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Table 3 Patient Report of Physician Counseling and Patient Self-Efficacy, Motivation and Intention

From: Physicians' use of the 5As in counseling obese patients: is the quality of counseling associated with patients' motivation and intention to lose weight?

  N = 137 patients (23 residents)
Physician's Use of Obesity Counseling  
   % Counseled about Obesity (n) 85.4 (117)
   Mean Number of Counseling Practices1 (SD) (18 Items total) 5.3 (4.6)
5As  
   Mean Number of Assess 2 Practices (SD) (6 items) 2.2 (2.0)
   Mean Number of Advise 3 Practices (SD) (4 items) 1.3 (1.3)
   Mean Number of Agree 4 Practices (SD) (3 items) 0.7 (1.2)
   % Use Assist 5 Practice (n) (1 item) 25.6 (35)
   Mean Number of Arrange 6 Practices (SD) (4 items) 0.8 (0.4)
  1. 1 Of 18 possible obesity counseling practices (based on 5 As) performed by physician
  2. 2 Assessed whether trying to lose weight, importance of losing weight, confidence in losing weight, diet, 24-hour recall of diet, exercise
  3. 3 Advised to lose weight, advised how much weight to lose, discussed specific changes in diet and exercise
  4. 4 Agreed by working to set goals, involving patient in setting goals, helping to set realistic goals
  5. 5 Assisted by talking with patient about dealing with the kinds of things, like stress, temptation, finding time, that makes it hard for you to lose weight
  6. 6 Arranged by scheduling follow-up within one month, referring to weight management clinic, community supports like Overeaters Anonymous, or a Nutritionist