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dc.contributor.authorWatkins, R
dc.contributor.authorSwancutt, Dawn
dc.contributor.authorAlexander, M
dc.contributor.authorMoghadam, S
dc.contributor.authorPerry, S
dc.contributor.authorDean, S
dc.contributor.authorSheaff, Rod
dc.contributor.authorPinkney, Jonathan
dc.contributor.authorTarrant, M
dc.contributor.authorLloyd, J

Background Addressing the increasing prevalence of obesity is a global public health priority. Severe obesity (body mass index > 40) reduces life expectancy, due to its association with people developing complications (e.g. diabetes, cancer, cardiovascular disease), and greatly impairs quality of life. The National Health Service (NHS) in the UK provides specialist weight management services (SWMS) for people with severe obesity, but key uncertainties remain around patient access to and engagement with weight management services, as well as pathways beyond the service.

Methods In this multiple methods study, using online forum data and semi-structured interviews, stakeholders’ experiences of delivering and receiving SWMS were explored. Using the web search engine Google with keywords and web address (URL) identifiers, relevant public online platforms were sourced with snowball sampling and search strings used to identify threads related to people’s experiences of accessing SWMS (n = 57). Interviews were conducted with 24 participants (nine patients, 15 staff), and data from all sources were analysed thematically using the framework approach.

Results Six themes related to access to and engagement with SWMS emerged during data analysis: (1) making the first move, (2) uncertainty and confusion, (3) resource issues, (4) respect and understanding, (5) mode of delivery, and (6) desire for ongoing support.

Conclusion There is a mixed and varied picture of SWMS provision across the UK. The service offered is based on local clinical decision making and available resources, resulting in a range of patient experiences and perspectives. Whilst service capacity issues and patient anxiety were seen as barriers to accessing care, peer support and positive clinical and group interactions (connectedness between individuals) were considered to increase engagement.

dc.publisherSpringer Science and Business Media LLC
dc.subjectBehavioral and Social Science
dc.subjectHealth Services
dc.subjectClinical Research
dc.subject8.1 Organisation and delivery of services
dc.subject7.1 Individual care needs
dc.subject7.3 Management and decision making
dc.subjectMetabolic and endocrine
dc.subjectGeneric health relevance
dc.subjectOral and gastrointestinal
dc.titleA Qualitative Exploration of Patient and Staff Experiences of the Receipt and Delivery of Specialist Weight Management Services in the UK
dc.typeJournal Article
plymouth.publication-statusPublished online
plymouth.journalThe Patient - Patient-Centered Outcomes Research
plymouth.organisational-group|Plymouth|Research Groups
plymouth.organisational-group|Plymouth|Faculty of Health
plymouth.organisational-group|Plymouth|Research Groups|Institute of Health and Community
plymouth.organisational-group|Plymouth|Research Groups|Institute of Translational and Stratified Medicine (ITSMED)
plymouth.organisational-group|Plymouth|Research Groups|Institute of Translational and Stratified Medicine (ITSMED)|CCT&PS
plymouth.organisational-group|Plymouth|REF 2021 Researchers by UoA
plymouth.organisational-group|Plymouth|Users by role
plymouth.organisational-group|Plymouth|Users by role|Academics
plymouth.organisational-group|Plymouth|REF 2021 Researchers by UoA|UoA20 Social Work and Social Policy
plymouth.organisational-group|Plymouth|Faculty of Health|Peninsula Medical School
plymouth.organisational-group|Plymouth|Research Groups|FoH - Community and Primary Care
plymouth.organisational-group|Plymouth|Users by role|Researchers in ResearchFish submission
plymouth.organisational-group|Plymouth|Research Groups|Plymouth Institute of Health and Care Research (PIHR)
dc.publisher.placeNew Zealand

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