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Accuracy and congruence of patient and physician weight-related discussions: from project CHAT (Communicating Health: Analyzing Talk).

Publication ,  Journal Article
Bodner, ME; Dolor, RJ; Ostbye, T; Lyna, P; Alexander, SC; Tulsky, JA; Pollak, KI
Published in: J Am Board Fam Med
2014

OBJECTIVE: Primary care providers should counsel overweight patients to lose weight. Rates of self-reported, weight-related counseling vary, perhaps because of self-report bias. We assessed the accuracy and congruence of weight-related discussions among patients and physicians during audio-recorded encounters. METHODS: We audio-recorded encounters between physicians (n = 40) and their overweight/obese patients (n = 461) at 5 community-based practices. We coded weight-related content and surveyed patients and physicians immediately after the visit. Generalized linear mixed models assessed factors associated with accuracy. RESULTS: Overall, accuracy was moderate: patient (67%), physician (70%), and congruence (62%). When encounters containing weight-related content were analyzed, patients (98%) and physicians (97%) were highly accurate and congruent (95%), but when weight was not discussed, patients and physicians were more inaccurate and incongruent (patients, 36%; physicians, 44%; 28% congruence). Physicians who were less comfortable discussing weight were more likely to misreport that weight was discussed (odds ratio, 4.5; 95% confidence interval, 1.88-10.75). White physicians with African American patients were more likely to report accurately no discussion about weight than white physicians with white patients (odds ratio, 0.30; 95% confidence interval, 0.13-0.69). CONCLUSION: Physician and patient self-report of weight-related discussions were highly accurate and congruent when audio-recordings indicated weight was discussed but not when recordings indicated no weight discussions. Physicians' overestimation of weight discussions when weight is not discussed constitutes missed opportunities for health interventions.

Duke Scholars

Published In

J Am Board Fam Med

DOI

EISSN

1558-7118

Publication Date

2014

Volume

27

Issue

1

Start / End Page

70 / 77

Location

United States

Related Subject Headings

  • Weight Loss
  • Primary Health Care
  • Physicians
  • Patient Care
  • Middle Aged
  • Male
  • Humans
  • General & Internal Medicine
  • Female
  • Communication
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Bodner, M. E., Dolor, R. J., Ostbye, T., Lyna, P., Alexander, S. C., Tulsky, J. A., & Pollak, K. I. (2014). Accuracy and congruence of patient and physician weight-related discussions: from project CHAT (Communicating Health: Analyzing Talk). J Am Board Fam Med, 27(1), 70–77. https://doi.org/10.3122/jabfm.2014.01.130110
Bodner, Michael E., Rowena J. Dolor, Truls Ostbye, Pauline Lyna, Stewart C. Alexander, James A. Tulsky, and Kathryn I. Pollak. “Accuracy and congruence of patient and physician weight-related discussions: from project CHAT (Communicating Health: Analyzing Talk).J Am Board Fam Med 27, no. 1 (2014): 70–77. https://doi.org/10.3122/jabfm.2014.01.130110.
Bodner ME, Dolor RJ, Ostbye T, Lyna P, Alexander SC, Tulsky JA, et al. Accuracy and congruence of patient and physician weight-related discussions: from project CHAT (Communicating Health: Analyzing Talk). J Am Board Fam Med. 2014;27(1):70–7.
Bodner, Michael E., et al. “Accuracy and congruence of patient and physician weight-related discussions: from project CHAT (Communicating Health: Analyzing Talk).J Am Board Fam Med, vol. 27, no. 1, 2014, pp. 70–77. Pubmed, doi:10.3122/jabfm.2014.01.130110.
Bodner ME, Dolor RJ, Ostbye T, Lyna P, Alexander SC, Tulsky JA, Pollak KI. Accuracy and congruence of patient and physician weight-related discussions: from project CHAT (Communicating Health: Analyzing Talk). J Am Board Fam Med. 2014;27(1):70–77.

Published In

J Am Board Fam Med

DOI

EISSN

1558-7118

Publication Date

2014

Volume

27

Issue

1

Start / End Page

70 / 77

Location

United States

Related Subject Headings

  • Weight Loss
  • Primary Health Care
  • Physicians
  • Patient Care
  • Middle Aged
  • Male
  • Humans
  • General & Internal Medicine
  • Female
  • Communication