The 3Ds-Discussion, diagnosis and direction: Elements for effective obesity care by healthcare professionals

Alfadda, Assim A, Caterson, Ian D, Coutinho, Walmir, Cuevas, Ada, Dicker, Dror, Halford, Jason CG ORCID: 0000-0003-1629-3189, Hughes, Carly A, Iwabu, Masato, Kang, Jae-Heon, Nawar, Rita
et al (show 6 more authors) (2021) The 3Ds-Discussion, diagnosis and direction: Elements for effective obesity care by healthcare professionals. EUROPEAN JOURNAL OF INTERNAL MEDICINE, 91. pp. 17-25.

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<h4>Background</h4>The care of people with obesity is often suboptimal due to both physician and patient perceptions about obesity itself and clinical barriers. Using data from the ACTION-IO study, we aimed to identify factors that might improve the quality of obesity care through adoption of the 3D approach (Discussion, Diagnosis and Direction [follow-up]) by healthcare professionals (HCPs).<h4>Methods</h4>An online survey was completed by HCPs in 11 countries. Exploratory beta regression analyses identified independent variables associated with each component of the 3D approach.<h4>Results</h4>Data from 2,331 HCPs were included in the statistical models. HCPs were significantly more likely to initiate weight discussions and inform patients of obesity diagnoses, respectively, if (odds ratio [95% confidence interval]): they recorded an obesity diagnosis in their patient's medical notes (1.59, [1.43-1.76] and 2.16 [1.94-2.40], respectively); and they were comfortable discussing weight with their patients (1.53 [1.39-1.69] and 1.15 [1.04-1.27]). HCPs who reported feeling motivated to help their patients lose weight were also more likely to initiate discussions (1.36 [1.21-1.53]) and schedule follow-up appointments (1.21 [1.06-1.38]). By contrast, HCPs who lacked advanced formal training in obesity management were less likely to inform patients of obesity diagnoses (0.83 [0.74-0.92]) or schedule follow-up appointments (0.69 [0.62-0.78]).<h4>Conclusion</h4>Specific actions that could improve obesity care through the 3D approach include: encouraging HCPs to record an obesity diagnosis; providing tools to help HCPs feel more comfortable initiating weight discussions; and provision of training in obesity management.<h4>Clinical trial registration</h4>NCT03584191.

Item Type: Article
Uncontrolled Keywords: Obesity, Healthcare, Weight, Consultation, Diagnosis, ACTION-IO
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 19 Jul 2021 10:41
Last Modified: 18 Jan 2023 21:35
DOI: 10.1016/j.ejim.2021.01.012
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