Qualitative inquiry with persons with obesity about weight management in primary care and referrals

Frontiers in Public Health

Public Health

David J. Hanna¹  Christopher D. Still²  Lisa Bailey-Davis³  Angela Marinilli Pinto⁴  Kelsey Matta⁵  Chad D. Rethorst⁶  Michelle I. Cardel⁷  Gary D. Foster⁸ 

[1] Center for Obesity and Metabolic Research, Geisinger, Danville, PA, United States;Center for Obesity and Metabolic Research, Geisinger, Danville, PA, United States;Geisinger Commonwealth School of Medicine, Scranton, PA, United States;Department of Population Health Sciences, Geisinger, Danville, PA, United States;Center for Obesity and Metabolic Research, Geisinger, Danville, PA, United States;Department of Psychology, CUNY Baruch College, New York, NY, United States;Geisinger Commonwealth School of Medicine, Scranton, PA, United States;Institute for Advancing Health through Agriculture, Texas A&M Agrilife Dallas Center, Dallas, TX, United States;WW International, Inc., New York, NY, United States;WW International, Inc., New York, NY, United States;Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States;

关键词: referral and consultation;    obesity;    obesity management;    qualitative research;    delivery of health care;   

DOI  :  10.3389/fpubh.2023.1190443

 received in 2023-03-20, accepted in 2023-07-21,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionReferrals to evidence-based weight management in the community-commercial sector are aligned with clinical recommendations but underutilized.MethodsThis qualitative study explored patients’ perceptions and expectations about obesity treatment in primary care and referral to community-commercial sector programs. Individual semi-structured interviews were conducted with a sample of US persons with obesity via telephone. Audiotape transcripts, interviewer notes, and independent review of data by two investigators allowed for data and investigator triangulation. Transcripts were analyzed using thematic analysis.ResultsData saturation was reached with 30 participants who had a mean age of 41.6 years (SD 9.4), 37% male, 20% Black/African American and 17% Hispanic, 57% college educated, and 50% were employed full-time. Three primary themes emerged: (1) frustration with weight management in primary care; (2) patients expect providers to be better informed of and offer treatment options; and (3) opportunities and challenges with referrals to community-commercial programs.DiscussionPatients expect that providers offer personalized treatment options and referrals to effective community-commercial programs are an acceptable option. If patient-level data are shared between clinical and community entities to facilitate referrals, then privacy and security issues need attention. Future research is needed to determine feasibility of implementing clinical to community-commercial referrals for obesity treatment in the United States.

【 授权许可】

Unknown   
Copyright © 2023 Bailey-Davis, Pinto, Hanna, Cardel, Rethorst, Matta, Still and Foster.