Weight-related perceptions among patients and physicians - How well do physicians judge patients' motivation to lose weight?
Weight-related perceptions among patients and physicians - How well do physicians judge patients' motivation to lose weight?
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DOI：
10.1111/j.1525-1497.2006.00567.x
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发表时间：
2006-10-01
影响因子：
5.7
通讯作者：
Ahluwalia, Jasjit S.
中科院分区：
文献类型：
--
作者：
Befort, Christie A.;Greiner, K. Allen;Ahluwalia, Jasjit S.
背景技术背景：先前的研究表明，患者和医生对体重有不同的看法和期望;然而，很少有研究直接比较患者和医生的观点。（1）为了测量肥胖患者和他们的医生对体重相关的认知有多大程度的差异，和（2）探讨可能影响患者-医生减肥动机差异的患者和医生特征。设计和参与者：五十六例肥胖患者（302名女性;平均年龄=55.1岁;平均BMI=37.9）及其28名初级保健医生（22名男性，平均年龄=44.1岁）从非都市的做法完成了一个匿名调查后，办公室访问。与体重相关的感知包括感知的体重状况、体重对健康的影响、1年减肥预期和减肥动机。相关因素包括患者和医生的性别、年龄和BMI;医生报告的频率、感知的患者偏好和对体重咨询的信心;以及实践特征（例如，结果：医生将患者分配到更重的描述性体重类别，并报告比患者自己认为的更差的健康影响，而患者认为他们可以减轻更多的体重，并报告比医生为患者认为的更高的减肥动机（P
BACKGROUND: Prior studies suggest that patients and physicians have different perceptions and expectations surrounding weight; however, few studies have directly compared patients' and physicians' perspectives.OBJECTIVES: (1) To measure the extent to which obese patients and their physicians have discrepant weight-related perceptions, and (2) to explore patient and physician characteristics that may influence patient-physician discrepancy in motivation to lose weight.DESIGN AND PARTICIPANTS: Four hundred and fifty-six obese patients (302 females; mean age=55.1 years; mean BMI=37.9) and their 28 primary care physicians (22 males, mean age=44.1 years) from nonmetropolitan practices completed an anonymous survey after an office visit.MEASUREMENTS: Weight-related perceptions included perceived weight status, health impact of weight, 1-year weight loss expectations, and motivation to lose weight. Correlates included patient and physician sex, age, and BMI; physicians' reported frequency, perceived patient preference, and confidence for weight counseling; and practice characteristics (e.g., years in practice).RESULTS: Physicians assigned patients to heavier descriptive weight categories and reported a worse health impact than patients perceived for themselves, whereas patients believed they could lose more weight and reported a higher motivation to lose weight than their physicians perceived for patients (P