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dc.contributor.authorNorman, Kimberleyen_NZ
dc.contributor.authorBurrows, Lisetteen_NZ
dc.contributor.authorChepulis, Lynne Merranen_NZ
dc.contributor.authorKeenan, Rawirien_NZ
dc.contributor.authorLawrenson, Rossen_NZ
dc.coverage.spatialEnglanden_NZ
dc.date.accessioned2023-03-05T22:34:37Z
dc.date.available2023-03-05T22:34:37Z
dc.date.issued2023-02-13en_NZ
dc.identifier.urihttps://hdl.handle.net/10289/15600
dc.description.abstractBACKGROUND: Obesity is a complex health issue affecting the quality of life of individuals and contributing to an unsustainable strain on healthcare professionals and national health systems. National policy guidelines indicate that general practice is best suited to deliver obesity healthcare, however, obesity rates continue to rise worldwide indicating interventions are ineffective in this space. The aim of this study was to explore the weight management experiences from patient perspectives. METHODS: This qualitative study used semi-structured interviews with 16 rural Waikato general practice patients. Interviews were analysed using reflexive thematic analysis. RESULTS: Four themes were identified: Inconsistent Information, Significance of Holistic Factors, Obesity Centre Need, and Education. Participants expressed frustration at contradictory health messages, commercial company and 'expert' definition distrust, and that 'holistic' aspects to health significant to the weight management journey were unable to be addressed in general practice. CONCLUSION: Whilst primary care is positioned as suitable for delivering obesity healthcare, this study found that participants do not perceive general practice to be equipped to deliver this care. Instead, participants argued for a specialist obesity centre capable of meeting all their obesity healthcare needs. Further, wider issues including on-line commodification of health and neo-liberal capitalism - factors that exploit people with a stigmatised health issue - can cause further harm to the participant. A radical modernisation of education, information, and resources from regulated, qualified and 'trusted' healthcare professionals who can provide safe, non-stigmatising supportive services is recommended to meet the unique and changing food climate, reduce obesity rates and improve health outcomes.en_NZ
dc.format.mimetypeapplication/pdf
dc.language.isoenen_NZ
dc.publisherBioMed Central (BMC)
dc.rightsThis article has been published in the journal: BMC Primary Care. © The Authors 2023. This article is licensed under a Creative Commons Attribution 4.0 International Licence, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original authors and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
dc.subjectBarriersen_NZ
dc.subjectClient viewen_NZ
dc.subjectEffective weight managementen_NZ
dc.subjectNew Zealanden_NZ
dc.subjectObesityen_NZ
dc.subjectObesity healthcareen_NZ
dc.subjectPrimary careen_NZ
dc.subjectHumansen_NZ
dc.subjectDelivery of Health Careen_NZ
dc.subjectFamily Practiceen_NZ
dc.subjectGeneral Practiceen_NZ
dc.subjectObesityen_NZ
dc.subjectQuality of Lifeen_NZ
dc.subjectPrimary Health Careen_NZ
dc.titleUnderstanding weight management experiences from patient perspectives: Qualitative exploration in general practiceen_NZ
dc.typeJournal Article
dc.identifier.doi10.1186/s12875-023-01998-7en_NZ
dc.relation.isPartOfBMC Primary Careen_NZ
pubs.begin-page45
pubs.elements-id303576
pubs.issue1en_NZ
pubs.publication-statusPublished onlineen_NZ
pubs.volume24en_NZ
dc.identifier.eissn2731-4553en_NZ


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