Protect Dignity During Intake

During appointments, medical assistants and other staff typically measure patient weight as part of the intake process. This can be a stressful part of an appointment for many people, and staff should be trained to ask for permission to obtain the patient’s weight. Weight should be measured in a private area—the hallway or a common area where other patients may be present adds to patients’ anxiety. Accommodations should be made for patients who want to face away from the display and for those unable to rise or stand on their own for weighing.

Asking Before Discussing Weight

Similarly, providers and staff members should ask permission before discussing weight with patients. In the 6 As approach described by Gallagher et al (2021), the 6th A, “ask,” was added to emphasize that patients should be asked for permission to discuss weight.

A potential approach to use is to ask,

  • “Is now a good time for us to discuss how your weight and health may be affecting each other and talk about how we can work together?” (Gallagher et al., 2021).

If the person is willing to discuss their weight, asking open-ended questions, such as

  • “What concerns you most about your weight?” and “Is there a first step that you are ready to take?”

is helpful for continuing the conversation (Gallagher et al., 2021).

    When the Patient is Willing to Talk

    Ask questions about the terms the patient prefers when discussing excess weight; some are comfortable with overweight or obesity, while others may want to discuss body size.

    GSA Momentum Discussion Podcast

    A GSA Momentum Discussion Podcast episode, Kickstarting Body Size Conversations in Older Adults with Obesity, describes ways teams can learn practical approaches to engaging in successful, motivating conversations about body size in primary care settings.

    When the Patient Isn't Ready

    If people decline permission to discuss their weight, providers should let them know that they are open to having a conversation in the future.

    “I understand that you may not be ready to discuss your weight. However, I am concerned about the impact of your weight on your health. There may be some things that we can do in the future. If you’d like to discuss this another time, please schedule an appointment if and when you are ready” (Gallagher et al, 2021).

    Kickstart | Approaches to Implement

    Overview | Prepare for a Conversation About Body Weight | Help Patients Feel Welcomed at Their Appointments | Ask for Permission and Use Open-Ended Questions | Recognize Cultural Differences | Discuss the Importance of Healthy Living at Every Size and Age | Kickstart References