J. Med. Internet Res. - Primary care providers' perspectives on online weight-loss programs: a big wish list.

Tópicos

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Resumo

CKGROUND: Integrating online weight-loss programs into the primary care setting could yield substantial public health benefit. Little is known about primary care providers' perspectives on online weight-loss programs.OBJECTIVE: To assess primary care providers' perspectives on online weight-loss programs.METHODS: We conducted focus group discussions with providers in family medicine, internal medicine, and combined internal medicine/pediatrics in Texas and Pennsylvania, USA. Open-ended questions addressed their experience with and attitudes toward online weight-loss programs; useful characteristics of existing online weight-loss programs; barriers to referring patients to online weight-loss programs; and preferred characteristics of an ideal online weight-loss program. Transcripts were analyzed with the grounded theory approach to identify major themes.RESULTS: A total of 44 primary care providers participated in 9 focus groups. The mean age was 45 (SD 9) years. Providers had limited experience with structured online weight-loss programs and were uncertain about their safety and efficacy. They thought motivated, younger patients would be more likely than others to respond to an online weight-loss program. According to primary care providers, an ideal online weight-loss program would provide-at no cost to the patient-a structured curriculum addressing motivation, psychological issues, and problem solving; tools for tracking diet, exercise, and weight loss; and peer support monitored by experts. Primary care providers were interested in receiving reports about patients from the online weight-loss programs, but were concerned about the time required to review and act on the reports.CONCLUSIONS: Primary care providers have high expectations for how online weight-loss programs should deliver services to patients and fit into the clinical workflow. Efforts to integrate online weight-loss programs into the primary care setting should address efficacy and safety of online weight-loss programs in clinic-based populations; acceptable methods of sending reports to primary care providers about their patients' progress; and elimination or reduction of costs to patients.

Resumo Limpo

ckground integr onlin weightloss program primari care set yield substanti public health benefit littl known primari care provid perspect onlin weightloss programsobject assess primari care provid perspect onlin weightloss programsmethod conduct focus group discuss provid famili medicin intern medicin combin intern medicinepediatr texa pennsylvania usa openend question address experi attitud toward onlin weightloss program use characterist exist onlin weightloss program barrier refer patient onlin weightloss program prefer characterist ideal onlin weightloss program transcript analyz ground theori approach identifi major themesresult total primari care provid particip focus group mean age sd year provid limit experi structur onlin weightloss program uncertain safeti efficaci thought motiv younger patient like other respond onlin weightloss program accord primari care provid ideal onlin weightloss program provideat cost patienta structur curriculum address motiv psycholog issu problem solv tool track diet exercis weight loss peer support monitor expert primari care provid interest receiv report patient onlin weightloss program concern time requir review act reportsconclus primari care provid high expect onlin weightloss program deliv servic patient fit clinic workflow effort integr onlin weightloss program primari care set address efficaci safeti onlin weightloss program clinicbas popul accept method send report primari care provid patient progress elimin reduct cost patient

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