Table A1.
Opportunity and Practices.a
| Nurse |
Primary Care Provider |
|||||||
|---|---|---|---|---|---|---|---|---|
| Agree | Neutral | Disagree | Agree | Neutral | Disagree | Missing | P b | |
| Practice is too busy to treat weight management | 18 (13.7) | 63 (48.1) | 50 (38.2) | 13 (16.9) | 28 (36.4) | 36 (46.8) | 11 | .48 |
| Can handle treating comorbidities, but not lifestyle issues | 17 (13.1) | 78 (60.0) | 35 (26.9) | 16 (20.0) | 25 (31.3) | 39 (48.8) | 9 | .07 |
| Not comfortable initiating conversation | 35 (27.1) | 50 (38.8) | 44 (34.1) | 6 (7.5) | 15 (18.8) | 59 (73.8) | 10 | <.001 |
| Most patients with obesity live in denial, so I give general advice | 9 (6.8) | 49 (37.1) | 74 (56.1) | 4 (5.0) | 17 (21.3) | 59 (73.8) | 7 | .01 |
| Afraid of creating poor provider-patient dynamic by bringing up weight | 26 (19.9) | 61 (46.6) | 44 (33.6) | 20 (25.3) | 14 (17.7) | 45 (57.0) | 9 | .05 |
| Few methods are effective at maintaining weight loss, so I give general advice | 14 (10.7) | 58 (44.3) | 59 (45.0) | 17 (21.3) | 20 (25.0) | 43 (53.8) | 8 | .79 |
| Obesity is complex condition, so I prefer focus on treating comorbidities | 15 (11.2) | 76 (56.7) | 43 (32.1) | 11 (13.8) | 23 (28.8) | 46 (57.5) | 5 | .006 |
| Feel comfortable discussing weight | 61 (45.2) | 46 (34.1) | 28 (20.7) | 58 (71.6) | 16 (19.8) | 7 (8.6) | 3 | <.001 |
| Duty to discuss weight, but long term follow-up is outside capacity in busy practice | 29 (22.1) | 62 (47.3) | 40 (30.5) | 30 (37.5) | 22 (27.5) | 28 (35.0) | 8 | .35 |
| Afraid to make patient feel guilty | 68 (50.4) | 28 (20.7) | 39 (28.9) | 34 (42.0) | 15 (18.5) | 32 (39.5) | 3 | .14 |
| More difficulty discussing obesity than sexuality | 27 (19.9) | 50 (36.8) | 59 (42.4) | 8 (9.9) | 20 (24.7) | 53 (65.4) | 2 | .002 |
| Difficult to charge fees for suggesting simple changes in diet and exercise | 13 (9.8) | 95 (71.4) | 25 (18.8) | 30 (37.5) | 14 (17.5) | 36 (45.0) | 6 | .88 |
a
Values are given as number (%).
b
Wilcoxon rank-sum test.