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Current Knowledge of Obesity Treatment Guidelines by Health Care Professionals
Author(s) -
Turner Monique,
Jannah Nichole,
Kahan Scott,
Gallagher Christine,
Dietz William
Publication year - 2018
Publication title -
obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.438
H-Index - 199
eISSN - 1930-739X
pISSN - 1930-7381
DOI - 10.1002/oby.22142
Subject(s) - medicine , pharmacotherapy , obesity , medicaid , family medicine , health care , medline , modalities , health professionals , nursing , social science , sociology , political science , law , economics , economic growth
Objective The objective of this study was to assess health care professionals' knowledge of evidence‐based guidelines for the nonsurgical treatment of obesity. Methods A nationally representative sample of internists, family practitioners, obstetricians/gynecologists, and nurse practitioners completed a web‐based survey between June 9 and July 1, 2016 (n = 1,506). Results Only 16% of respondents indicated that obesity counseling should be provided approximately twice monthly in an individual or group setting for at least 6 months, in accordance with United States Preventive Services Task Force and Centers for Medicare and Medicaid Services guidelines. Only 15% of respondents identified BMI ≥ 27 kg/m 2 with an obesity‐associated comorbid condition as the appropriate indication to prescribe pharmacotherapy for patients. Two‐thirds of respondents indicated that it is appropriate to continue long‐term pharmacotherapy under conditions inconsistent with evidence‐based guidelines, with nearly one‐quarter indicating that obesity medications should never be prescribed beyond 3 months regardless of weight loss. Conclusions These findings suggest that provider understanding of appropriate clinical care for obesity is inconsistent with evidence‐based recommendations. As coverage for behavioral counseling services and pharmacotherapy expands, it is imperative that health care professionals understand how to effectively leverage these treatment modalities to optimize health outcomes for patients with obesity.