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Related Experiment Video

Updated: Jun 3, 2025

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Discussing Weight in Real World GP Consultations: A Video Recording Analysis Study.

Kimberley Norman1, Neha Giri1, Nilakshi Gunatillaka1

  • 1The School of Primary and Allied Health Care Monash University Melbourne Australia.

Obesity Science & Practice
|January 9, 2025
PubMed
Summary

General practitioners (GPs) initiated most weight discussions, using respectful, structured approaches in consultations. Patients felt heard and respected, indicating effective communication strategies in obesity management.

Keywords:
GPcommunicationobesityprimary careweight management

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Area of Science:

  • General Practice
  • Obesity Management
  • Patient-Doctor Communication

Background:

  • General practitioners (GPs) face challenges in obesity management due to patient experiences and the need for non-stigmatizing communication.
  • Understanding how weight is discussed in consultations is crucial for improving care.

Purpose of the Study:

  • To explore the initiation and nature of weight discussions in real-world GP-patient consultations.
  • To identify communication strategies used by GPs during these discussions.

Main Methods:

  • Secondary analysis of 43 Australian video-recorded GP-patient consultations and patient surveys.
  • Descriptive content analysis was employed by a multi-disciplinary team, including individuals with lived experience of obesity.

Main Results:

  • Weight was discussed in 17 out of 43 consultations, primarily initiated by GPs (15/17).
  • Most discussions (14/17) were structured, with GPs seeking consent or offering opportunities to decline.
  • No stigmatizing language was identified, and most patients (15/17) reported feeling listened to and respected.

Conclusions:

  • GPs approach weight discussions with sensitivity, focusing on patient-centered health concerns.
  • Effective communication strategies can foster respectful and validating patient experiences in obesity management.
  • Co-designing resources with lived experience experts is vital for future GP training to prevent stigma.