Locus of control, self-efficacy and attribution tendencies in obese patients – implications for primary care consultations

Ulrike Sonntag; Tobias Esch; Lynn von Hagen; Babette Renneberg; Vittoria Braun; Christoph Heintze

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Locus of control, self-efficacy and attribution tendencies in obese patients – implications for primary care consultations

机译：肥胖患者的控制源，自我效能感和归因倾向–对初级保健咨询的影响

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Background:To examine health- related locus of control, self- efficacy and attribution tendencies in obese patients and to discuss their impact on primary care consultations.Material/Methods:123 patients, showing a BMI 25 kg/m2 and following a health Check up, rated questionnaires regarding health-related locus of control, self-efficacy and attribution tendencies concerning obesity. Physical health parameters like BMI, level of cholesterol, blood pressure and existing cardiovascular co morbidities were assessed by GPs. Statistical analysis were conducted using SPSSv16.0.Results:Patients scored comparable to a norm- population on self- efficacy and the three dimensions of health related locus of control. Physical health parameters did not explain variance. Patients named mainly behavioral causes for their overweight; those with a BMI 30 kg/m2 tend to attribute their bodyweight to genetically origins.Conclusions:In order to conduct individual tailored consultancies it is necessary to explore the individual beliefs and attitudes of patients of concern. It is suggested that locus of control and self- efficacy are obligatory issues to discuss in preventive encounters with these patients.GPs should be trained in techniques like motivational interviewing in order to encourage patients to take responsibility for their health and thus increase treatment outcome.

机译：背景：研究肥胖患者健康相关的控制源，自我效能和归因倾向，并讨论其对初级保健咨询的影响。材料/方法：123名患者，其BMI> 25 kg / m2并接受健康检查最多，有关健康的控制源，自我效能感和肥胖归因趋势的评分问卷。 GPs评估了身体健康参数，例如BMI，胆固醇水平，血压和现有的心血管合并症。使用SPSSv16.0进行统计分析。结果：患者在自我效能和健康相关控制源的三个方面的得分与普通人群相当。身体健康参数不能解释差异。患者主要是其超重的行为原因。 BMI> 30 kg / m2的人倾向于将其体重归因于遗传。结论：为了进行个性化咨询，有必要探索患者的个人信念和态度。建议控制场所和自我效能是与这些患者进行预防性接触时必须讨论的问题。GP应接受动机访谈等技术的培训，以鼓励患者对自己的健康负责，从而增加治疗效果。

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《Medical science monitor :》 |2010年第1期|共6页
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Ulrike Sonntag; Tobias Esch; Lynn von Hagen; Babette Renneberg; Vittoria Braun; Christoph Heintze;
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中图分类医药、卫生;
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机译：短期咨询中肥胖患者体重减轻的干预措施：日本初级保健机构中的一项开放标签随机对照试验
7. Interventions for body weight reduction in obese patients during short consultations: an open-label randomized controlled trial in the Japanese primary care setting [O] . 2015

机译：短期咨询中肥胖患者体重减轻的干预措施：日本初级保健机构中的一项开放标签随机对照试验

Locus of control, self-efficacy and attribution tendencies in obese patients – implications for primary care consultations

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