Decisions about weight management: a synthesis of qualitative studies of obesity
Journal article
Authors | Gould, J. |
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Abstract | There is a high non-attendance and dropout attrition from weight management interventions for adults with obesity. Patient dissatisfaction with consultations involving decisions about interventions may be a factor. A systematic review was undertaken of qualitative studies reporting perceptions, experiences, contexts and influences for adults facing, or reflecting on, weight management. The aim was to synthesize a generic model of influences on decision-making about weight management for adult patients. Electronic database and hand searches identified 29 qualitative studies involving 1387 participants (mean age 45.3 years; mean BMI 37.1 kg m−2; 79.9% women). Seven overarching themes were inductively derived from extracted data spanning: cultural identity; social structures such as gender; responses to obesity stigma; previous weight loss experiences; personal motivators and barriers; social support; and practical resources. A model is presented in the paper. Improving decisions about weight management requires attention to how diffuse cultural and psycho-social factors, such as obesity stigma, influence patient choices. Reflection on experiences of previous attempts at weight loss is also essential, as are practical resource factors – particularly for less affluent groups. Considering these factors along with more established theories of individual psychological motivations and barriers may help to improve initial participation and retention within interventions. |
Keywords | weight management interventions ; obesity; Patient dissatisfaction |
Year | 2011 |
Journal | Clinical Obesity |
Journal citation | 1 (2-3) |
Publisher | Wiley |
ISSN | 1758-8103 |
Digital Object Identifier (DOI) | https://doi.org/10.1111/j.1758-8111.2011.00020.x |
Web address (URL) | http://dx.doi.org/10.1111/j.1758-8111.2011.00020.x |
Output status | Published |
Publication dates | Apr 2011 |
Publication process dates | |
Deposited | 15 Aug 2022 |
https://repository.derby.ac.uk/item/982q1/decisions-about-weight-management-a-synthesis-of-qualitative-studies-of-obesity
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