Detalle Publicación

ARTÍCULO
The 3Ds-Discussion, diagnosis and direction: Elements for effective obesity care by healthcare professionals
Autores: Alfadda, A. A. (Autor de correspondencia); Caterson, I. D.; Coutinho, W.; Cuevas, A.; Dicker, D.; Halford, J. C. G.; Hughes, C. A.; Iwabu, M.; Kang, J. H.; Nawar, R.; Reynoso, R.; Rhee, N.; Rigas, G.; Salvador Rodríguez, Javier; Vázquez-Velázquez, V.; Sbraccia, P.
Título de la revista: EUROPEAN JOURNAL OF INTERNAL MEDICINE
ISSN: 0953-6205
Volumen: 91
Páginas: 17 - 25
Fecha de publicación: 2021
Lugar: WOS
Resumen:
Background: 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). Methods: 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. Results: 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]). Conclusion: 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. Clinical trial registration: NCT03584191.