کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3813474 1408870 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Teaching primary care physicians the 5 A’s for discussing weight with overweight and obese adolescents
ترجمه فارسی عنوان
آموزش پزشکان مراقبت های اولیه 5 ساله برای بحث در مورد وزن با نوجوانان اضافه وزن و چاقی
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
چکیده انگلیسی


• Physician use of 5 A’s shows promise for encouraging weight-related changes.
• A 60-min tailored, online intervention improved physician use of the 5 A’s.
• Teaching physicians can help adolescents attain a healthy weight.

ObjectiveWe developed an online intervention to teach physicians both MI (addressed in outcomes paper) and the 5 A’s (Ask, Advise, Assess, Assist, and Arrange) when discussing weight with overweight/obese adolescents.MethodsWe audio recorded 527 encounters between adolescents and physicians and coded the 5 A’s during weight/BMI discussions. Half of physicians were randomized to receive a tailored, intervention that included their own audio-recorded clips. To examine arm differences, we used multilevel linear mixed-effects models for sum of 5 A’s and generalized estimating equations (GEE) models with a logit link for each of the A’s separately.ResultsIntervention arm physicians used more A’s than control physicians (estimated difference = 0.6; 95%CI(0.2,1.0);p = 0.001). Intervention physicians used Assess (p = 0.004), Assist (p = 0.001) and Arrange (p = 0.02) more when compared to control arm physicians.ConclusionAn online intervention increased physicians’ use of the 5 A’s when discussing weight with overweight adolescents. These results are promising as the online intervention improved performance for the three A’s that are infrequently used (Assess, Assist, and Arrange) yet have the most impact.Practice implicationsA tailored online program can increase physicians’ use of the 5 A’s behavioral counseling approach in clinical practice with adolescents.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Patient Education and Counseling - Volume 99, Issue 10, October 2016, Pages 1620–1625
نویسندگان
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