title: Enhancing the role of nutrition professionals in weight management: A cross-sectional survey.
abstract: OBJECTIVE
  (1) To determine the nonphysician health profession perceived as best qualified to provide weight management. (2) To examine nutrition professionals' current practice characteristics and perceived challenges and solutions for obesity care. (3) To examine the association between nutrition professionals' quality of training and self-efficacy in weight management.
  
  
  METHODS
  A 2014 national cross-sectional online survey of 500 U.S. nonphysician health professionals (100 from each: nutrition, nursing, behavioral/mental health, exercise, pharmacy) was analyzed.
  
  
  RESULTS
  Nutrition professionals most commonly self-identified as the most qualified group to help patients lose weight (92%), sentiments supported by other health professionals (57%). The most often cited challenge was lack of patient adherence (87%). Among nutrition professionals, 77% reported receiving high-quality training in weight loss counseling. Nutrition professionals who reported high-quality training were significantly more likely to report confidence (95% vs. 48%) and success (74 vs. 50%) in helping obese patients lose weight (P<0.05) than those reporting lower-quality training.
  
  
  CONCLUSIONS
  Across all nonphysician health professionals, nutrition professionals were identified as best suited to provide routine weight management counseling to obese patients. Yet nutrition professionals' receipt of high-quality weight management training appears critical to their success in helping patients lose weight.
authors.affiliation: Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
authors.forename: Sara N
authors.initials: SN
authors.lastname: Bleich
authors.forename: Sachini
authors.initials: S
authors.lastname: Bandara
authors.forename: Wendy
authors.initials: W
authors.lastname: Bennett
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Cooper
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Gudzune
mesh_terms: D000328:Adult; D001835:Body Weight; D003376:Counseling / Q000379:methods*; D003430:Cross-Sectional Studies; D019468:Disease Management; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity / Q000639:trends; D009752:Nutritional Status; D009765:Obesity / Q000453:epidemiology / Q000628:therapy*; D014481:United States / Q000453:epidemiology; D015431:Weight Loss / Q000502:physiology*