Empathy goes a long way in weight loss discussions.

PURPOSE: This study explores how weight-related topics are discussed between physicians and their overweight and obese female patients. METHODS: We surveyed and audio-recorded preventive health and chronic care visits with 25 overweight and obese female patients. We coded both for quantity (content and time) of weight-related discussions and quality (adherence to Motivational Interviewing [MI] techniques). We then tested correlations of these measures with patients' reported attempts to lose weight, change diet, and change exercise patterns 1 month after the visit. RESULTS: Weight was routinely addressed (19 of 25 encounters). Patients usually initiated the topic (67% of time). Physicians' use of MI techniques resulted in patients attempting to lose weight and changing their exercise patterns. CONCLUSION: Physicians may benefit from MI training to help patients lose weight.

Duke Scholars

Author Kathryn IIonka Pollak Population Health Sciences

Author Truls Ostbye Family Medicine and Community Health

Author Margaret Gradison Family Medicine and Community Health, Family Medicine

Author Rebecca Brouwer