Overcoming Obesity: A Mixed Methods Study of the Impact of Primary Care Physician Counseling on Low-Income African American Women Who Successfully Lost Weight.
Publication/Presentation Date
2-2018
Abstract
Purpose:
Low-income, African American women are disproportionately impacted by obesity. Little is known about the interactions between low-income, African American women who successfully lost weight and their primary care physicians (PCPs).
Design:
Mixed methods, positive deviance study.
Setting:
Urban university-based family medicine practice.
Participants:
The positive deviance group comprised low-income, African American women who were obese, lost 10% body weight, and maintained this loss for 6 months.
Measures:
The PCP- and patient-reported weight-related variables collected through the electronic medical record (EMR), surveys, and interviews.
Analysis:
Logistic regression of quantitative variables. Qualitative analysis using modified grounded theory.
Results:
The EMR documentation by PCPs of dietary counseling and a weight-related medical problem were significant predictors of positive deviant group membership. Qualitative analyses of interviews revealed 5 major themes: framing obesity in the context of other health problems provided motivation; having a full discussion around weight management was important; an ongoing relationship with the physician was valuable; celebrating small successes was beneficial; and advice was helpful but self-motivation was necessary.
Conclusion:
The PCP counseling may be an important factor in promoting weight loss in low-income, African American women. Patients may benefit from their PCPs drawing connections between obesity and weight-related medical conditions and enhancing intrinsic motivation for weight loss.
Volume
32
Issue
2
First Page
374
Last Page
380
Published In/Presented At
Banerjee, E. S., Herring, S. J., Hurley, K. E., Puskarz, K., Yebernetsky, K., & LaNoue, M. (2018). Overcoming Obesity: A Mixed Methods Study of the Impact of Primary Care Physician Counseling on Low-Income African American Women Who Successfully Lost Weight. American Journal Of Health Promotion: AJHP, 32(2), 374-380. doi:10.1177/0890117117690853
Disciplines
Family Medicine | Medical Specialties | Medicine and Health Sciences
PubMedID
28301962
Department(s)
Department of Family Medicine, Department of Family Medicine Faculty
Document Type
Article
Comments
This is the accepted manuscript version. Click here for the version in:
Banerjee, E. S., Herring, S. J., Hurley, K. E., Puskarz, P. Yebernetsky, K. LaNoue, M. (2017).Overcoming Obesity: A Mixed Methods Study of the Impact of Primary Care Physician Counseling on Low-Income African American Women Who Successfully Lost Weight. American Journal of Health Promotion,epub first published March 16, 2017.
10.1177/0890117117690853