scholarly journals Evaluation of a multidisciplinary T ier 3 weight management service for adults with morbid obesity, or obesity and comorbidities, based in primary care

2014 ◽  
Vol 4 (5) ◽  
pp. 254-266 ◽  
Author(s):  
A. Jennings ◽  
C. A. Hughes ◽  
B. Kumaravel ◽  
M. O. Bachmann ◽  
N. Steel ◽  
...  
Keyword(s):  
Primary Care ◽  
Morbid Obesity ◽  
Weight Management ◽  
Management Service ◽  
Weight Management Service

Patients with morbid obesity should not be routinely screened for Cushing's syndrome: Results of retrospective study of patients attending a specialist weight management service

2020 ◽  
Vol 10 (3) ◽  
Author(s):  
Tessa Carlin Glyn ◽  
May Wai‐Jing Ho ◽  
Anthony Paul Lambert ◽  
Julia Dominique Janine Thomas ◽  
Isabelle Francoise Douek ◽  
...  
Keyword(s):  
Morbid Obesity ◽  
Retrospective Study ◽  
Weight Management ◽  
Cushing’S Syndrome ◽  
Cushing's Syndrome ◽  
Management Service ◽  
Weight Management Service

scholarly journals A mixed method evaluation of adult tier 2 lifestyle weight management service provision across a county in Northern England

2018 ◽  
Vol 8 (3) ◽  
pp. 191-202 ◽  
Author(s):  
L. Ells ◽  
P. Watson ◽  
S. Carlebach ◽  
C. O'Malley ◽  
D. Jones ◽  
...  
Keyword(s):  
Weight Management ◽  
Mixed Method ◽  
Service Provision ◽  
Management Service ◽  
Tier 2 ◽  
Method Evaluation ◽  
Weight Management Service

scholarly journals GP-delivered brief weight loss interventions: a cohort study of patient responses and subsequent actions, using conversation analysis in UK primary care

2018 ◽  
Vol 68 (674) ◽  
pp. e646-e653 ◽  
Author(s):  
Charlotte Albury ◽  
Elizabeth Stokoe ◽  
Sue Ziebland ◽  
Helena Webb ◽  
Paul Aveyard
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Cohort Study ◽  
Conversation Analysis ◽  
Weight Management ◽  
Management Service ◽  
Management Interventions ◽  
Weight Management Programme ◽  
Patient Responses ◽  
Weight Loss Interventions

BackgroundGuidelines encourage GPs to make brief opportunistic interventions to support weight loss. However, GPs fear that starting these discussions will lead to lengthy consultations. Recognising that patients are committed to take action could allow GPs to shorten brief interventions.AimTo examine which patient responses indicated commitment to action, and the time saved if these had been recognised and the consultation closed sooner.Design and settingA mixed-method cohort study of UK primary care patients participating in a trial of opportunistic weight management interventions.MethodConversation analysis was applied to 226 consultation audiorecordings to identify types of responses from patients that indicated that an offer of referral to weight management was well received. Odds ratios (OR) were calculated to examine associations between response types and likelihood of weight management programme attendance.ResultsAffirmative responses, for example ‘yes’, displayed no conversational evidence that the referral was well received and showed no association with attendance: ‘yes’ (OR 1.2, 95% confidence interval [CI] = 0.37 to 3.95, P = 0.97). However, ‘oh’-prefaced responses and marked positive responses, for example ‘lovely’, showed conversational evidence of enthusiasm and were associated with higher odds of commercial weight management service attendance. Recognising these could have saved doctors a mean of 31 seconds per consultation.ConclusionWhen doctors make brief opportunistic interventions that incorporate the offer of help, ‘oh’-prefaced or marked positive responses indicate enthusiastic acceptance of the offer and a higher likelihood of take-up. Recognising these responses and moving swiftly to facilitate patient action would shorten the brief intervention in many cases.

Clinical outcomes from a tier three weight management service

2017 ◽  
Vol 28 ◽  
pp. e13-e14
Author(s):  
H.O. Cordy ◽  
K. Rouch ◽  
A. Govier ◽  
O. Adams ◽  
H. Griffiths ◽  
...  
Keyword(s):  
Weight Management ◽  
Clinical Outcomes ◽  
Management Service ◽  
Weight Management Service
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