Primary care-led weight-management intervention: qualitative insights into patient experiences at one-year follow up

Marie Spreckley*, Judith de Lange, Jaap Seidell, Jutka Halberstadt

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

ABSTRACT
Introduction
The global prevalence of overweight and obesity is continuously increasing. Long-term weight loss results remain disappointing. This study aims to identify factors and strategies for successful long-term weight loss in a primary care-led weight-loss intervention from the perspective of participants.

Materials and methods
This qualitative interview study is the first follow-up study in a 2-year study series of participants with overweight or obesity. Methods utilized are semi-structured interviews (n = 20) with quantitative self-description. The data were transcribed from audio-taped interviews and analysed thematically.

Results
This study found that clear, continuously evolving self-monitoring strategies facilitated by strong routines and a long-term focus enhanced successful outcomes. Challenges faced included stress, disappointment and loss of routine along with external criticism and discouragement. Benefits experienced due to weight loss included improved health, self-esteem, communal support and encouragement, which continued to fuel motivation. Receiving continuous support and encouragement from healthcare practitioners was instrumental for long-term success.

Conclusion
This study highlighted the complex, multifaceted experiences patients encounter in the pursuit of trying to achieve long-term weight loss. Personalized treatment protocols taking into account the diverse requirements and circumstances of individuals have the potential to improve treatment outcomes. Continuous, professional support may enhance long-term outcomes.
Original languageEnglish
Article number2256669
Pages (from-to)1-20
Number of pages20
JournalInternational Journal of Qualitative Studies on Health and Well-being
Volume18
Issue number1
Early online date13 Sept 2023
DOIs
Publication statusPublished - 2023

Bibliographical note

Funding Information:
The author(s) reported there is no funding associated with the work featured in this article.

Publisher Copyright:
© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Funding

The author(s) reported there is no funding associated with the work featured in this article.

Keywords

  • long-term weight loss
  • Obesity
  • obesity management
  • sustainable weight-loss
  • weight management
  • weight-loss

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