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. 2023 Dec;18(1):2256669.
doi: 10.1080/17482631.2023.2256669.

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

Marie Spreckley  1 , Judith de Lange  1 , Jaap Seidell  1 , Jutka Halberstadt  1
Affiliations

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

Marie Spreckley et al. Int J Qual Stud Health Well-being. 2023 Dec.

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.

Keywords: Obesity; long-term weight loss; obesity management; sustainable weight-loss; weight management; weight-loss.

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Conflict of interest statement

No potential conflict of interest was reported by the authors.

Figures

Figure 1.
Figure 1.
The experiences of weight management.
See this image and copyright information in PMC

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