Institute for General Practice and Family Medicine, Charité Universitätsmedizin Berlin, Berlin, Germany.
Patient Educ Couns. 2010 Jul;80(1):71-5. doi: 10.1016/j.pec.2009.10.016. Epub 2009 Dec 4.
The aim of this study was to assess general practitioners' (GPs') and patients' practices and attitudes regarding overweight encountered during preventive counseling talks.
Twelve GPs audiotaped their preventive counseling talks with overweight patients, including the assessment of individual risk profiles and further medical recommendations. Fifty-two dialogues were transcribed and submitted to qualitative content analysis.
Dietary advice and increased physical activity are mostly discussed during talks. Recommendations appear to be more individual if patients are given the chance to reflect on causes of their overweight during counseling talks.
A dialogue approach affects the strength and quality of weight loss counseling in primary care. However, physicians and overweight patients rarely agreed on weight loss goals during the physician-patient talks.
Patient centeredness, particularly the integration of patients' perceptions towards weight management, might be an important step towards improving weight counseling in primary care.
本研究旨在评估全科医生（GP）和患者在预防咨询中遇到超重问题时的实践和态度。
12 名全科医生对超重患者的预防咨询进行了录音，包括对个体风险状况的评估和进一步的医学建议。对 52 次对话进行了转录，并进行了定性内容分析。
在会谈中，主要讨论了饮食建议和增加身体活动。如果在咨询过程中让患者有机会反思超重的原因，那么建议似乎更具有个体性。
对话方法会影响初级保健中减肥咨询的强度和质量。然而，在医患会谈中，医生和超重患者很少就减肥目标达成一致。
以患者为中心，特别是整合患者对体重管理的看法，可能是改善初级保健中体重咨询的重要一步。
