Experiences of a commercial weight-loss programme after primary care referral: a qualitative study.
Experiences of a commercial weight-loss programme after primary care referral: a qualitative study.
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DOI：
10.3399/bjgp15x684409
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发表时间：
2015-04
期刊：
影响因子：
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通讯作者：
Ahern AL
中科院分区：
文献类型：
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作者：
Allen JT;Cohn SR;Ahern AL
转介到商业减肥计划是一个具有成本效益的干预措施，已经在国民保健服务中使用。定性研究表明，这种以社区为基础的非医疗干预符合参与者将体重管理视为生活方式问题的观点。研究参与者对通过医生获得商业体重管理计划的态度和信念与他们的减肥经历之间的关系，并了解这些背景因素如何影响干预的动机和依从性。一项定性研究嵌入在一项随机对照试验中，评价英格兰超重或肥胖成年人的初级保健转介到商业减肥计划。该研究于2013年6月至9月进行。29名参与者（体重指数[BMI] ≥28 kg/m2;年龄≥18岁）参加了WRAP（初级保健成人减肥推荐）试验，在3个月的评估预约中招募他们参加半结构化访谈，了解他们对干预和体重管理的经验。访谈录音，逐字转录，并使用叙事方法进行归纳分析。虽然参与者认为基于生活方式的非医疗商业计划是体重管理的适当干预措施，但全科医生的转介和随后的临床评估将他们的干预经验框定为具有明确健康益处的医学相关性。全科医生的转诊和随访评估预约是参与者干预经验的组成部分，可以适用于一般实践，以增强治疗效果。
Referral to a commercial weight-loss programme is a cost-effective intervention that is already used within the NHS. Qualitative research suggests this community-based, non-medical intervention accords with participants’ view of weight management as a lifestyle issue. To examine the ways in which participants’ attitudes and beliefs about accessing a commercial weight management programme via their doctor relate to their weight-loss experience, and to understand how these contextual factors influence motivation and adherence to the intervention. A qualitative study embedded in a randomised controlled trial evaluating primary care referral to a commercial weight-loss programme in adults who are overweight or obese in England. The study took place from June–September 2013. Twenty-nine participants (body mass index [BMI] ≥28 kg/m2; age ≥18 years), who took part in the WRAP (Weight Loss Referrals for Adults in Primary Care) trial, were recruited at their 3-month assessment appointment to participate in a semi-structured interview about their experience of the intervention and weight management more generally. Interviews were audiorecorded, transcribed verbatim, and analysed inductively using a narrative approach. Although participants view the lifestyle-based, non-medical commercial programme as an appropriate intervention for weight management, the referral from the GP and subsequent clinical assessments frame their experience of the intervention as medically pertinent with clear health benefits. Referral by the GP and follow-up assessment appointments were integral to participant experiences of the intervention, and could be adapted for use in general practice potentially to augment treatment effects.