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兽医专业人士在与客户讨论超重或肥胖宠物时的体重相关沟通。

Veterinary professionals' weight-related communication when discussing an overweight or obese pet with a client.

机构信息

1Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.

2Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.

出版信息

J Am Vet Med Assoc. 2022 Apr 15;260(9):1076-1085. doi: 10.2460/javma.22.01.0043.

Abstract

OBJECTIVE

Pet weight may be difficult for veterinary professionals to address with clients, particularly when pets are overweight or obese. The objective of this study was to characterize the communication processes and content of weight-related conversations occurring between veterinary professionals and clients.

SAMPLE

Audio-video recordings of 917 veterinarian-client-patient interactions involving a random sample of 60 veterinarians and a convenience sample of clients.

PROCEDURES

Companion animal veterinarians in southern Ontario, Canada, were randomly recruited, and interactions with their clients were audio-video recorded. Interactions were reviewed for mentions of weight, then further analyzed by means of a researcher-generated coding framework to provide a comprehensive assessment of communication specific to weight-related interactions.

RESULTS

463 of 917 (50.5%) veterinary-client-patient interactions contained an exchange involving the mention of a single patient's (dog or cat) weight and were included in final analysis. Of the 463 interactions, 150 (32.4%) involved a discussion of obesity for a single patient. Of these, 43.3% (65/150) included a weight management recommendation from the veterinary team, and 28% (42/150) provided clients with a reason for pursuing weight management.

CLINICAL RELEVANCE

Findings illustrate opportunities to optimize obesity communication to improve the health and wellbeing of veterinary patients.

摘要

目的

兽医专业人员可能难以与客户讨论宠物的体重问题,尤其是当宠物超重或肥胖时。本研究的目的是描述兽医专业人员与客户之间与体重相关的对话的沟通过程和内容。

样本

涉及 60 名兽医随机样本和方便样本客户的 917 次兽医-客户-患者互动的音频-视频记录。

程序

在加拿大安大略省南部随机招募了伴侣动物兽医,并对他们与客户的互动进行了音频-视频记录。对互动进行了审查,以了解是否提到体重,然后通过研究人员生成的编码框架进行进一步分析,以对与体重相关的互动进行全面评估。

结果

在 917 次兽医-客户-患者互动中,有 463 次(50.5%)包含涉及单个患者(狗或猫)体重的交流,并包含在最终分析中。在这 463 次互动中,有 150 次(32.4%)涉及单个患者的肥胖讨论。其中,43.3%(65/150)的互动来自兽医团队的体重管理建议,28%(42/150)为客户提供了进行体重管理的理由。

临床相关性

研究结果说明了优化肥胖沟通以改善兽医患者健康和福利的机会。

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