scholarly journals Translating hunger training research to primary health: a qualitative study of nurse attitudes towards a novel weight management intervention

2020 ◽  
Vol 12 (1) ◽  
pp. 79
Author(s):  
Jennifer T. Gale ◽  
Aimee L. Ward ◽  
Willemijn E. de Bruin ◽  
Rachael W. Taylor ◽  
Michelle R. Jospe
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Weight Management ◽  
Eating Behaviour ◽  
Structured Interview ◽  
Practice Nurses ◽  
Management Intervention ◽  
Stakeholder Perspectives ◽  
The Impact ◽  
Weight Management Intervention

ABSTRACT INTRODUCTIONPractice nurses in general practice are ideally placed to deliver weight management treatments. Teaching people to eat according to their appetite, based on measurements of blood glucose (‘hunger training’), is known to lead to weight loss and improved eating behaviour. To effectively translate this research to primary care requires understanding of key stakeholder perspectives. AIMThe aim of this study was to explore the perspectives of practice nurses on the suitability of using hunger training as a weight management intervention in general practice. METHODSTen nurses trialled hunger training for 1 week, followed by a semi-structured interview where they were asked about their experience; perceived patient interest; enablers and barriers; and suggested changes to hunger training. RESULTSAll nurses were positive about hunger training and wanted to use it with their patients. They thought it was a useful method for teaching patients about eating according to their appetite, and the impact of food choices on glucose. Motivation was seen to be both an important potential barrier and enabler for patients. Other anticipated patient enablers included the educational value of hunger training and ease of the programme. Other barriers included lack of time and cost of equipment and appointments. For most nurses, 1 week of following hunger training was sufficient training to deliver the intervention. Suggested refinements included adding nutrition advice to the booklet, incorporating other health goals and enabling social support. DISCUSSIONThese findings suggest that hunger training could be translated to primary care with minor modifications.

scholarly journals Estimating Clinical Burden and Valuation of Weight Management Strategies (using Willingness to Pay - WTP) for Overweight and Obesity in Primary Care Setting in Borneo Sarawak, Malaysia

2020 ◽  
Author(s):  
Zafar Ahmed ◽  
Euphrasia Anak Bari ◽  
Noormah Z Ahmed ◽  
Sharifa Ezat Wan Puteh
Keyword(s):  
Primary Care ◽  
Willingness To Pay ◽  
Weight Management ◽  
Weight Reduction ◽  
Care Setting ◽  
Overweight And Obesity ◽  
Management Intervention ◽  
Clinical Burden ◽  
Diet And Exercise ◽  
Weight Management Intervention

Abstract Background Overweight and obesity is one of the most serious public health challenges of the 21st century. Despite the consequences of obesity, participation in weight management programs. Aim of this study is to estimate the clinical burden of obese patients in government primary care clinics in Kuching, Sarawak. We use randomized patients from these clinics to carry out a willingness to pay study for weight management and estimated the economic burden of overweight and obesity management in primary care setting in Sarawak. Identifying their willingness to pay will help in formulation and implementation of policies for effective weight management therefore improve the quality of care in future. Clinic based cross-sectional study involving 252 randomly overweight and obese patients (with BMI ≥ 23), age 18 to 59 years old, who attended outpatient department. Results Patients indicated their preference for three hypothetical weight reduction programs: diet, exercise, drug and combination of all. Data from secondary sources was used to estimate the prevalence of overweight and obesity in Sarawak. Out of 1,504,779 patients aged 18 to 59 years attending government health clinics in Sarawak, it was estimated that overweight and obesity would account for approximately 30% of total adult patients (451,433 patients). Conversion to USD was based on December 2015 conversion rate of USD 100 to MYR 430.31. The median willingness to pay was MYR 44.87 (USD 11.56), MYR 88.80 (USD 21.01), and MYR 60.18 (USD14.24) for Drug and Exercise, Diet and Exercise and Drug, Diet and Exercise respectively. Conclusion Resource allocation for weight management intervention in Sarawak, Malaysia depend on evaluation of weight management intervention (objectively measured by WTP) and the availability of fixed budget from State Health Department. The total WTP for weight reduction intervention via diet and exercise was MYR 22, 512, 963.71 (USD 5,231,801.19), while weight reduction intervention via drug, diet and exercise was MYR of 40, 087, 250.40 (USD 9,315,900.30 ) and weight reduction intervention via drug and exercise was MYR 27, 167, 237.94 (USD 6,313,410.78). Clinical and economic burden of overweight and obesity in Sarawak is substantial. Therefore implementation of effective policies and programs are essential in tackling obesity.

scholarly journals Engagement with eHealth Self-Monitoring in a Primary Care-Based Weight Management Intervention

PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0140455 ◽  
Author(s):  
Kathleen Y. Wolin ◽  
Dori M. Steinberg ◽  
Ilana B. Lane ◽  
Sandy Askew ◽  
Mary L. Greaney ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Management ◽  
Self Monitoring ◽  
Management Intervention ◽  
Weight Management Intervention

scholarly journals A Primary Care Weight Management Intervention for Low-Income African-American Women*

Obesity ◽  
2006 ◽  
Vol 14 (8) ◽  
pp. 1412-1420 ◽  
Author(s):  
Pamela Davis Martin ◽  
Paula C. Rhode ◽  
Gareth R. Dutton ◽  
Stephen M. Redmann ◽  
Donna H. Ryan ◽  
...  
Keyword(s):  
Primary Care ◽  
African American ◽  
African American Women ◽  
Weight Management ◽  
Low Income ◽  
American Women ◽  
Management Intervention ◽  
Weight Management Intervention
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