@Article{info:doi/10.2196/jmir.1955,
author="Hwang, Kevin O
and Stuckey, Heather L
and Chen, Monica C
and Kraschnewski, Jennifer L
and Forjuoh, Samuel N
and Poger, Jennifer M
and McTigue, Kathleen M
and Sciamanna, Christopher N",
title="Primary Care Providers' Perspectives on Online Weight-Loss Programs: A Big Wish List",
journal="J Med Internet Res",
year="2012",
month="Jan",
day="19",
volume="14",
number="1",
pages="e16",
keywords="Obesity; weight management; primary care",
abstract="Background: Integrating online weight-loss programs into the primary care setting could yield substantial public health benefit. Little is known about primary care providers' perspectives on online weight-loss programs. Objective: To assess primary care providers' perspectives on online weight-loss programs. Methods: We conducted focus group discussions with providers in family medicine, internal medicine, and combined internal medicine/pediatrics in Texas and Pennsylvania, USA. Open-ended questions addressed their experience with and attitudes toward online weight-loss programs; useful characteristics of existing online weight-loss programs; barriers to referring patients to online weight-loss programs; and preferred characteristics of an ideal online weight-loss program. Transcripts were analyzed with the grounded theory approach to identify major themes. Results: A total of 44 primary care providers participated in 9 focus groups. The mean age was 45 (SD 9) years. Providers had limited experience with structured online weight-loss programs and were uncertain about their safety and efficacy. They thought motivated, younger patients would be more likely than others to respond to an online weight-loss program. According to primary care providers, an ideal online weight-loss program would provide---at no cost to the patient---a structured curriculum addressing motivation, psychological issues, and problem solving; tools for tracking diet, exercise, and weight loss; and peer support monitored by experts. Primary care providers were interested in receiving reports about patients from the online weight-loss programs, but were concerned about the time required to review and act on the reports. Conclusions: Primary care providers have high expectations for how online weight-loss programs should deliver services to patients and fit into the clinical workflow. Efforts to integrate online weight-loss programs into the primary care setting should address efficacy and safety of online weight-loss programs in clinic-based populations; acceptable methods of sending reports to primary care providers about their patients' progress; and elimination or reduction of costs to patients. ",
issn="1438-8871",
doi="10.2196/jmir.1955",
url="http://www.jmir.org/2012/1/e16/",
url="https://doi.org/10.2196/jmir.1955",
url="http://www.ncbi.nlm.nih.gov/pubmed/22262726"
}