title: Development of an obesity counseling model based on a study of determinants of intentional sustained weight loss.
abstract: BACKGROUND
  Overweight and obesity are at epidemic proportions. This study examines the attitudes and actions of Oklahoma clinicians in obesity treatment, and the characteristics and perceptions of a subset of their patients who lost weight and were able to maintain weight loss.
  
  
  METHODS
  Our study was a small mixed method study involving both surveys and interviews. Descriptive statistics were calculated, content analysis of interviews performed, and a model outline for obesity counseling was developed.
  
  
  RESULTS
  Only 38% of the 66 clinicians surveyed try to motivate their patients to lose weight. Patients interviewed recommended that clinicians treat obesity as a medical problem. We incorporated themes from the patient interviews into the S-MASS model for obesity screening and counseling.This was positively reviewed by clinicians and patients.
  
  
  CONCLUSIONS
  The S-MASS model can function as a guide to help the clinician/patient team develop successful strategies for weight loss and maintenance of weight loss.
authors.affiliation: Research Division Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, 900 NE 10th Street, Room 2307, Oklahoma City, OK 73104, USA. toney-welborn@ouhsc.edu
authors.forename: Toney L
authors.initials: TL
authors.lastname: Welborn
authors.forename: Maureen H
authors.initials: MH
authors.lastname: Azarian
authors.forename: Nathan J
authors.initials: NJ
authors.lastname: Davis
authors.forename: James C
authors.initials: JC
authors.lastname: Layton
authors.forename: Cheryl B
authors.initials: CB
authors.lastname: Aspy
authors.forename: James W
authors.initials: JW
authors.lastname: Mold
mesh_terms: D000328:Adult; D037001:Directive Counseling / Q000379:methods*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000628:therapy*; D057240:Patient Preference; D010817:Physician-Patient Relations; D015431:Weight Loss