Highlights of the Innovation Showcase Brown, Steven R; Sartor, Lance Kelley Zach; Worth, Anna ...
Annals of family medicine,
07/2022, Letnik:
20, Številka:
4
Journal Article
Recenzirano
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Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
Objective The Edmonton Obesity Staging System (EOSS) is based on weight related health complications among individuals with overweight and obesity requiring clinical intervention. We aimed to assess ...the clinical usefulness of a new screening tool based on the EOSS for activating weight management discussions in general practice. Methods We enrolled five General Practitioners (GPs) and 25 of their patients located nationwide in metropolitan areas of Australia to test the feasibility, acceptability, and accuracy of the new 'EOSS-2 Risk Tool', using cross-sectional and qualitative study designs. Diagnostic accuracy of the tool for the presence of EOSS greater than or equal to2 criteria was based on clinical information collected prospectively. To assess feasibility and applicability, we explored the views of GP and patient participants by thematic analysis of transcribed verbatim and de-identified data collected by semi-structured telephone interviews. Results Nineteen (76%) patients were aged greater than or equal to45 years, five (20%) were male, and 20 (80%) were classified with obesity. All 25 patients screened positive for EOSS greater than or equal to2 criteria by the tool. Interviews with patients continued until data saturation was reached resulting in a total of 23 interviews. Our thematic analysis revealed five themes: GP recognition of obesity as a health priority (GPs expressed strong interest in and understanding of its importance as a health priority); obesity stigma (GPs reported the tool helped them initiate health based and non-judgmental conversations with their patients); patient health literacy (GPs and patients reported increased awareness and understanding of weight related health risks), patient motivation for self-management (GPs and patients reported the tool helped focus on self-management of weight related complications), and applicability and scalability (GPs stated it was easy to use, relevant to a range of their patient groups, and scalable if integrated into existing patient management systems). Conclusion The EOSS-2 Risk Tool is potentially clinically useful for activating weight management discussions in general practice. Further research is required to assess feasibility and applicability.
Celotno besedilo
Dostopno za:
DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.Concise, ...evidence-based coverage of the diseases and syndromes most commonly seen in clinical practiceCURRENT Diagnosis and Treatment in Family Medicine, Fifth Edition is an easy-to-use guide to the diagnosis, treatment, and management of the full range of clinical conditions seen in primary care. The book covers all age groups--from pediatric to geriatric--and includes end-of-life issues. An essential clinical reference for house staff and practicing family physicians, the book is also great for USMLE Step 3 review, board certification, and maintenance of certification. NEW content includes coverage of genetics and precision medicine use in family medicine, telehealth in family medicine, CTE and sports injuries, Zika, the opioid epidemic, Hepatitis C, expansion of the HIV section, veteran's health and PTSD, and more Organized according to the developmental lifespan, beginning with childhood and adolescence and progressing through adulthood and senior years Evidence-based recommendations Conservative and pharmacologic therapies Complementary and alternative therapies when relevant Attention to the mental and behavioral health of patients as solitary as well as comorbid conditions Patient education information End-of-life issues
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