Physicians’ views and experiences of discussing weight management within routine clinical consultations: A thematic synthesis

Patient Education and Counseling

Volumn 100, Issue 5, 2017, Pages 897-908

  Dewhurst, Anne ^a   Peters, Sarah ^a   Devereux Fitzgerald, Angela ^a   Hart, Jo ^b  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

^b UNIVERSITY OF MANCHESTER   (United Kingdom)

Author keywords

Meta synthesis; Patient physician relationship; Weight management

Indexed keywords

BODY WEIGHT MANAGEMENT; CONSULTATION; DOCTOR PATIENT RELATION; FRUSTRATION; HOPELESSNESS; HUMAN; PATIENT CARE; PATIENT COUNSELING; PERSONAL EXPERIENCE; PESSIMISM; PHYSICIAN ATTITUDE; PRIORITY JOURNAL; RESPONSIBILITY; REVIEW; THEMATIC ANALYSIS; BODY WEIGHT LOSS; COUNSELING; HEALTH PERSONNEL ATTITUDE; INTERPERSONAL COMMUNICATION; MALE; OBESITY; PHYSICIAN; PSYCHOLOGY;

ATTITUDE OF HEALTH PERSONNEL; COMMUNICATION; COUNSELING; HUMANS; MALE; OBESITY; PHYSICIAN-PATIENT RELATIONS; PHYSICIANS; WEIGHT LOSS;

EID: 85009826114     PISSN: 07383991     EISSN: 18735134     Source Type: Journal    
DOI: 10.1016/j.pec.2016.12.017     Document Type: Review

References (114)

1. [1] Dobbs, R., Sawers, C., Thompson, F., Manyika, J., Woetzel, J.R., Child, P., Spatharou, A., Overcoming Obesity: An Initial Economic Analysis. 2014, McKinsey Global Institute.
2. [2] James, W.P.T., The epidemiology of obesity: the size of the problem. J. Intern. Med. 263:4 (2008), 336–352.
3. [3] Royal College of Physicians, Action on Obesity: Comprehensive Care for All. Report of a Working Party., 2013, RCP, London.
4. [4] Wang, C.Y., McPherson, K., Marsh, T., Gortmaker, S.L., Brown, M., Health and economic burden of the projected obesity trends in the USA and the UK. Lancet 378 (2011), 815–825.
5. [5] World Health Organisation (WHO), Obesity: Preventing and Managing the Global Epidemic. 2000, WHO, Geneva.
6. [6] Jebb, S., Kopelman, P., McPherson, K., Thomas, S., Mardell, J., Parry, V., Tackling Obesities: Future Choices: Project Report., 2007, Department of Innovation Universities and Skills.
7. [7] Mercer, S., How useful are clinical guidelines for the management of obesity in general practice?. Br. J. Gen. Pract. 59:568 (2009), 863–868.
8. [8] National Institute for Health and Care Excellence, Weight Management: Lifestyle Services for Overweight or Obese Adults. 2014 (accessed 30 June 2014) https://www.nice.org.uk/guidance/ph53/chapter/1-recommendations.
9. [9] Epstein, L., Ogden, J., A qualitative study of GPs’ views of treating obesity. Br. J. Gen. Pract. 55 (2005), 750–754.
10. [10] Maryon-Davis, A., Weight management in primary care: how can it be made more effective?. Proc. Nutr. Soc. 64:01 (2005), 97–103.
11. [11] Nolan, C., Deehan, A., Wylie, A., Jones, R., Practice nurses and obesity: professional and practice-based factors affecting role adequacy and role legitimacy. Primary Health Care Res. Dev. 13:04 (2012), 353–363.
12. [12] Jarvis, S., Obesity and the overworked GP. Br. J. Gen. Pract. 56:530 (2006), 654–655.
13. [13] Bowerman, S., Bellman, M., Saltsman, P., Garvey, D., Pimstone, K., Skootsky, S., Heber, Implementation of a primary care physician network obesity management program. Obes. Res. 9:S11 (2001), 321S–325S.
14. [14] Heintze, C., Metz, U., Hahn, D., Niewöhner, J., Schwantes, U., Wiesner, J., Braun, V., Counseling overweight in primary care: an analysis of patient–physician encounters. Patient Educ. Couns. 80:1 (2010), 71–75.
15. [15] Steptoe, A., Rink, E., Kerry, S., Psychosocial predictors of changes in physical activity in overweight sedentary adults following counseling in primary care. Prev. Med. 31:2 (2000), 183–194.
16. [16] Tham, M., Young, D., The role of the General Practitioner in weight management in primary care–a cross sectional study in General Practice. BMC Fam. Pract., 9(1), 2008, 66.
17. [17] Bocquier, A., Verger, P., Basdevant, A., et al. Overweight and obesity: knowledge, attitudes, and practices of general practitioners in France. Obes. Res. 13 (2005), 787–795.
18. [18] Brown, I., Thompson, J., Primary care nurses’ attitudes, beliefs and own body size in relation to obesity management. J. Adv. Nurs. 60:5 (2007), 535–543.
19. [19] Lazarou, C., Kouta, C., The role of nurses in the prevention and management of obesity. Br. J. Nurs., 19(10), 2010, 641.
20. [20] Bourn, J., Tackling Obesity in England. 2001, The Stationery Office, London, UK.
21. [21] Fontaine, K.R., Haaz, S., Bartlett, S.J., Are overweight and obese adults with arthritis being advised to lose weight?. JCR 13:1 (2007), 12–15.
22. [22] Hart, J., Yelland, S., Mallinson, A., Hussain, Z., Peters, S., When is it ok to tell patients they are overweight? General public's views of the role of doctors in supporting patients’ dieting and weight management. J. Health Psychol., 2015 (1359105315571974).
23. [23] Buxton, B.K., Snethen, J., Obese women's perceptions and experiences of healthcare and primary care providers: a phenomenological study. Nurs. Res. 62:4 (2013), 252–259.
24. [24] Ashenden, R., Silagy, C., Weller, D., A systematic review of the effectiveness of promoting lifestyle change in general practice. Fam. Pract. 14:2 (1997), 160–176.
25. [25] Hart, J., Yelland, S., Mallinson, A., Hussain, Z., Peters, S., When is it ok to tell patients they are overweight? General public's views of the role of doctors in supporting patients’ dieting and weight management. J. Health Psychol., 2015 (1359105315571974).
26. [26] Ulbricht, S., Meyer, C., Schumann, A., Rumpf, H.J., Hapke, U., John, U., Provision of smoking cessation counseling by general practitioners assisted by training and screening procedure. Patient Educ. Couns. 63:1 (2006), 232–238.
27. [27] Hash, R.B., Munna, R.K., Vogel, R.L., Bason, J.J., Does physician weight affect perception of health advice?. Prev. Med. 36:1 (2003), 41–44.
28. [28] Galuska, D.A., Will, J.C., Serdula, M.K., Ford, E.S., Are health care professionals advising obese patients to lose weight?. J. Am. Med. Assoc. 282 (1999), 1576–1578.
29. [29] Gudzune, K.A., Clark, J.M., Appel, L.J., Bennett, W.L., Primary care providers’ communication with patients during weight counseling: a focus group study. Patient Educ. Couns. 89:1 (2012), 152–157.
30. [30] Huang, J., Yu, H., Marin, E., Brock, S., Carden, D., Davis, T., Physicians’ weight loss counseling in two public hospital primary care clinics. Acad. Med. 79:2 (2004), 156–161.
31. [31] Kushner, R.F., Barriers to providing nutrition counseling by physicians: a survey of primary care practitioners. Prev. Med. 24 (1995), 546–552.
32. [32] Noordman, J., Verhaak, P., Van Dulmen, S., Discussing patient's lifestyle choices in the consulting room: analysis of GP-patient consultations between 1975 and 2008. BMC Fam. Pract., 11, 2010, 87.
33. [33] Chisholm, A., Hart, J., Lam, V., Peters, S., Current challenges of behavior change talk for medical professionals and trainees. Patient Educ. Couns. 87:3 (2012), 389–394.
34. [34] Vogt, F., Hall, S., Marteau, T.M., General practitioners’ beliefs about effectiveness and intentions to recommend smoking cessation services: qualitative and quantitative studies. BMC Fam. Pract., 8, 2007, 39.
35. [35] Claridge, R., Gray, L., Stubbe, M., Macdonald, L., Tester, R., Dowell, A.C., General practitioner opinion of weight management interventions in New Zealand. J. Prim. 6:3 (2014), 212–220.
36. [36] Jackson, S.E., Wardle, J., Johnson, F., Finer, N., Beeken, R.J., The impact of a health professional recommendation on weight loss attempts in overweight and obese British adults: a cross-sectional analysis. BMJ Open, 3(11), 2013, e003693.
37. [37] Abid, A., Galuska, D., Khan, L.K., Gillespie, C., Ford, E.S., Serdula, M.K., Are healthcare professionals advising obese patients to lose weight? A trend analysis. MedGenMed, 7(4), 2005 10–10.
38. [38] Leverence, R.R., Williams, R.L., Sussman, A., Crabtree, B.F., Obesity counseling and guidelines in primary care: a qualitative study. Am. J. Prev. Med. 32 (2007), 334–339.
39. [39](a) Scott, J.G., Cohen, D., DiCicco-Bloom, B., Orzano, A.J., Gregory, P., Flocke, S., Maxwell, L., Crabtree, B., Speaking of weight: how patients and primary care clinicians initiate weight loss counselling. J. Prev. Med. 38 (2004), 819–827.
40. [39](b) Scott, K.M., McGee, M.A., Wells, E., Oakley Browne, M.A., Obesity and mental disorders in the adult general population. J. Psychosom. Res. 1 (2008), 97–105.
41. [40] Hansson, L.M., Rasmussen, F., Ahlstrom, G.I., General practitioners’ and district nurses’ conceptions of the encounter with obese patients in primary health care. BMC Fam. Pract., 12, 2011, 7.
42. [41] Thomas, J., Harden, A., Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med. Res. Methodol., 8(1), 2008, 45.
43. [42] Sutanto, B., Singh-Grewal, D., McNeil, H.P., O'Neill, S., Craig, J.C., Jones, J., Tong, A., Experiences and perspectives of adults living with systemic lupus erythematosus: thematic synthesis of qualitative studies. Arthritis Care Res. 65:11 (2013), 1752–1765.
44. [43] Joseph-Williams, N., Elwyn, G., Edwards, A., Knowledge is not power for patients: a systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making. Patient Educ. Couns. 94:3 (2014), 291–309.
45. [44] Neely, E., Walton, M., Stephens, C., Young people's food practices and social relationships. A thematic synthesis. Appetite 82 (2014), 50–60.
46. [45] Papadopoulou, C., Johnston, B., Themessl-Huber, M., The experience of acute leukaemia in adult patients: a qualitative thematic synthesis. Eur. J. Oncol. Nurs. 17:5 (2013), 640–648.
47. [46] Fleming, A., Bradley, C., Cullinan, S., Byrne, S., Antibiotic prescribing in long-term care facilities: a meta-synthesis of qualitative research. Drugs Aging 32:4 (2015), 295–303.
48. [47] García-Escamilla, E., Rodríguez-Martín, B., Martínez-Vizcaíno, V., Integration of acupuncture into conventional medicine from health professionals’ perspective: a thematic synthesis of qualitative studies. Health, 2015 (1363459315574116).
49. [48] Booth, A., Using evidence in practice: unpacking your literature search toolbox: on search styles and tactics. Health Info. Libr. J. 25 (2008), 313–317.
50. [49] Cooke, A., Mills, T.A., Lavender, T., ‘Informed and uninformed decision making’—women's reasoning, experiences and perceptions with regard to advanced maternal age and delayed childbearing: a meta-synthesis. Int. J. Nurs. Stud. 47 (2010), 1317–1329.
51. 2: a meta-synthesis. BJOG, 2011, 10.1111/j.1471-05282011.02924.x.
52. [51] Stergiou-Kita, M., Rappolt, S., Dawson, D., Towards developing a guideline for vocational evaluation following traumatic brain injury: the qualitative synthesis of clients’ perspectives. Disabil. Rehabil. 34:3 (2012), 179–188.
53. [52] Borg-Xuereb, C., Shaw, R.L., Lane, D.A., Patients’ and health professionals’ views and experiences of atrial fibrillation and oral-anticoagulant therapy: a qualitative meta-synthesis. Patient Educ. Couns. 88 (2012), 330–337.
54. [53] Public Health Resource Unit (1998). Critical appraisal skills programme (CASP). Available from. http://www.york.ac.uk/inst/crd/report4.htm.
55. [54] Satink, T., Cup, E.H., Ilott, I., Prins, J., de Swart, B.J., Nijhuis-van der Sanden, M.W., Patients’ views on the impact of stroke on their roles and self: a thematic synthesis of qualitative studies. Arch. Phys. Med. Rehabil. 94:6 (2013), 1171–1183.
56. [56] Dixon-Woods, M., Sutton, A., Shaw, R., Miller, T., Smith, J., Young, B., Jones, D., Appraising qualitative research for inclusion in systematic reviews: a quantitative and qualitative comparison of three methods. J. Health Serv. Res. Policy 12:1 (2007), 42–47.
57. [60] Campbell, R., Pound, P., Pope, C., Britten, N., Pill, R., Morgan, M., Donovan, J., Evaluating meta-ethnography: a synthesis of qualitative research on lay experiences of diabetes and diabetes care. Soc. Sci. Med. 56 (2003), 671–684.
58. [61] Carlsen, B., Glenton, C., Pope, C., Thou shalt versus thou shalt not: a meta-synthesis of GPs’ attitudes to clinical practice guidelines. Br. J. Gen. Pract. 57 (2007), 971–978.
59. [62] Feder, G.S., Hutson, M., Ramsay, J., Taket, A.R., Women exposed to intimate partner violence: expectations and experiences when they encounter health care professionals: a meta-analysis of qualitative studies. Arch. Intern. Med. 166:1 (2006), 22–37.
60. [63] Malpass, A., Shaw, A., Sharp, D., Walter, F., Feder, G., Ridd, M., Kessler, D., “Medication career” or “Moral career”? The two sides of managing antidepressants: a meta-ethnography of patients’ experience of antidepressants. Soc. Sci. Med. 68 (2009), 154–168.
61. [64] Pound, P., Britten, N., Morgan, M., Yardley, L., Pope, C., Daker-White, G., Campbell, R., Resisting medicines: a synthesis of qualitative studies of medicine taking. Soc. Sci. Med. 61 (2005), 133–155.
62. [65] Taylor, C.A., Shaw, R.L., Dale, J., French, D.P., Enhancing delivery of health behaviour change interventions in primary care: a meta-synthesis of views and experiences of primary care nurses. Patient Educ. Couns. 85:2 (2011), 315–322.
63. [66] Angus, J.E., Lombardo, A.P., Lowndes, R.H., Cechetto, N., Ahmad, F., Bierman, A.S., Beyond barriers in studying disparities in women's access to health services in Ontario, Canada: a qualitative metasynthesis. Qual. Health Res. 23:4 (2012), 476–494.
64. [67] Alexander, Stewart C., Ostbye, Truls, Pollak, Kathryn I., Gradison, Margaret, Bastian, Lori A., Bastian, Lori A., Brouwer, Rebecca J., Physicians’ beliefs about discussing obesity: results from focus groups. Am. J. Health Promot. 21:6 (2007), 498–500.
65. [68] Ali, Habiba I., Bernsen, Roos M., Baynouna, Latifa M., Barriers to weight management among Emirati women: a qualitative investigation of health professionals’ perspectives. Int. Q. Community Health Educ. 29:2 (2009), 143–159.
66. [70] Stephen, Gunther, Guo, Fenglin, Sinfield, Paul, Rogers, Stephen, Baker, Richard, Barriers and enablers to managing obesity in general practice: a practical approach for use in implementation activities. Qual. Primary Care 20:2 (2012), 93–103.
67. [71] Christoph, Heintze, Sonntag, Ulrike, Brinck, Anna, Huppertz, Mania, Niewöhner, Jörg, Wiesner, Julia, Braun, Vittoria, A qualitative study on patientsö and physiciansö visions for the future management of overweight or obesity Fam. Pract. 29:1 (2012), 103–109.
68. [72] Marcia, Yan, Ory, Chanam, Lee, C., Wang, Suojin, Pulczinksi, Jairus, Forjuoh, Samuel N., Walking and neighborhood environments for obese and overweight patients. Fam. Med. 44:5 (2012), 336–341.
69. [73] Leverence, Robert R.., Williams, Robert L., Sussman, Andrew, Crabtree, Benjamin F., RIOSNetClinicians, Obesity counseling and guidelines in primary care: a qualitative study. Am. J. Prev. Med. 32:4 (2007), 334–339.
70. [74] Mercer, S.W., Tessier, S., A qualitative study of general practitioners’ and practice nurses’ attitudes to obesity management in primary care. Health Bull. 59:4 (2001), 248–253.
71. [75] Sonntag, U., Brink, A., Renneberg, B., Braun, V., Heintze, C., GPs’ attitudes, objectives and barriers in counselling for obesity—a qualitative study. Eur. J. Gen. Pract. 18:1 (2012), 9–14.
72. [76] Kok, G., Bartholomew, L.K., Parcel, G.S., Gottlieb, N.H., Fernández, M.E., Finding theory- and evidence-based alternatives to fear appeals: intervention mapping. Int. J. Psychol. 49:2 (2014), 98–107.
73. [77] Peters, S., Bird, L., Ashraf, H., Ahmed, S., McNamee, P., Ng, C., Hart, J., Medical undergraduates’ use of behaviour change talk: the example of facilitating weight management. BMC Med. Educ., 13(1), 2013, 7.
74. [78] Befort, C.A., Greiner, K.A., Hall, S., Weight- related perceptions among patients and physicians: how well do physicians judge patients’ motivation to lose weight?. J. Gen. Intern. Med. 21 (2006), 1086–1090.
75. [79] Visser, F., Hiddink, G., Kolen, M., Van Binsbergen, J., Tobi, H., Van Woerkum, C., Longitudinal changes in GPs’ task perceptions, self-efficacy, barriers and practices of nutrition education and treatment of overweight. Fam. Pract. 25 (2008), 105–111.
76. [80] Gregory, C.O., Blanck, H.M., Gillespie, C., Maynard, L., Serdula, M.K., Health perceptions and demographic characteristics associated with underassessment of body weight. Obesity 16 (2008), 979–986.
77. [81] Kuchler, F., Variyam, J.N., Mistakes were made: misperception as a barrier to reducing overweight. Int. J. Obes. Relat. Metab. Disord. 27 (2003), 856–861.
78. [82] Cade, J., O'Connell, S., Management of weight problems and obesity: knowledge, attitudes and current practice of general practitioners. Br. J. Gen. Pract. 41:345 (1991), 147–150.
79. [83] Campbell, K., Engel, H., Timperio, A., et al. Obesity management: australian general practitioners’ attitudes and practices. Obes. Res. 8 (2000), 459–466.
80. [84] Frank, A., Futility and avoidance. Medical professionals in the treatment of obesity. JAMA 269 (1993), 2132–2133.
81. [85] Ruelaz, A.R., Diefenbach, P., Simon, B., Lanto, A., Arterburn, D., Shekelle, P.G., Perceived barriers to weight management in primary care—perspectives of patients and providers. J. Gen. Intern. Med. 22 (2007), 518–522.
82. [86] Scott, J.G., Cohen, D., Di Cicco-Bloom, B., Orzano, A.J., Gregory, P., Flocke, S.A., Maxwell, L., Crabtree, B., Speaking of weight: how patients and primary care clinicians initiate weight loss counseling. Prev. Med. 8:6 (2004), 819–827.
83. [87] Jolly, K., Lewis, A., Beach, J., Denley, J., ADab, P., Deeks, J., Daley, A., Aveyard, P., Comparison of range of commercial or primary care led weight reduction programmes with minimal intervention control for weight loss in obesity: lighten Up randomised controlled trial. Br. Med. J., 2011, 343.
84. [88] Bleich, S.N., Bandara, S., Bennett, W.L., Cooper, L.A., Gudzune, K.A., US health professionals’ views on obesity care, training, and self-Efficacy. Am. J. Prev. Med. 48:4 (2015), 411–418.
85. [89] NHS England, Joined up Clinical Pathways for Obesity: Report of the Working Group., 2014, NHS England, London Available at: http://bit.ly/RNNm7S (accessed 23.02.15).
86. [90] U.S. Preventive Services Task Force, Screening for obesity in adults: recommendations and rationale. Ann. Intern. Med. 139:11 (2003), 930–932.
87. [91] Cox, M.E., Yancy, W.S., Coffman, C.J., Østbye, T., Tulsky, J.A., Alexander, S.C., Pollak, K.I., Effects of counseling techniques on patients’ weight-related attitudes and behaviors in a primary care clinic. Patient Educ. Couns. 85:3 (2011), 363–368.
88. [92] Forman-Hoffman, V., Little, A., Wahls, T., Barriers to obesity management: a pilot study of primary care clinicians. BMC Fam. Pract., 7, 2006, 35.
89. [93] Mold, F., Forbes, A., Patients’ and professionals’ experiences and perspectives of obesity in health‐care settings: a synthesis of current research. Health Expect. 16:2 (2011), 119–142.
90. [94] Bleich, S.N., Huizinga, M.M., Beach, M.C., Cooper, L.A., Patient use of weight-management activities: a comparison of patient and physician assessments. Patient Educ. Couns. 79:3 (2010), 344–350.
91. [95] Foster, G.D., Wadden, T.A., Makris, A.P., Davidson, D., Sanderson, R.S., Allison, D.B., Primary care physicians’ attitudes about obesity and its treatment. Obes. Res. 11 (2003), 1168–1177.
92. [96] Ma, J., Urizar, G.G., Tseday Alehegn, M.A., Randall, S., Stafford, M.D., Diet and physical activity counseling during ambulatory care visits in the United States. Prev. Med. 39:4 (2004), 815–822.
93. [97] Timmerman, G.M., Reifsnider, E., Allan, J.D., Weight management practices among primary care providers. J. Am. Acad. Nurse Pract. 12:4 (2000), 113–116.
94. [98] Bleich, S.N., Simon, A.E., Cooper, L.A., Impact of patient—doctor race concordance on rates of weight-related counseling in visits by Black and White obese individuals. Obesity 20 (2011), 562–570.
95. [99] Anderson, V.R., Jason, L.A., Hlavaty, L.E., Porter, N., Cudia, J., A review and meta-synthesis of qualitative studies on myalgic encephalomyelitis/chronic fatigue syndrome. Patient Educ. Couns. 86:2 (2012), 147–155.
96. [100] Evans, D., Database searches for qualitative research. J. Med. Libr. Assoc., 90(3), 2002, 290.
97. [101] Ring, N.A., Ritchie, K., Mandava, L., Jepson, R., (2011). A guide to synthesising qualitative research for researchers undertaking health technology assessments and systematic reviews.
98. [102] Taylor, C.A., Shaw, R.L., Dale, J., French, D.P., Enhancing delivery of health behaviour change interventions in primary care: a meta-synthesis of views and experiences of primary care nurses. Patient Educ. Couns. 85:2 (2011), 315–322.
99. [103] Dixon-Woods, M., Fitzpatrick, R., Roberts, K., Including qualitative research in systematic reviews: opportunities and problems. J. Eval. Clin. Pract. 7 (2001), 125–133.
100. [104] Pearson, M., Moxham, T., Ashton, K., Effectiveness of search strategies for qualitative research about barriers and facilitators of program delivery. Evaluation & the health professions 34:3 (2011), 297–308.
101. [105] Shaw, R.L., Booth, A., Sutton, A.J., Miller, T., Smith, J.A., Young, B., et al. Finding qualitative research: an evaluation of search strategies. BMC Med. Res. Methodol. 4 (2004), 1–5.
102. [106] Atkins, S., Lewin, S., Smith, H., Engel, M., Fretheim, A., Volmink, J., Conducting a meta-ethnography of qualitative literature: lessons learnt. BMC Med. Res. Methodol., 8(1), 2008, 21.
103. [107] Newton, B.J., Rothlingova, Z., Gutteridge, R., LeMarchand, K., Raphael, J.H., No room for reflexivity? Critical reflections following a systematic review of qualitative research. J. Health Psychol., 2011 (1359105311427615).
104. [108] Denzin, N.K., The elephant in the living room: or extending the conversation about the politics of evidence. Qual. Res. 9:2 (2009), 139–160.
105. [109] Katrak, P., Bialocerkowski, A.E., Massy-Westropp, N., Kumar, V.S., Grimmer, K.A., A systematic review of the content of critical appraisal tools. BMC Med. Res. Methodol., 4(1), 2004, 22.
106. [110] Van Binsbergen, J.J., Langens, F.N.M., Dapper, A.L.M., et al. NHG standaard obesitas. Huisarts en Wetenschap 53 (2010), 609–625.
107. [111] Martins, R.K., McNeil, D.W., Review of motivational interviewing in promoting health behaviors. Clin. Psychol. Rev. 29:4 (2009), 283–293.
108. [112] Sniehotta, F.F., Simpson, S.A., Greaves, C.J., Weight loss maintenance: an agenda for health psychology. Br. J. Health Psychol. 19:3 (2014), 459–464.
109. [113] Blackburn, M., Stathi, A., Keogh, E., Eccleston, C., Raising the topic of weight in general practice: perspectives of GPs and primary care nurses. BMJ Open, 5(8), 2015, e008546.
110. [114] Kim, K.K., Yeong, L.L., Caterson, I.D., Harris, M.F., Analysis of factors influencing general practitioners’ decision to refer obese patients in Australia: a qualitative study. BMC Fam. Pract., 16(1), 2015, 45.
111. [115] Schauer, G.L., Woodruff, R.C., Hotz, J., Kegler, M.C., A qualitative inquiry about weight counseling practices in community health centers. Patient Educ. Couns. 97:1 (2014), 82–87.
112. [116] Teixeira, F.V., Pais-Ribeiro, J.L., Maia, A., A qualitative study of GPs’ views towards obesity: are they fighting or giving up?. Public Health 129:3 (2015), 218–225.
113. [117] Claridge, R., Gray, L., Stubbe, M., Macdonald, L., Tester, R., Dowell, A.C., General practitioner opinion of weight management interventions in New Zealand. J. Prim. Health Care 6:3 (2014), 212–220.
114. [118] Rose, S.A., Poynter, P.S., Anderson, J.W., Noar, S.M., Conigliaro, J., Physician weight loss advice and patient weight loss behavior change: a literature review and meta-analysis of survey data. Int. J. Obes. 37:1 (2013), 118–128.