Skip to content

Research at St Andrews

Talk weight: an observational study of communication about patient weight in primary care consultations

Research output: Contribution to journalArticle


Obesity is a major public health issue and primary care practitioners are well placed to opportunistically raise the issue of overweight or obesity with their patients. This study investigated the prevalence of weight discussion in primary care consultations with overweight and obese patients, in a practice in Fife, Scotland, and described weight-related communication using video analysis. Weight was raised in 25% of consultations with overweight and obese patients. GPs initiated weight discussion more often than patients however these attempts were often blocked by patients. Weight-related outcomes were more common when patients initiated the weight discussion. This study confirms the potential of video analysis for understanding primary care weight discussion. It also suggests that GPs may benefit from a communication based intervention to tackle patient blocking behaviours and contributes to the evidence suggesting that interventions targeted to increase the prevalence of weight related discussions with their patients are needed.


Original languageEnglish
Pages (from-to)309-315
JournalPrimary Health Care Research & Development
Issue number3
Early online date30 Jul 2014
Publication statusPublished - May 2015

    Research areas

  • Communication, Primary care, Consultations, General Practitioners, Patients, Weight, Obesity

Discover related content
Find related publications, people, projects and more using interactive charts.

View graph of relations

Related by author

  1. Behaviour and burnout in medical students

    Cecil, J. E., McHale, C. T., Hart, J. & Laidlaw, A. H., 25 Aug 2014, In : Medical Education Online. 19, 9 p., 25209.

    Research output: Contribution to journalArticle

  2. The effect of food type on the portion size effect in children aged 2-12 years: a systematic review and meta-analysis

    Reale, S., Hamilton, J., Akparibo, R., Hetherington, M., Cecil, J. E. & Caton, S., 1 Jun 2019, In : Appetite. 137, p. 47-61

    Research output: Contribution to journalReview article

Related by journal

  1. Primary Health Care Research & Development (Journal)

    Gozde Ozakinci (Reviewer)
    2012 → …

    Activity: Publication peer-review and editorial work typesPeer review of manuscripts

ID: 138497324