Relationship Between Clinician Language and the Success of Behavioral Weight Loss Interventions : A Mixed-Methods Cohort Study
Main finding · Weight changeResult — go to the resultAdjusted difference −3.60 CI −6.58 to −0.62Authors' conclusion
When raising the topic of excess weight in clinical visits, presenting weight loss treatment as a positive opportunity is associated with greater uptake of treatment and greater weight loss.
Study context
- Population
- Patients with obesity seen by 87 general practitioners, randomly sampled from the intervention group of the Brief Intervention for Weight Loss trial; 38 primary care clinics in England; referral to a 12-week behavioral weight management programoutcome data missing from 57
- Participants
- 246 patients
- Exposure
- Clinician interactional approach: good news vs bad news vs neutral
- Good newsn = 62
- Bad newsn = 82
- Neutraln = 102reference
- Outcome
- Patient weight loss
- Follow-up
- 12 months
Methodological detailsconversation analysis, weighted analyses to adjust for missingness, 38 primary care clinics, Potential selection bias and residual confounding, Audio-only data; body language and nonverbal cues not assessed
- Conversation analysis
- Weighted analyses to adjust for missingness
- 38 primary care clinics
- Potential selection bias and residual confounding
- Audio-only data; body language and nonverbal cues not assessed
Main finding
Weight change
Adjusted difference
−3.60
CI −6.58 to −0.62
Good newsvs Neutral
adjusted difference −3.60 (CI −6.58 to −0.62)
As reported in the abstract
Observational data: associations, not effects.
Secondary outcomes
| Outcome | Adjusted risk difference | |
|---|---|---|
| Agreement to attend the programGood newsvs Neutral | 0.25 (95% CI 0.15–0.35) | |
| AttendanceGood newsvs Neutral | 0.45 (CI 0.34–0.56) | |
| −0.500.51Difference (linear scale) |
Patient satisfaction
- No evidence of differences across all 3 approaches
Original publication
Relationship Between Clinician Language and the Success of Behavioral Weight Loss Interventions : A Mixed-Methods Cohort Study. Ann Intern Med. Published 7 November 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →