Patient education and counseling · 2026
A scoping review of patient-provider communication about weight and weight management among adults with higher body weight.
СтатьяScoping ReviewНазвание и аннотация: Перевод пока не подготовлен
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Hagiwara Nao, Cheng Selena, Do Bú Emerson, Denton Andrea H, Krukowski Rebecca A
Аннотация
OBJECTIVES: This scoping review describes the characteristics of studies that were designed to address two research questions: 1) What is the nature of patient-provider communication about weight or weight management among adults, including antecedents and consequences of this communication?; and 2) What are the communication strategies or intervention approaches to improve patient-provider communication about weight or key weight-related behaviors?
METHODS: Following the PRISMA-ScR, we searched five databases for peer-reviewed empirical studies published in English between January 1, 1970 (marking the emergence of obesity research in response to rising obesity rates), and June 25, 2024. A total of 101 studies met the inclusion criteria.
RESULTS: The number of studies that examine the nature of communication (first research question) or strategies to improve it (second research question) has significantly increased since 2013-the year in which the American Medical Association declared obesity a chronic disease. Despite its growth, the overwhelming majority of studies (98.0%) were conducted in Western countries. Additionally, most studies (90.1%) focused on describing the nature of communication, while only 10 studies addressed interventions. Notably, all intervention studies were still in early research phases. Finally, while nearly all studies (98.9%) assessed verbal behaviors, only 15 (16.5%) and 16 (17.6%) studies examined paraverbal and nonverbal behaviors, respectively, reflecting a predominant reliance on qualitative methods.
CONCLUSIONS: These gaps identified in this scoping review underscore the need for more diverse, methodologically rigorous, and culturally inclusive research that reflects the full complexity of patient-provider communication to support the development of evidence-informed interventions for improving patient-provider communication about weight and weight management.
PRACTICE IMPLICATIONS: Findings from this scoping review highlight several important directions for future research to advance the literature on patient-provider communication about weight and weight management. These include using mixed methods designs, assessing all behavioral communication channels, and developing and testing interventions.
METHODS: Following the PRISMA-ScR, we searched five databases for peer-reviewed empirical studies published in English between January 1, 1970 (marking the emergence of obesity research in response to rising obesity rates), and June 25, 2024. A total of 101 studies met the inclusion criteria.
RESULTS: The number of studies that examine the nature of communication (first research question) or strategies to improve it (second research question) has significantly increased since 2013-the year in which the American Medical Association declared obesity a chronic disease. Despite its growth, the overwhelming majority of studies (98.0%) were conducted in Western countries. Additionally, most studies (90.1%) focused on describing the nature of communication, while only 10 studies addressed interventions. Notably, all intervention studies were still in early research phases. Finally, while nearly all studies (98.9%) assessed verbal behaviors, only 15 (16.5%) and 16 (17.6%) studies examined paraverbal and nonverbal behaviors, respectively, reflecting a predominant reliance on qualitative methods.
CONCLUSIONS: These gaps identified in this scoping review underscore the need for more diverse, methodologically rigorous, and culturally inclusive research that reflects the full complexity of patient-provider communication to support the development of evidence-informed interventions for improving patient-provider communication about weight and weight management.
PRACTICE IMPLICATIONS: Findings from this scoping review highlight several important directions for future research to advance the literature on patient-provider communication about weight and weight management. These include using mixed methods designs, assessing all behavioral communication channels, and developing and testing interventions.