Teaching primary care physicians the 5 A's for discussing weight with overweight and obese adolescents.

ABSTRACT:

Objective

We developed an online intervention to teach physicians both MI (addressed in outcomes paper) and the 5 A's (Ask, Advise, Assess, Assist, and Arrange) when discussing weight with overweight/obese adolescents.

Methods

We audio recorded 527 encounters between adolescents and physicians and coded the 5 A's during weight/BMI discussions. Half of physicians were randomized to receive a tailored, intervention that included their own audio-recorded clips. To examine arm differences, we used multilevel linear mixed-effects models for sum of 5 A's and generalized estimating equations (GEE) models with a logit link for each of the A's separately.

Results

Intervention arm physicians used more A's than control physicians (estimated difference=0.6; 95%CI(0.2,1.0);p=0.001

SUBMITTER: Pollak KI 

PROVIDER: S-EPMC5964297 | biostudies-literature | 2016 Oct

REPOSITORIES: biostudies-literature