Satisfaction with primary care provider involvement is associated with greater weight loss: Results from the practice-based POWER trial
Satisfaction with primary care provider involvement is associated with greater weight loss: Results from the practice-based POWER trial
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DOI：
10.1016/j.pec.2015.05.006
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发表时间：
2015-09-01
影响因子：
3.5
通讯作者：
Clark, Jeanne M.
中科院分区：
文献类型：
--
作者：
Bennett, Wendy L.;Wang, Nae-Yuh;Clark, Jeanne M.
目的：为了评估患者与提供者的关系，满意度与初级保健提供者（PCP）的参与和体重减轻的实践为基础的减肥trial.Methods：权力是一个实践为基础的随机对照行为减肥试验之间的关联。参与者完成了关于医患关系和对PCP参与试验的满意度的问卷调查。PCP完成了人口统计和实践调查。主要结果是从基线到24个月的平均体重变化。我们建立了混合效应模型，考虑了PCP患者的随机效应和患者随时间推移的重复结局评估，并根据随机分配、年龄、性别、种族和临床部位进行了调整。平均年龄为54.8岁，平均BMI为36.3 kg/m2。参与者报告了高质量的医患关系（平均总分= 29.1 [范围14-32]）。无论是干预组还是对照组，医患关系质量与体重减轻无关。在干预参与者中，PCP参与的帮助性评分越高，体重减轻越多（p = 0.005）.结论：在基于实践的减肥试验中，患者-提供者关系质量与减肥无关，但将PCP评定为有助于干预与减肥相关。实践意义：与PCP合作提供减肥计划可以促进更大的参与者满意度和减肥。(C)2015爱思唯尔爱尔兰有限公司版权所有。
Objective: To evaluate the association between the patient-provider relationship, satisfaction with primary care provider's (PCP) involvement and weight loss in a practice-based weight loss trial.Methods: POWER was a practice-based randomized controlled behavioral weight loss trial. Participants completed questionnaires about patient-provider relationship and satisfaction with their PCPs' involvement in the trial. PCPs completed a demographics and practice survey. The main outcome was the mean weight change from baseline to 24 months. We created mixed-effect models, accounting for the random effects of patients clustering with the PCP and the repeated outcome assessments within patient over time, and adjusted for randomization assignment, age, gender, race and clinical site.Results: 347 (of 415) were included. Mean age was 54.8 years, mean BMI was 36.3 kg/m(2). Participants reported high quality patient-provider relationships (mean summary score = 29.1 [range 14-32]). Patient-provider relationship quality was not associated weight loss in either the intervention or control groups. Among intervention participants, higher ratings of the helpfulness of the PCPs' involvement was associated with greater weight loss (p = 0.005).Conclusion: Patient-provider relationship quality was not associated with weight loss in a practice-based weight loss trial but rating PCPs as helpful in the intervention was associated with weight loss.Practice implications: Partnering with PCPs to deliver weight loss programs may promote greater participant satisfaction and weight loss. (C) 2015 Elsevier Ireland Ltd. All rights reserved.