Affiliation:
1. Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
2. Department of Computer Science, Human Centred Computing (HCC), University of Oxford, Oxford, UK
3. Discourse and Rhetoric Group, Loughborough University, Loughborough, UK
Abstract
Abstract
Background
GPs are encouraged to make brief interventions to support weight loss, but they report concern about these conversations, stating that they need more details on what to say. Knowing how engage in these conversations could encourage GPs to deliver brief interventions for weight loss more frequently.
Objective
To examine which specific words and phrases were successful in achieving conversational alignment and minimizing misunderstanding, contributing to effective interventions.
Methods
A conversation analysis of English family practice patients participating in a trial of opportunistic weight-management interventions, which incorporated the offer of referral to community weight-management services (CWMS). Qualitative conversation analysis was applied to 246 consultation recordings to identify communication patterns, which contributed to clear, efficient interventions.
Results
Analysis showed variation in how GPs delivered interventions. Some ways of talking created misunderstandings or misalignment, while others avoided these. There were five components of clear and efficient opportunistic weight-management referrals. These were (i) exemplifying CWMS with a recognizable brand name (ii) saying weight-management ‘programme’ or ‘service’, rather than ‘group’ or ‘club’ (iii) stating that the referral is ‘free’ early on (iv) saying the number CWMS visits available on referral (v) stating that the CWMS programme available was ‘local’.
Conclusions
When making a brief opportunistic intervention to support weight loss, clinicians can follow these five steps to create a smooth and efficient intervention. Knowing this may allay clinicians’ fears about these consultations being awkward and improve adherence to guidelines.
Funder
National Institute for Health Research School for Primary Care Research
National Prevention Research Initiative
Alzheimer’s Research UK
Alzheimer’s Society
Biotechnology and Biological Sciences Research Council
British Heart Foundation
Cancer Research UK
Chief Scientist Office, Scottish Government Health Directorate
Department of Health, Diabetes UK
Economic and Social Research Council
Engineering and Physical Sciences Research Council
Health and Social Care Research Division
Public Health Agency, Northern Ireland
Medical Research Council
Stroke Association
Wellcome Trust
Welsh Government
World Cancer Research Fund
EPSRC
NIHR Oxford Biomedical Research Centre (BRC) Obesity, Diet and Lifestyle Theme
National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) Oxford and Thames Valley
Publisher
Oxford University Press (OUP)
Cited by
14 articles.
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