An interactive course to enhance self-efficacy of family practitioners to treat obesity

Twenty-nine family practitioners participated in the course, which was accompanied by qualitative interviews. The difference between the physicians' pre-course and post-course appraisals was tested by paired t-test. The interviews were analyzed by qualitative methods.Post-course efficacy appraisals were significantly higher than pre-course appraisals (p < 0.0005). A deeper insight on the practitioners' self-efficacy processes was gained through reflection of the practitioners on their self-efficacy during the interviews.Up-to-date information and workshops where skills, attitudes and social support were addressed were important in making the program effective.Obesity is becoming increasingly common and is recognized as a major public health problem worldwide [1-3]. In the UK, the overweight and obese population increased by almost 15% between 1980 and 1992. Similar increases have been noted in many countries, including the USA [4], Sweden [5] and the Netherlands [6]. In Israel, 55% of females and 58% of males aged 25–64 were reported to be overweight or obese (Body Mass Index >25 kg/m2) in a Mabat survey [7] in 2000.Guidelines published in 1996 for the management of obesity recommended setting a modest weight loss and weight maintenance, rather than a targeted ideal weight, as goals [8]. Lately, pharmacological therapies have been proposed as adjuncts to diet and lifestyle changes to improve long-term weight loss [9]. The World Health Organization declared obesity an epidemic in developed countries. Awareness of physicians of their important role in defusing the obesity epidemic has increased. Yet, the number of family practitioners (FP) treating obesity problems continues to be low [10].Many chronic health problems are exacerbated by unhealthy behaviors and harmful environmental conditions. From the psychological perspective, healthful lifestyles and environmental conditions may yield large health benefits. The widespread adoption of a healthier lifestyle rather th