TY - JOUR
T1 - Prevalence and predictors of obesity-related counseling provided by outpatient psychiatrists in the United States
AU - Rogers, Erin S.
AU - Sherman, Scott E.
AU - Malaspina, Dolores
AU - Jay, Melanie
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Objective: This study sought to identify rates and predictors of obesity counseling performed by outpatient psychiatrists in the United States. Methods: The 2005-2010 National Ambulatory Medical Care Surveys provided data from 7,309 outpatient psychiatry visits. Logistic regression was used to examine associations between patient, visit, and practice characteristics and outcomes. Results: Most (81%) visits occurred in a private practice setting. Nine percent (N=657) of visits included measurement of patient body mass index (BMI); 30% of these visits were with patients who met the obesity criterion (BMI ≥30.0 kg/m2). Among visits with obese patients, 16% included exercise counseling, 22% included weight reduction counseling, and 24% included diet or nutrition counseling. Patients with obesity were more likely than patients without obesity to receive diet or nutrition counseling (p<.05) and weight reduction counseling (p<.05), but not exercise counseling. Black patients were significantly less likely to receive any form of counseling (p<.05). Conclusions: There is a significant need to improve psychiatrists' obesity counseling.
AB - Objective: This study sought to identify rates and predictors of obesity counseling performed by outpatient psychiatrists in the United States. Methods: The 2005-2010 National Ambulatory Medical Care Surveys provided data from 7,309 outpatient psychiatry visits. Logistic regression was used to examine associations between patient, visit, and practice characteristics and outcomes. Results: Most (81%) visits occurred in a private practice setting. Nine percent (N=657) of visits included measurement of patient body mass index (BMI); 30% of these visits were with patients who met the obesity criterion (BMI ≥30.0 kg/m2). Among visits with obese patients, 16% included exercise counseling, 22% included weight reduction counseling, and 24% included diet or nutrition counseling. Patients with obesity were more likely than patients without obesity to receive diet or nutrition counseling (p<.05) and weight reduction counseling (p<.05), but not exercise counseling. Black patients were significantly less likely to receive any form of counseling (p<.05). Conclusions: There is a significant need to improve psychiatrists' obesity counseling.
UR - http://www.scopus.com/inward/record.url?scp=84989885385&partnerID=8YFLogxK
U2 - 10.1176/appi.ps.201500345
DO - 10.1176/appi.ps.201500345
M3 - Article
C2 - 27364811
AN - SCOPUS:84989885385
SN - 1075-2730
VL - 67
SP - 1156
EP - 1159
JO - Psychiatric Services
JF - Psychiatric Services
IS - 10
ER -