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Feasibility and acceptability of a physician-delivered weight management programme
Abstract
BACKGROUND: Primary health care requires new approaches to assist patients with overweight and obesity. This is a particular concern for patients with limited access to specialist or allied health services due to financial cost or location. The Change Program is a toolkit that provides a structured approach for GPs working with patients on weight management. OBJECTIVE: To assess the acceptability and feasibility of a GP-delivered weight management programme. METHODS: A feasibility trial in five Australian general practices with 12 GPs and 23 patients. Mixed methods were used to assess the objective through participant interviews, online surveys and the NOrmalization MeAsure Development (NoMAD) tool based on Normalization Process Theory. Content analysis of interviews is presented alongside Likert scales, free text and the NoMAD tool. RESULTS: The Change Program was acceptable to most GPs and patients. It was best suited to patient-GP dyads where the patient felt a strong preference for GP involvement. Patients' main concerns were the time and possible cost associated with the programme if run outside a research setting. For sustainable implementation, it would have been preferable to recruit a whole practice rather than single GPs to enable activation of systems to support the programme. CONCLUSION: A GP-delivered weight management programme is feasible and acceptable for patients with obesity in Australian primary health care. The addition of this structured toolkit to support GPs is particularly important for patients with a strong preference for GP involvement or who are unable to access other resources due to cost or location.
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Three of the controlled studies used mixed methods, and one was a survey.
“Three of these studies used mixed methods, and one [55] was a survey.”
From Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review (2018) · cites this paper as [55]
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Additional file 1 of Acceptable health and ageing: results of a cross-sectional study from Hungary
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Additional file 2 of Acceptable health and ageing: results of a cross-sectional study from Hungary
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Nutritional Intervention for Suspected Malignancy in Primary Care
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Metadata
- Authors
- Sturgiss, E. A., Elmitt, N., Haesler, E., van Weel, C., & Douglas, K.
- Affiliations
- Australian National University (AU)
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-10-17
- Volume
- 34
- Issue
- 1
- Pages
- 43-48
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- OpenAlex
- W2535124573
- Cited by
- 33
- References
- 14
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 2 · 2022: 7 · 2021: 2 · 2020: 9 · 2019: 3 · 2018: 6 · 2017: 1
- FWCI
- 7.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Family Practice (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- weight management, obesity, overweight, general practitioners, change programs, primary care, feasibility, acceptability, Normalization Process Theory, implementation, health care access
- MeSH terms
- Adult, Attitude of Health Personnel, Australia, Health Expenditures, Feasibility Studies, Female, Humans, Interviews as Topic, Male, Middle Aged, Obesity, Office Visits, Patient Acceptance of Health Care, Patient Care Planning, Patient Dropouts, Patient Education as Topic, Physician-Patient Relations, Physician's Role, Surveys and Questionnaires, Time Factors, Internet, General Practice, Weight Reduction Programs, Mindfulness
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