GPs' attitudes, objectives and barriers in counselling for obesity--a qualitative study

Eur J Gen Pract. 2012 Mar;18(1):9-14. doi: 10.3109/13814788.2011.627424. Epub 2011 Oct 30.

Abstract

Background: Increasing prevalence of obesity worldwide requires providing support for many patients. GPs in particular, as long-term supervisors of patients, are asked to deliver care to those affected.

Objectives: This qualitative study aimed at identifying GPs' perspectives on counselling overweight and obese patients.

Methods: To that end, semi-structured interviews were conducted in Berlin with GPs regarding their objectives and barriers in overweight care. Fifteen GPs participated; interviews were audio taped, transcribed and analysed using qualitative content analysis.

Results: Analysis showed a differentiated pattern of medical and psychosocial objectives in obesity treatment. Overall, it was seen that GPs wanted to play a relatively passive role in treatment of obesity. In particular, motivating patients was a key goal of primary care consultations; at the same time patients' lack of motivation was a main barrier to successful treatment.

Conclusions: Care for obese patients is perceived as ineffective and frustrating. Recommended solutions include further education to improve GPs' communication techniques, e.g. to trigger patients' motivation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel
  • Communication
  • Cross-Sectional Studies
  • Data Collection
  • Directive Counseling / statistics & numerical data
  • General Practitioners / psychology
  • General Practitioners / statistics & numerical data*
  • Germany
  • Humans
  • Male
  • Middle Aged
  • Motivation
  • Obesity / therapy*
  • Overweight / therapy*
  • Practice Patterns, Physicians' / statistics & numerical data*
  • Primary Health Care / methods
  • Primary Health Care / statistics & numerical data