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01.12.2018 | Research article | Ausgabe 1/2018 Open Access

BMC Family Practice 1/2018

Support needs of patients with obesity in primary care: a practice-list survey

Zeitschrift:
BMC Family Practice > Ausgabe 1/2018
Autoren:
Elizabeth H. Evans, Kirby Sainsbury, Dominika Kwasnicka, Alex Bolster, Vera Araujo-Soares, Falko F. Sniehotta
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s12875-017-0703-4) contains supplementary material, which is available to authorized users.

Abstract

Background

UK guidelines recommend that patients with obesity in primary care receive opportunistic weight loss advice from health care professionals, but there is a lack of research into the characteristics and existing weight management practices of these patients. The aim of this study was to characterise primary care patients with obesity in England, to inform the screening, support, and referral options appropriate to this group.

Methods

We surveyed 1309 patients registered at 15 GP practices in North East England, aged ≥18 years and with objectively recorded obesity (BMI ≥ 30 kg/m2). Study participants reported their weight history, health status, past and current weight loss activities, motivating factors, weight loss strategies used, professional support received, and perceived barriers to weight loss.

Results

62% of participants were actively trying to lose weight, and a further 15% had attempted and discontinued weight loss in the last 12 months. Only 20% of the sample had sought GP support for weight loss in the last 12 months; instead, most efforts to lose weight were self-guided and did not use evidence-based strategies. Those who sought GP weight loss support were likely to use it and find it motivating. Participants had attempted weight loss on multiple previous occasions and overall felt less confident and successful at maintaining weight loss than losing it. Participants at greatest clinical risk (higher BMI and more health conditions) reported particularly low confidence and multiple barriers to weight loss, but were nevertheless highly motivated to lose weight and keep it off.

Conclusions

We identified the need for informational, structural, and weight loss maintenance-specific support for GP patients with objectively-recorded obesity. Study participants were motivated to lose weight and keep it off, but lacked the confidence and understanding of effective strategies required to do this. GP weight loss support was acceptable and useful but underutilised, indicating that screening and brief referral interventions to structured programmes may augment patients’ current weight management activities and meet key support needs whilst optimising limited primary care resources.
Zusatzmaterial
Additional file 1: Study questionnaire. Questionnaire used in study. (PDF 462 kb)
12875_2017_703_MOESM1_ESM.pdf
Literatur
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