Patient experiences with group consultations when treated with semaglutide for obesity: a qualitative case study in a Danish general practice

Objective In this case study conducted in a Danish general practice, we aimed to explore how patients with obesity experience a novel treatment approach: group consultations (GCs) for weight loss, lifestyle changes and semaglutide treatment. To receive semaglutide treatment, patients were required t...

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Main Authors: Jan Erik Henriksen, Jens Søndergaard, Elisabeth Assing Hvidt, Rasmus Dahl-Larsen, PR Jakobsen
Format: Article
Language:English
Published: BMJ Publishing Group 2025-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/7/e093357.full
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author Jan Erik Henriksen
Jens Søndergaard
Elisabeth Assing Hvidt
Rasmus Dahl-Larsen
PR Jakobsen
author_facet Jan Erik Henriksen
Jens Søndergaard
Elisabeth Assing Hvidt
Rasmus Dahl-Larsen
PR Jakobsen
author_sort Jan Erik Henriksen
collection DOAJ
description Objective In this case study conducted in a Danish general practice, we aimed to explore how patients with obesity experience a novel treatment approach: group consultations (GCs) for weight loss, lifestyle changes and semaglutide treatment. To receive semaglutide treatment, patients were required to participate in GCs focused on lifestyle changes.Design A qualitative study design comprising individual, semistructured interviews was used. Patients were asked to reflect on and describe their past experiences with participating in GCs. Thematic analysis was used as an analytical strategy.Setting A general practice located in a larger city in the Region of Southern Denmark.Participants 12 patients (eight women and four men) with obesity, aged between 27 years and 69 years, who met the Danish obesity treatment criteria for semaglutide (body mass index over 30 kg/m2 or over 27 kg/m2 with comorbidities), were included. Data were collected from 1 November 2023 to 31 January 2024.Results Before attending GCs, patients were worried about sharing personal information with other patients and losing their confidentiality. They also feared being judged by the others in the group, possibly due to previous experiences of stigmatisation. However, after participating in GCs, patients reported positive experiences with peer sharing, had no issues with confidentiality and found the consultations beneficial. Most patients indicated a preference for GCs over one-on-one consultations in the future.Conclusions Despite initial concerns about confidentiality and stigmatisation, patients ultimately had positive experiences and gained valuable peer support during group GCs in general practice. Various aspects of the group design, such as the hybrid consultation format and the role of the facilitator, may impact the effectiveness of peer support and influence patients’ overall experience of GCs.
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spelling doaj-art-c06a883e6bf64d09b57973bd7c3035a22025-08-20T02:47:21ZengBMJ Publishing GroupBMJ Open2044-60552025-07-0115710.1136/bmjopen-2024-093357Patient experiences with group consultations when treated with semaglutide for obesity: a qualitative case study in a Danish general practiceJan Erik Henriksen0Jens Søndergaard1Elisabeth Assing Hvidt2Rasmus Dahl-Larsen3PR Jakobsen4Department of Endocrinology, Diabetes Research Centre, Centre for Individualized Medicine in Arterial Diseases, Odense University Hospital, Odense, DenmarkUniversity of Southern Denmark, University of Southern Denmark Faculty of Health Sciences, Odense, Danmark, DenmarkDepartment of Public Health, Syddansk Universitet Det Sundhedsvidenskabelige Fakultet, Odense, DenmarkUniversity of Southern Denmark, Odense, DenmarkUniversity of Southern Denmark, Odense, DenmarkObjective In this case study conducted in a Danish general practice, we aimed to explore how patients with obesity experience a novel treatment approach: group consultations (GCs) for weight loss, lifestyle changes and semaglutide treatment. To receive semaglutide treatment, patients were required to participate in GCs focused on lifestyle changes.Design A qualitative study design comprising individual, semistructured interviews was used. Patients were asked to reflect on and describe their past experiences with participating in GCs. Thematic analysis was used as an analytical strategy.Setting A general practice located in a larger city in the Region of Southern Denmark.Participants 12 patients (eight women and four men) with obesity, aged between 27 years and 69 years, who met the Danish obesity treatment criteria for semaglutide (body mass index over 30 kg/m2 or over 27 kg/m2 with comorbidities), were included. Data were collected from 1 November 2023 to 31 January 2024.Results Before attending GCs, patients were worried about sharing personal information with other patients and losing their confidentiality. They also feared being judged by the others in the group, possibly due to previous experiences of stigmatisation. However, after participating in GCs, patients reported positive experiences with peer sharing, had no issues with confidentiality and found the consultations beneficial. Most patients indicated a preference for GCs over one-on-one consultations in the future.Conclusions Despite initial concerns about confidentiality and stigmatisation, patients ultimately had positive experiences and gained valuable peer support during group GCs in general practice. Various aspects of the group design, such as the hybrid consultation format and the role of the facilitator, may impact the effectiveness of peer support and influence patients’ overall experience of GCs.https://bmjopen.bmj.com/content/15/7/e093357.full
spellingShingle Jan Erik Henriksen
Jens Søndergaard
Elisabeth Assing Hvidt
Rasmus Dahl-Larsen
PR Jakobsen
Patient experiences with group consultations when treated with semaglutide for obesity: a qualitative case study in a Danish general practice
BMJ Open
title Patient experiences with group consultations when treated with semaglutide for obesity: a qualitative case study in a Danish general practice
title_full Patient experiences with group consultations when treated with semaglutide for obesity: a qualitative case study in a Danish general practice
title_fullStr Patient experiences with group consultations when treated with semaglutide for obesity: a qualitative case study in a Danish general practice
title_full_unstemmed Patient experiences with group consultations when treated with semaglutide for obesity: a qualitative case study in a Danish general practice
title_short Patient experiences with group consultations when treated with semaglutide for obesity: a qualitative case study in a Danish general practice
title_sort patient experiences with group consultations when treated with semaglutide for obesity a qualitative case study in a danish general practice
url https://bmjopen.bmj.com/content/15/7/e093357.full
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