Table 2 Overall mean (SD) ratings and sample learning points and illustrative quotes by vignette/5A construct
Vignette/5A Construct | Mean (SD) ratingsa | Sample learning points and illustrative quotes |
|---|---|---|
Ask about her weight history and prior weight loss experience | 3.55 (0.94) | Ask about the patient’s past experiences with weight loss, including what they tried and what worked “I would want them to lay out some possible choices and procedures we might be able to take to reduce my weight after discussing what I've already tried.” |
Advise that weight loss is recommended based on the patient’s personal health information (e.g. BMI & risk factors) | 3.70 (0.98) | Use relevant patient information to show the relationship between weight and current/future health risks “The provider should explain how weight (not weight gain) relates to the medical conditions which put me at risk, and it could possibly influence my current and future health/risks.” |
Assess the patient’s level of motivation and confidence to make lifestyle changes | 3.85 (0.91) | Gain understanding of the patient's past attempts at weight loss “I would love it if the provider asked me the steps I have been taking, what I find hard or easy.” |
Assist the patient in setting goals and specific plans within the framework of providing relevant information regarding the relationship between weight, diet, and physical activity | 3.72 (1.02) | Listen carefully to patients’ challenges/concerns and provide options to address the challenges that will help them meet their goals “I know I'm overweight, so other than stating the obvious things, I would like them to talk to me about things I might not be aware of, like the one who talked about biking and that taking strain off the knees, or the water aerobics classes. Throwing out some of these examples gives me more hope that I can work towards my goals without just saying diet and exercise.” |
Arrange follow-up as appropriate to support her in her efforts to manage her weight | 3.78 (0.93) | Show caring, warmth, empathy “I'd want to hear [the doctor being] empathetic, warm, and taking time to point out it was a journey that they, too, cared about me taking” |