1 / 34

Barriers to Obesity Management in Canada

Barriers to Obesity Management in Canada. Arya M Sharma, MD/PhD , FRCP(C) Professor of Medicine Research Chair for Obesity Research & Management University of Alberta Medical Co-Director Alberta Obesity Program Edmonton, AB, Canada www.drsharma.ca. Summary

zlhna
Download Presentation

Barriers to Obesity Management in Canada

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Barriers to Obesity Management in Canada Arya M Sharma, MD/PhD, FRCP(C) Professor of Medicine Research ChairforObesity Research & Management University of AlbertaMedicalCo-DirectorAlberta ObesityProgram Edmonton, AB, Canada www.drsharma.ca

  2. Summary • Current Obesity Management in Primary Care • Key Principles of Obesity Management • The 5As of Obesity Management™

  3. Canadians Do Not Look to Their Doctors for Obesity Help Representative survey of Canadians(IPSOS REID 2010): • Within the last 12 months: • only 5% had asked their family physician about weight loss • only 19% had been advised to lose weight without specifically asking • only 14% reported having their waist circumference measured (96% reported having their blood pressure measured, and 56% reported having a test for diabetes)

  4. Patient Focus Groups • Information from physicians seldom helpful • Physicians lack sensitivity in addressing obesity • Patients want more support in self-management • Patients want specific tailored weight-management strategies • Patients want to be directed to reliable resources

  5. Interdisciplinary Weight Management is Effective • Individually tailored multi-component long-term interventions are the most effective. However: • Current recommendations look at obesity as a homogeneous condition amenable to simply reducing caloric intake and/or increasing activity. • No attempt is made to distinguish between different causes or stages of obesity. • People seeking weight-loss support often present with a range of barriers, including mental health issues, chronic pain and family or social issues. Kirk S et al. IJO 2011

  6. Core Principles of Obesity Management • Practitioner and Expert Interviews regarding key messages that would assist with obesity management in primary care • Primary Practice working group agreed on FIVE Key Principles of Obesity Management • Presented at 2011 National Obesity Summit Workshop

  7. 5As Framework for Obesity Management Arya M. Sharma, MD/PhD, FRCPC Scientific Director & CEOCanadian Obesity Network

  8. 5As Framework – Practitioner Responses • Canadian Family Medicine Forum, Montreal, Nov 2011 • Ontario Family Medicine Forum, Toronto, Nov 2012 • Ontario Nurse Practitioner Conference, Hamilton, Dec 2011 • Focus Group, Calgary PCN, Dec 2011 • 126 Respondents • 86% (n=107) physicians • 10% (n=13) nurses or nurse practitioners • 77% provided written feedback

  9. “The 'five As' provide a useful framework for obesity management in primary care” • 99% “Agree” or “Strongly Agree” • “Helpful” • “Great- it’s about time something like this was available”

  10. “The sequencing of Ask, Assess, Advise, Agree, Assist is appropriate” • 99.2% “Agree” or “Strongly Agree” • “It makes sense to ask first. I feel bad bringing it up with patients. Good idea.” • “Would be nice to have some sample approaches/dialogues to help open discussion with patients”

  11. “The extent of information provided on this tool is enough to serve as a quick guide” • 86.4 % “Agree” or “Strongly Agree” • “Need more mental health information to show patients” • “Would like an online course on how to use it”

  12. “I would use this tool in my practice to discuss weight managements with my patients” • 79% “Agree” or “Strongly Agree” • “I need more patient resources” (n=28) • “Where can I find online resources? I need this electronically or as an EMR” (n=12) • “Need more support. I don’t have time to discuss weight with patients. There is no place to refer patients.” (n=14)

  13. www.DrSharma.ca

More Related