Melanie Jay|Colleen Gillespie|Sheira Schlair|Scott Sherman|Adina Kalet
Physicians' use of the 5As in counseling obese patients: is the quality of counseling associated with patients' motivation and intention to lose weight?
New York University|New York University|Montefiore Medical Center|New York University|New York University
physicians encouraged counsel obese patients lose weight studies measuring quality physicians counseling rare sought describe quality physicians obesity counseling determine associations quality counseling obese patients motivation intentions lose weight key predictors behavior change conducted postvisit surveys obese patients assess physicians use 5as counseling techniques overall patientcenteredness physician patients also reported motivation lose weight intentions eat healthier exercise oneway anovas used describe mean differences number counseling practices across levels selfrated intention motivation logistic regression analyses conducted assess associations number 5as counseling practices used patient intention motivation 137 patients 23 physicians included analysis 85 patients counseled obesity physicians used mean 53 sd 46 18 possible 5as counseling practices patients higher levels motivation intentions reported receiving 5as counseling techniques lower levels additional counseling practice associated higher odds motivated lose weight 131 ci 111155 intending eat better 123 ci 106144 intending exercise regularly 114 ci 100131 patient centeredness physician also positively associated intentions eat better 296 ci 103847 exercise 2607 ci 3708393 quality physician counseling measured using 5as counseling framework patientcenteredness scales associated motivation lose weight intentions change behavior future studies determine whether higher quality obesity counseling leads improved behavioral weight outcomes