What is it about?

Let’s consider the following, typical real-world scenario: Imagine that you are a GP seeing a patient with visible signs of obesity. You think to yourself, I really need to talk to this patient about their weight, but I am concerned about how they will react, so I don’t. Next, imagine yourself as the patient, thinking, I want to discuss my weight with this GP, but I am scared of being judged, blamed, and what they might say, so I don’t. Raising the sensitive topics of weight and weight management are challenging for both GPs and their patients. The solution could be the new EOSS-2 Risk Tool. First, we co-developed (with clinician end-users) and validated a brief screening tool (‘EOSS-2 Risk Tool’) for detecting potential weight related health complications in a nationally representative sample of adults at ‘high risk’ (with overweight and obesity), for application in general practice. The EOSS-2 Risk Tool efficiently estimates the degree of risk for weight related complications according to the widely used diagnostic criteria in the Edmonton Obesity Staging System (EOSS). Then, we conducted a nationwide pilot study and generate preliminary qualitative evidence of feasibility and applicability of the EOSS-2 Risk Tool for activating comfortable weight management discussions in general practice.

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Why is it important?

The EOSS-2 Risk Tool is a scalable, point-of-care screening tool that enables comfortable communication between GPs and their patients about the sensitive topics of weight and weight management. It could enhance patient engagement in weight management, so patients can commence their weight management journey for first time. If implemented on scale, it could increase the number of patients with obesity potentially benefiting from GP weight management for the first time by 20%. This equates to ~800K out of 4M Australian adults who typically present to their GP with obesity each year but do not discuss weight management!


Overcoming communication barriers between GPs and their patients about weight management is an important first step which enables comfortable discussions about the health benefits of weight loss and appropriate management plans.

Evan Atlantis
Western Sydney University

Read the Original

This page is a summary of: Clinical usefulness of brief screening tool for activating weight management discussions in primary cARE (AWARE): A nationwide mixed methods pilot study, PLoS ONE, October 2021, PLOS, DOI: 10.1371/journal.pone.0259220.
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