PTQualitativeDisability and health journal2021

Accommodating patients with obesity and mobility difficulties: Observations from physicians.

Nicole D Agaronnik, Tara Lagu, Christene DeJong and 4 others

PMID 32723692

WHAT IT FOUND

Physicians described routine care for obese patients with mobility difficulty as blocked by missing scales, unsafe transfers, scanners that do not fit, and weight stigma.

Accessible exam tables often did not solve the problem.

Key findings

01Some physicians said accurate weight measurement was difficult, so they skipped weighing, used self-report, or sent wheelchair users to a hospital.

02Participants were reluctant to transfer obese patients onto exam tables because of safety, liability, staffing, and time, and some examined seated patients instead.

03Some participants voiced negative views about obese patients, including blaming them for not being weighed.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The reported sample was small, with 22 physicians, and these views cannot be treated as national physician practice. Recruitment was through a commercial network, and the company did not report how many physicians were contacted, so non-participation is unknown. The moderator guide did not ask about obesity, so the findings reflect what participants raised in the context of mobility disability. An additional rural focus group with nine physicians was not transcribed, and participants did not review transcripts or findings. Rurality and demographics were self-reported, and participants who had more difficulties may have been more willing to volunteer. The study reported physicians' experiences, not patient outcomes, equipment performance, or effects of accommodations.

Declared interests

The supplied publication types note NIH extramural research support. The article text does not include a detailed funding declaration or author conflict-of-interest statement.

The easy way to misread this

Do not read these 22 physicians' reports as national evidence or proof that accessible equipment fails. The study asked physicians about their experiences, obesity was not asked directly, and no patient outcomes or equipment tests were measured.

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