Development of an obesity counseling model based on a study of determinants of intentional sustained weight loss

J Okla State Med Assoc. 2010 Jul;103(7):243-7.


Background: Overweight and obesity are at epidemic proportions. This study examines the attitudes and actions of Oklahoma clinicians in obesity treatment, and the characteristics and perceptions of a subset of their patients who lost weight and were able to maintain weight loss.

Methods: Our study was a small mixed method study involving both surveys and interviews. Descriptive statistics were calculated, content analysis of interviews performed, and a model outline for obesity counseling was developed.

Results: Only 38% of the 66 clinicians surveyed try to motivate their patients to lose weight. Patients interviewed recommended that clinicians treat obesity as a medical problem. We incorporated themes from the patient interviews into the S-MASS model for obesity screening and counseling.This was positively reviewed by clinicians and patients.

Conclusion: The S-MASS model can function as a guide to help the clinician/patient team develop successful strategies for weight loss and maintenance of weight loss.

MeSH terms

  • Adult
  • Directive Counseling / methods*
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Obesity / therapy*
  • Patient Preference*
  • Physician-Patient Relations
  • Weight Loss