Abstract
A June 2015 report published in JAMA Internal Medicine found that, in the period between 2007 and 2012, 75% of U.S. men and 67% of U.S. women ≥25 years of age were overweight or obese (1). Because overweight and obesity are associated with type 2 diabetes and other chronic conditions, preventing weight gain and facilitating weight loss can do much to prevent type 2 diabetes and improve health outcomes in individuals with diabetes. Primary care providers (PCPs) provide care to the majority of individuals in the United States, meaning that they see more overweight and obese than normal-weight individuals in their practice every day. As a result, PCPs are crucial to efforts to stop or reverse this alarming trend. During the same time period, primary care patients were followed in a large, longitudinal study of the role of patient activation in improving health outcomes and reducing costs (2). Patient engagement and activation are central pillars of health policy, based on evidence that links better health outcomes with more engaged and activated patients (3). Higher patient activation scores at the beginning of the …
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