The Basis of Patient Resistance to Opportunistic Discussions About Weight in Primary Care.

Clinicians expect that talking to patients with obesity about potential/future weight loss will be a difficult conversation, especially if it is not the reason that a patient is seeking medical help. Despite this expectation, many governments ask clinicians to take every opportunity to talk to patients about weight to help manage increasing levels of obesity. Although this is recommended, little is known about what happens in consultations when clinicians opportunistically talk to patients about weight, and if the anticipated difficulties are reality.

Clinician-patient communication about emergency aerial medical evacuation in case of infectious disease.

Conversation analysis of clinician–patient telephone consultations showed that communicating the process and possibility of aerial medical evacuation with people who may require it in future could support better understanding of the process and informed decision-making prior to travel. We identified clear steps clinicians can take to do this.

Talking delicately: Providing opportunistic weight loss advice to people living with obesity.

Obesity is a major worldwide public health problem. Clinicians are asked to communicate public health messages, including encouraging and supporting weight loss, during consultations with patients living with obesity. However, research shows that talking about weight with patients rarely happens and both parties find it difficult to initiate.

What advice do general practitioners give to people living with obesity to lose weight? A qualitative content analysis of recorded interactions.

Background: Guidelines recommend general practitioners (GPs) take every opportunity to talk to people living with obesity about their weight, and evidence shows even very brief advice is associated with weight loss. However, little is known about what GPs say when giving brief behavioural advice, and if it reflects evidence-based recommendations for people living with obesity. To understand what behavioural advice GPs give, we categorized the content and delivery of GPs' advice during brief interventions.