of the scale in consultations.
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Topical term or geographic name as entry element weight
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Topical term or geographic name as entry element scale
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Topical term or geographic name as entry element mixed method
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Topical term or geographic name as entry element patient’s perspective
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Topical term or geographic name as entry element observational study
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Topical term or geographic name as entry element weighing
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Personal name Riglet, Clara
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Godart, Nathalie
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700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Huas, Caroline
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Note Santé Publique | 31 | 1 | 2019-05-14 | p. 7-17 | 0995-3914
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/journal-sante-publique-2019-1-page-7?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-sante-publique-2019-1-page-7?lang=en&redirect-ssocas=7080</a>

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