Quality of weight-loss counseling by Dutch practice nurses in primary care: an observational study

Background/objective: To assess the quality of weight-loss counseling provided by Dutch primary care practice nurses (PNs) to overweight and obese patients including both PNs’ compliance with the Five A’s Model for behavioral counseling in primary care, and the use of different communication styles....

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Bibliographic Details
Published in:European journal of clinical nutrition 2015-01, Vol.69 (1), p.73-78
Main Authors: van Dillen, S M E, Noordman, J, van Dulmen, S, Hiddink, G J
Format: Article
Language:English
Subjects:
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Adult
Aged
barriers
Behavior
Body weight
Body weight loss
Clinical Nutrition
Communication
consultations
Counseling
Counseling - methods
Epidemiology
Evidence-based nursing
Exercise
Female
general-practice
guidance practices
Health Behavior
Health care
Health Communication - methods
Health counseling
Humans
Internal Medicine
intervention
life
Male
Medicine
Medicine & Public Health
Metabolic Diseases
Methods
Middle Aged
Motivation
Netherlands
Nurses
Nutrition
nutrition communication styles
Nutrition therapy
Nutritional Physiological Phenomena
Nutritional Sciences - education
obesity
Observational studies
original-article
Overweight
Patients
Physical activity
Practice
Practice nursing
Primary care
Primary Health Care - methods
Public Health
Quality assessment
Quality control
Quality management
Quality of Health Care
Regression analysis
Risk assessment
Risk taking
Statistical analysis
Weight control
Weight Loss
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Summary:Background/objective: To assess the quality of weight-loss counseling provided by Dutch primary care practice nurses (PNs) to overweight and obese patients including both PNs’ compliance with the Five A’s Model for behavioral counseling in primary care, and the use of different communication styles. In addition, relationships between PN/patient characteristics (including Five A’s) and communication styles will be examined. Subjects/methods: In this observational study, 100 videotaped real-life consultations, collected in 2010/2011, were viewed using an observational checklist. Selection of consultations was based on PNs’ registration of patient’s complaint. The quality of weight-loss counseling was assessed by the Five A’s Model (sequence of evidence-based practice behaviors that are effective for helping patients to change health behaviors) and by PNs’ communication styles. Moreover, several PN and patient characteristics were registered. Descriptive statistics and logistic regression analysis were conducted with significance set at P
ISSN:0954-3007
1476-5640
DOI:10.1038/ejcn.2014.129