RT Journal Article
SR Electronic
T1 Impact of the 5As Team study on clinical practice in primary care obesity management: a qualitative study
JF CMAJ Open
FD Canadian Medical Association
SP E322
OP E329
DO 10.9778/cmajo.20160090
VO 5
IS 2
A1 Jodie Asselin
A1 Eniola Salami
A1 Adedayo M. Osunlana
A1 Ayodele A. Ogunleye
A1 Andrew Cave
A1 Jeffrey A. Johnson
A1 Arya M. Sharma
A1 Denise L. Campbell-Scherer
YR 2017
UL http://www.cmajopen.ca/content/5/2/E322.abstract
AB Background: The 5As [Ask, Assess, Advise, Agree, Assist] of Obesity Management Team study was a randomized controlled trial of an intervention that was implemented and evaluated to help primary care providers improve clinical practice for obesity management. This paper presents health care provider perspectives of the impacts of the intervention on individual provider and team practices.Methods: This study reports a thematic network analysis of qualitative data collected during the 5As Team study, which involved 24 chronic disease teams affiliated with family practices in a Primary Care Network in Alberta. Qualitative data from 28 primary care providers (registered nurses/nurse practitioners [n = 14], dietitians [n = 7] and mental health workers [n = 7]) in the intervention arm were collected through semistructured interviews, field notes, practice facilitator diaries and 2 evaluation workshop questionnaires.Results: Providers internalized 5As Team intervention concepts, deepening self-evaluation and changing clinical reasoning around obesity. Providers perceived that this internalization changed the provider-patient relationship positively. The intervention changed relations between providers, increasing interdisciplinary understanding, collaboration and discovery of areas for improvement. This personal and interpersonal evolution effected change to the entire Primary Care Network.Interpretation: The 5As Team intervention had multiple impacts on providers and teams to improve obesity management in primary care. Improved provider confidence and capability is a precondition of developing effective patient interventions. Trial registration: ClinicalTrials.gov, no.: NCT01967797.