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Table 1 Intervention sessions, speaker’s designation and a session summaries of the content

From: The 5As team intervention: bridging the knowledge gap in obesity management among primary care practitioners

Speakers

Topics

Sessions summaries

Date

Physical attendance~

Breakdown by provider

A: RN/NPa

B: Dietician

C: Mental Health

Evaluation

proportion (N = 23) that rated the session 1–3 (n) on 7-point Likert

Bariatric rehabilitation specialist

Weight bias

Explanation of weight bias. Providers should be polite to patients and they should create conducive atmosphere for them in their practice

Nov 7, 2013

23/27

A: 14/14

B: 5/6

C: 4/7

96 % (22)

PCN Dietitian

Emotional eating

Session highlights include: types of hunger drives, reward and stress hunger. Introducing tools that help realign hunger and balance eating

Factors that distort hunger cues, inactivity and depression

Nov 21, 2013

20/27

A: 11/14

B: 5/6

C: 4/7

96 % (22)

Registered nurse from Weight Clinic

Clinical assessment of obesity related risk

Speaker mentioned to providers how to assess the readiness to change in patients and the use of checklist for this assessment. And that BMI is a risk assessment index and should not be used for managing the patients or setting goals

Dec 5, 2013

17/27

A: 10/14

B: 4/6

C: 3/7

91 % (21)

Human nutritionist

Pregnancy, post-partum, obesity

Talk was based on promoting healthy weights in pregnancy and strategies to promote healthy eating in pregnant women

Dec 19, 2013

20/28a

A: 12/14

B: 6/7a

C: 2/7

78 % (18)

Physical activity and exercise specialist

Exercise and weight management

Debunking myth around PA/exercise and the relationship between weight loss, fat mass and fat free mass

Jan 16, 2014

20/28

A: 11/14

B: 6/7

C: 3/7

74 %(17)

Anthropologist

Culture and the body, culture and food —perspectives on obesity

Talk emphasized the important of the cultural perspective of the patient in their dietary intake, weight gain and weight loss

Jan 30, 2014

22/28

A: 11/14

B: 7/7

C:4/7

82 %(18)

Department of Medicine

5As of obesity management

The idea of weight loss plateauing’ was introduced to providers. Strategies on using the 5As of obesity management and critical conversation were highlighted to providers, followed by a providers’ role-play of the 5As card game

Feb 13, 2014

19/28

A: 11/14

B: 6/7

C: 2/7

87 % (20)

Family doctor

Weight gain prevention

The different evidence-based obesity prevention interventions that were available in the literature were shared with providers in this session

Feb 27, 2013

17/28

A: 11/14

B: 5/7

C: 1/7

83 % (19)

Psychologist

How to sustain the change

Providers were told that the goal of obesity management should be about continuous balanced healthy lifestyle and should be focused on sustainable goals. The transtheoretical model (with 5 stages of change) was also highlighted

Mar 13, 2014

20/28

A: 12/14

B: 5/7

C: 3/7

74 % (17)

Psychiatrist

Depression anxiety and obesity

Speaker talked about weight gain following the use of antidepressants. Speaker also encouraged the use of biological, psychological and social evaluation of depression in primary care

Mar 27, 2014

20/28

A: 12/14

B: 5/7

C: 3/7

76 %(16)

Provincial Bariatric Resource Team

Critical conversations

This session was on the importance of common messaging among providers and a focus on tools that can help with key conversations among providers & between providers and patients

April 10, 2014

18/28

A: 11/14

B: 4/7

C: 3/7

60 % (12)

PCN Nurse practitioner and Dietitian

Communication process

The focus was on the ESPCN procedures. The different effective communication strategies, internal process and ideas that improve teamwork among providers were also discussed in this session

April 24, 2014

17/28

A: 9/14

B: 5/7

C: 3/7

50 % (10)

  1. aNew dietician joined the PCN in an intervention clinic and commenced 19/12/2013
  2. One nurse withdrew from the study post-randomization
  3. 2 mental health workers could not physically attend sessions as scheduled when they were off; 1 mental health worker discontinued due to personal leave from work
  4. ~All sessions’ content was asynchronously accessible by video for when they could not physically attend. Summaries and resources were emailed to all participants following every session. Hence, providers evaluated sessions whether they participated physically or viewed the video