TY  - JOUR
AU  - Hwang, Kevin O
AU  - Stuckey, Heather L
AU  - Chen, Monica C
AU  - Kraschnewski, Jennifer L
AU  - Forjuoh, Samuel N
AU  - Poger, Jennifer M
AU  - McTigue, Kathleen M
AU  - Sciamanna, Christopher N
PY  - 2012
DA  - 2012/01/19
TI  - Primary Care Providers’ Perspectives on Online Weight-Loss Programs: A Big Wish List
JO  - J Med Internet Res
SP  - e16
VL  - 14
IS  - 1
KW  - Obesity
KW  - weight management
KW  - primary care
AB  - 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. 
SN  - 1438-8871
UR  - http://www.jmir.org/2012/1/e16/
UR  - https://doi.org/10.2196/jmir.1955
UR  - http://www.ncbi.nlm.nih.gov/pubmed/22262726
DO  - 10.2196/jmir.1955
ID  - info:doi/10.2196/jmir.1955
ER  -