Table 2.

Weight loss conversation themes and sub-themes

Barriers to conversations	Communication tools	Language and communication	Specific recommendations
- Lack of training - Insufficient time - Pessimism - Poor resources - Complex topic - More immediate needs	- Motivational interviewing - 5 A’s (Assess, Advise, Agree, Assist, Arrange) - Written materials - 4 E’s (engage, empathise, educate, enlist)	- Specific terminology - Empathetic - Patient-centred (specific)	- Training for physicians - Clear referral pathways - Specific consultation suggestions