Doctors Communication Style Matters for Weight Loss

A study from Duke University showed that the manner in which Doctors communicated with patients, regarding their weight loss, impacted their success -- it is better to be Dr. Mark Green than Dr. Greg House, when broaching the subject of weight.

The study is published in the American Journal of Preventive Medicine.

Researchers recorded the conversations between 40 primary care physicians, and 461 of their overweight or obese patients, over an 18-month period. Investigators were tracking how much time was spent and, specifically, how doctors talked with their patients about diet, exercise and weight loss. (The doctors were not told what the researchers were looking for).

Doctors discussed weight with patients in 69% of cases. Doctors spent an average of 3.5 minutes discussing diet and weight issues -- about 15% of the visit.There was little difference between patients who were counselled vs. those who were not, in terms of weight loss.When researchers accounted for the doctor's communication style, however, they found a statistically significant difference between communication styles.Patients whose doctors talked about diet and weight loss in a more motivational fashion, using predominantly reflective or empathic statements, were much more likely to lose weight, compared to those whose physicians used a more judgmental or confrontational style of communication.Patients whose physicians communicated well lost about 3.5 pounds three months after the visit.Excellent study: first of its kind to examine specifically Physicians' communication style, and its affect on patients' weight loss.Possible study flaws: communication styles aren't always directly definable and hence there is room for interpretation. Another potential flaw is that Doctors were recorded. While they didn't know why, it may cause them to be more vigilant in addressing issues thoroughly.Physicians are an important cog in the wheel of overall health. They are the front-line practitioners and as such, they can have enormous influence on the success of patients' efforts to lose weight and improve health.Counselling training would certainly help physicians communicate effectively and "get through" to their patients. At the same time, doctors tend not to have much in the way of formal education in nutrition, exercise science and specifics of how to lose fat. You have to know the right information before you learn how to deliver it.

In the end, I think the patient is best served by a physician who is both empathetic, but also honest and to the point. I also think that in addition to counsellor training and more extensive education in nutrition, MD's should work closely with other health professionals, who specialize in fat loss and nutrition.

Image Credit #1: Playtime Magazine
Image Credit #2: Actuzap

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