title: Satisfaction with primary care provider involvement is associated with greater weight loss: Results from the practice-based POWER trial.
abstract: OBJECTIVE
  To evaluate the association between the patient-provider relationship, satisfaction with primary care provider's (PCP) involvement and weight loss in a practice-based weight loss trial.
  
  
  METHODS
  POWER was a practice-based randomized controlled behavioral weight loss trial. Participants completed questionnaires about patient-provider relationship and satisfaction with their PCPs' involvement in the trial. PCPs completed a demographics and practice survey. The main outcome was the mean weight change from baseline to 24 months. We created mixed-effect models, accounting for the random effects of patients clustering with the PCP and the repeated outcome assessments within patient over time, and adjusted for randomization assignment, age, gender, race and clinical site.
  
  
  RESULTS
  347 (of 415) were included. Mean age was 54.8 years, mean BMI was 36.3 kg/m(2). Participants reported high quality patient-provider relationships (mean summary score=29.1 [range 14-32]). Patient-provider relationship quality was not associated weight loss in either the intervention or control groups. Among intervention participants, higher ratings of the helpfulness of the PCPs' involvement was associated with greater weight loss (p=0.005).
  
  
  CONCLUSIONS
  Patient-provider relationship quality was not associated with weight loss in a practice-based weight loss trial but rating PCPs as helpful in the intervention was associated with weight loss.
  
  
  CONCLUSIONS
  Partnering with PCPs to deliver weight loss programs may promote greater participant satisfaction and weight loss.
authors.affiliation: Welch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins University, Baltimore, MD, USA; Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: wendy.bennett@jhmi.edu.
authors.forename: Wendy L
authors.initials: WL
authors.lastname: Bennett
authors.affiliation: Welch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins University, Baltimore, MD, USA; Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: naeyuh@jhmi.edu.
authors.forename: Nae-Yuh
authors.initials: NY
authors.lastname: Wang
authors.affiliation: Welch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins University, Baltimore, MD, USA; Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: gudzune@jhu.edu.
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Gudzune
authors.affiliation: Welch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins University, Baltimore, MD, USA; Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: adalcin1@jhmi.edu.
authors.forename: Arlene T
authors.initials: AT
authors.lastname: Dalcin
authors.affiliation: Department of Health Policy and Management, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: sbleich@jhsph.edu.
authors.forename: Sara N
authors.initials: SN
authors.lastname: Bleich
authors.affiliation: Welch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins University, Baltimore, MD, USA; Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: lappel@jhmi.edu.
authors.forename: Lawrence J
authors.initials: LJ
authors.lastname: Appel
authors.affiliation: Welch Center for Prevention, Epidemiology and Clinical Research, The Johns Hopkins University, Baltimore, MD, USA; Department of Medicine, Division of General Internal Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address: jmclark@jhmi.edu.
authors.forename: Jeanne M
authors.initials: JM
authors.lastname: Clark
mesh_terms: D000328:Adult; D000368:Aged; D003142:Communication; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000503:physiopathology / Q000628:therapy*; D017063:Outcome Assessment, Health Care; D010549:Personal Satisfaction; D010819:Physician's Role; D010817:Physician-Patient Relations; D011320:Primary Health Care; D015431:Weight Loss; D061217:Weight Reduction Programs
keywords: Obesity; Patient–provider relationship; Primary care provider