Research ArticleOriginal Research

An Assessment of Weight Loss Management in Health System Primary Care Practices

Krithika Suresh, Emileigh Willems, Johnny Williams, R. Mark Gritz, L. Miriam Dickinson, Leigh Perreault and Jodi Summers Holtrop
The Journal of the American Board of Family Medicine February 2023, 36 (1) 51-65; DOI: https://doi.org/10.3122/jabfm.2022.220224R1

References

  1. 1.↵
    Centers for Disease Control and Prevention [Internet]. Leading causes of death; 2022 [Accessed 31 January 2022]. Available from: https://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm.
  2. 2.↵
    1. Semlitsch T,
    2. Stigler FL,
    3. Jeitler K,
    4. Horvath K,
    5. Siebenhofer A
    . Management of overweight and obesity in primary care—a systematic overview of international evidence-based guidelines. Obes Rev 2019;20:1218–30.
    OpenUrlPubMed
  3. 3.↵
    1. Tronieri JS,
    2. Wadden TA,
    3. Chao AM,
    4. Tsai AG
    . Primary care interventions for obesity: review of the evidence. Curr Obes Rep 2019;8:128–36.
    OpenUrlPubMed
  4. 4.↵
    1. Hessler DM,
    2. Fisher L,
    3. Bowyer V,
    4. et al
    . Self-management support for chronic disease in primary care: frequency of patient self-management problems and patient reported priorities, and alignment with ultimate behavior goal selection. BMC Fam Pract 2019;20:120.
    OpenUrl
  5. 5.↵
    1. Ahern AL,
    2. Boyland EJ,
    3. Jebb SA,
    4. Cohn SR
    . Participants' explanatory model of being overweight and their experiences of 2 weight loss interventions. Ann Fam Med 2013;11:251–7.
    OpenUrlAbstract/FREE Full Text
  6. 6.↵
    1. Abshire DA,
    2. Gibbs S,
    3. McManus C,
    4. Caldwell T,
    5. Cox A
    . Interest, resources, and preferences for weight loss programs among primary care patients with obesity. Patient Educ Couns 2020;103:1846–9.
    OpenUrl
  7. 7.↵
    1. Dietz WH,
    2. Baur LA,
    3. Hall K,
    4. et al
    . Management of obesity: improvement of health-care training and systems for prevention and care. Lancet 2015;385:2521–33.
    OpenUrlCrossRefPubMed
  8. 8.↵
    1. Bleich SN,
    2. Pickett-Blakely O,
    3. Cooper LA
    . Physician practice patterns of obesity diagnosis and weight-related counseling. Patient Educ Couns 2011;82:123–9.
    OpenUrlCrossRefPubMed
  9. 9.↵
    1. Stanford FC,
    2. Johnson ED,
    3. Claridy MD,
    4. Earle RL,
    5. Kaplan LM
    . The role of obesity training in medical school and residency on bariatric surgery knowledge in primary care physicians. Int J Fam Med 2015;2015:841249.
    OpenUrl
  10. 10.↵
    1. Yates EA,
    2. Macpherson AK,
    3. Kuk JL
    . Secular trends in the diagnosis and treatment of obesity among US adults in the primary care setting. Obesity 2012;20:1909–14.
    OpenUrl
  11. 11.↵
    1. Luo Z,
    2. Gritz M,
    3. Connelly L,
    4. et al
    . A survey of primary care practices on their use of the intensive behavioral therapy for obese medicare patients. J Gen Intern Med 2021;36:2700–8.
    OpenUrl
  12. 12.↵
    1. Nederveld A,
    2. Phimphasone-Brady P,
    3. Connelly L,
    4. Fitzpatrick L,
    5. Holtrop JS
    . The joys and challenges of delivering obesity care: a qualitative study of US primary care practices. J Gen Intern Med 2021;36:2709–16.
    OpenUrl
  13. 13.↵
    1. Huang J,
    2. Yu H,
    3. Marin E,
    4. Brock S,
    5. Carden D,
    6. Davis T
    . Physicians' weight loss counseling in two public hospital primary care clinics. Acad Med 2004;79:156–61.
    OpenUrlCrossRefPubMedWeb of Science
  14. 14.↵
    1. Simon R,
    2. Lahiri SW
    . Provider practice habits and barriers to care in obesity management in a large multicenter health system. Endocr Pract 2018;24:321–8.
    OpenUrl
  15. 15.↵
    1. Walker RE,
    2. Kusch J,
    3. Fink JT,
    4. et al
    . Facilitating factors and barriers to weight management in women: physician perspectives. J Patient Cent Res Rev 2018;5:18–27.
    OpenUrlPubMed
  16. 16.↵
    1. Woodruff RC,
    2. Schauer GL,
    3. Addison AR,
    4. Gehlot A,
    5. Kegler MC
    . Barriers to weight loss among community health center patients: qualitative insights from primary care providers. BMC Obes 2016;3:43.
    OpenUrl
  17. 17.↵
    1. Özer ZY,
    2. Özcan S,
    3. Seydaoğlu G,
    4. Kurdak H
    . Barriers to losing weight for women attending group visits in primary care: a qualitative exploration using in-depth interviews. Eur J Gen Pract 2021;27:331–8.
    OpenUrl
  18. 18.↵
    1. Delahanty LM,
    2. Trief PM,
    3. Cibula DA,
    4. Weinstock RS
    . Barriers to weight loss and physical activity, and coach approaches to addressing barriers, in a real-world adaptation of the DPP lifestyle intervention: a process analysis. Diabetes Educ 2019;45:596–606.
    OpenUrl
  19. 19.↵
    1. Kurz D,
    2. Befort C
    . Travel burden in a rural primary care behavioral weight loss randomized trial: impact on visit attendance and weight loss. J Rural Health 2022.
  20. 20.↵
    1. Holtrop JS,
    2. Connelly L,
    3. Gomes R
    . Models for delivering weight management in primary care: results from the Making Obesity Services and Treatments work (MOST) Study. Under review. 2022.
  21. 21.↵
    1. Lv N,
    2. Azar KMJ,
    3. Rosas LG,
    4. Wulfovich S,
    5. Xiao L,
    6. Ma J
    . Behavioral lifestyle interventions for moderate and severe obesity: a systematic review. Prev Med 2017;100:180–93.
    OpenUrlPubMed
  22. 22.↵
    1. Wadden TA,
    2. West DS,
    3. Delahanty L
    , Look Ahead Research Groupet al. The Look AHEAD study: a description of the lifestyle intervention and the evidence supporting it. Obesity 2006;14:737–52.
    OpenUrl
  23. 23.↵
    1. Katzmarzyk PT,
    2. Apolzan JW,
    3. Gajewski B,
    4. et al
    . Weight loss in primary care: a pooled analysis of two pragmatic cluster-randomized trials. Obesity 2021;29:2044–54.
    OpenUrl
  24. 24.↵
    1. Befort CA,
    2. VanWormer JJ,
    3. Desouza C,
    4. et al
    . Effect of behavioral therapy with in-clinic or telephone group visits vs in-clinic individual visits on weight loss among patients with obesity in rural clinical practice: a randomized clinical trial. JAMA 2021;325:363–72.
    OpenUrl
  25. 25.↵
    1. Katzmarzyk PT,
    2. Martin CK,
    3. Newton RL Jr..
    , et al. Weight loss in underserved patients—a cluster-randomized trial. N Engl J Med 2020;383:909–18.
    OpenUrlCrossRefPubMed
  26. 26.↵
    1. Perreault L,
    2. Hockett CW,
    3. Holmstrom H,
    4. Tolle L,
    5. Kramer ES,
    6. Holtrop JS
    . PATHWEIGH tool for chronic weight management built into EPIC electronic medical record: methods, pilot results and future directions. J Obes Chronic Dis 2020;4:42–8.
    OpenUrl
  27. 27.↵
    1. Suresh K,
    2. Holtrop JS,
    3. Dickinson LM,
    4. et al
    . PATHWEIGH, pragmatic weight management in adult patients in primary care in Colorado, USA: study protocol for a stepped wedge cluster randomized trial. Trials 2022;23:26.
    OpenUrl
  28. 28.↵
    1. Dickinson WP,
    2. Dickinson LM,
    3. Nutting PA,
    4. et al
    . Practice facilitation to improve diabetes care in primary care: a report from the EPIC randomized clinical trial. Ann Fam Med 2014;12:8–16.
    OpenUrlAbstract/FREE Full Text
  29. 29.↵
    1. Dickinson WP,
    2. Dickinson LM,
    3. Jortberg BT,
    4. et al
    . A cluster randomized trial comparing strategies for translating self-management support into primary care practices. J Am Board Fam Med 2019;32:341–52.
    OpenUrlAbstract/FREE Full Text
  30. 30.↵
    1. Fernald D,
    2. Hall T,
    3. Montgomery L,
    4. et al
    . Colorado residency PCMH project: results from a 6-year transformation effort. Fam Med 2019;51:578–86.
    OpenUrl
  31. 31.↵
    1. Dickinson WP,
    2. Dickinson LM,
    3. Jortberg BT,
    4. Hessler DM,
    5. Fernald DH,
    6. Fisher L
    . A protocol for a cluster randomized trial comparing strategies for translating self-management support into primary care practices. BMC Fam Pract 2018;19:126.
    OpenUrl
  32. 32.↵
    1. Dickinson WP,
    2. Nease DE,
    3. Rhyne RL,
    4. et al
    . Practice transformation support and patient engagement to improve cardiovascular care: from EvidenceNOW Southwest (ENSW). J Am Board Fam Med 2020;33:675–86.
    OpenUrlAbstract/FREE Full Text
  33. 33.↵
    1. Dickinson LM,
    2. Dickinson WP,
    3. Nutting PA,
    4. et al
    . Practice context affects efforts to improve diabetes care for primary care patients: a pragmatic cluster randomized trial. J Gen Intern Med 2015;30:476–82.
    OpenUrlCrossRefPubMed
  34. 34.↵
    1. Cohen D,
    2. McDaniel RR Jr..,
    3. Crabtree BF,
    4. et al
    . A practice change model for quality improvement in primary care practice. J Healthc Manag 2004;49:155–68.
    OpenUrlPubMedWeb of Science
  35. 35.↵
    1. Damschroder LJ,
    2. Lowery JC
    . Evaluation of a large-scale weight management program using the consolidated framework for implementation research (CFIR). Implement Sci 2013;8:51.
    OpenUrlCrossRefPubMed
  36. 36.↵
    1. Dolan ED,
    2. Mohr D,
    3. Lempa M,
    4. et al
    . Using a single item to measure burnout in primary care staff: a psychometric evaluation. J Gen Intern Med 2015;30:582–7.
    OpenUrlCrossRefPubMed
  37. 37.↵
    1. Trockel M,
    2. Bohman B,
    3. Lesure E,
    4. et al
    . A brief instrument to assess both burnout and professional fulfillment in physicians: reliability and validity, including correlation with self-reported medical errors, in a sample of resident and practicing physicians. Acad Psychiatry 2018;42:11–24.
    OpenUrlCrossRefPubMed
  38. 38.↵
    1. Fields DL
    . Job satisfaction. In: Taking the measure of work: a guide to validated scales for organizational research and diagnosis. Information Age Publishing; 2013. p. 1–42.
  39. 39.↵
    1. Messias E,
    2. Flynn V,
    3. Gathright M,
    4. Thrush C,
    5. Atkinson T,
    6. Thapa P
    . Loss of meaning at work associated with burnout risk in academic medicine. Southern Med J 2021;114:139–43.
    OpenUrl
  40. 40.↵
    1. Loerbroks A,
    2. Glaser J,
    3. Vu-Eickmann P,
    4. Angerer P
    . Physician burnout, work engagement and the quality of patient care. Occup Med 2017;67:356–62.
    OpenUrlPubMed
  41. 41.↵
    1. Hung DY,
    2. Harrison MI,
    3. Liang SY,
    4. Truong QA
    . Contextual conditions and performance improvement in primary care. Qual Manag Health Care 2019;28:70–7.
    OpenUrl
  42. 42.↵
    1. Jacobs SR,
    2. Weiner BJ,
    3. Bunger AC
    . Context matters: measuring implementation climate among individuals and groups. Implement Sci 2014;9:46.
    OpenUrlCrossRefPubMed
  43. 43.↵
    1. Bunce AE,
    2. Gruß I,
    3. Davis JV,
    4. et al
    . Lessons learned about the effective operationalization of champions as an implementation strategy: results from a qualitative process evaluation of a pragmatic trial. Implement Sci 2020;15:87.
    OpenUrlPubMed
  44. 44.↵
    1. Tomoaia-Cotisel A,
    2. Scammon DL,
    3. Waitzman NJ,
    4. et al
    . Context matters: the experience of 14 research teams in systematically reporting contextual factors important for practice change. Ann Fam Med 2013;11 Suppl 1:S115–23.
    OpenUrlPubMed
  45. 45.↵
    1. Solberg LI,
    2. Stuck LH,
    3. Crain AL,
    4. et al
    . Organizational factors and change strategies associated with medical home transformation. Am J Med Qual 2015;30:337–44.
    OpenUrlCrossRefPubMed
  46. 46.↵
    1. Balasubramanian BA,
    2. Marino M,
    3. Cohen DJ,
    4. et al
    . Use of quality improvement strategies among small to medium-size US primary care practices. Ann Fam Med 2018;16:S35–S43.
    OpenUrlAbstract/FREE Full Text
  47. 47.↵
    1. Solberg LI
    . Improving medical practice: a conceptual framework. Ann Fam Med 2007;5:251–6.
    OpenUrlAbstract/FREE Full Text
Back to top

In this issue

Print
Download PDF
Article Alerts
Email Article
Citation Tools

Jump to section

Keywords