Acceptability and feasibility of weight management programmes for adults with severe obesity: a qualitative systematic review
Objectives To improve our understanding of the acceptability of behavioural weight management programmes (WMPs) for adults with severe obesity.Design A systematic review of qualitative evidence.Data sources Medline, Embase, PsycINFO, CINAHL, SCI, SSCI and CAB abstracts were searched from 1964 to May...
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BMJ Publishing Group
2019-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/9/e029473.full |
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| author | Graeme Maclennan David Cooper Paul Aveyard Magaly Aceves-Martins Fiona Stewart Jennifer Logue Zoë C Skea Michal Shimonovich Clare Robertson Alison Avenell Elisabet Jacobsen Dwayne Boyers Lise Retat Laura Webber Emily Corbould Benshuai Xu Abbygail Jaccard Bonnie Boyle Eilidh Duncan Cynthia Fraser Lara Kemp Lorna Van Lierop Richard Clarke Laura Stewart Richard Welbourn Jamie Blackshaw Su Sethi |
| author_facet | Graeme Maclennan David Cooper Paul Aveyard Magaly Aceves-Martins Fiona Stewart Jennifer Logue Zoë C Skea Michal Shimonovich Clare Robertson Alison Avenell Elisabet Jacobsen Dwayne Boyers Lise Retat Laura Webber Emily Corbould Benshuai Xu Abbygail Jaccard Bonnie Boyle Eilidh Duncan Cynthia Fraser Lara Kemp Lorna Van Lierop Richard Clarke Laura Stewart Richard Welbourn Jamie Blackshaw Su Sethi |
| author_sort | Graeme Maclennan |
| collection | DOAJ |
| description | Objectives To improve our understanding of the acceptability of behavioural weight management programmes (WMPs) for adults with severe obesity.Design A systematic review of qualitative evidence.Data sources Medline, Embase, PsycINFO, CINAHL, SCI, SSCI and CAB abstracts were searched from 1964 to May 2017.Eligibility criteria Papers that contained qualitative data from adults with body mass index (BMI) ≥35 kg/m2 (and/or the views of providers involved in their care) and considered issues about weight management.Data extraction and synthesis Two reviewers read and systematically extracted data from the included papers which were compared, and contrasted according to emerging issues and themes. Papers were appraised for methodological rigour and theoretical relevance using Toye’s proposed criteria for quality in relation to meta-ethnography.Results 33 papers met our inclusion criteria from seven countries published 2007–2017. Findings were presented from a total of 644 participants and 153 programme providers. Participants described being attracted to programmes that were perceived to be novel or exciting, as well as being endorsed by their healthcare provider. The sense of belonging to a group who shared similar issues, and who had similar physiques and personalities, was particularly important and seemed to foster a strong group identity and related accountability. Group-based activities were enjoyed by many and participants preferred WMPs with more intensive support. However, some described struggling with physical activities (due to a range of physical comorbidities) and not everyone enjoyed group interaction with others (sometimes due to various mental health comorbidities). Although the mean BMI reported across the papers ranged from 36.8 to 44.7 kg/m2, no quotes from participants in any of the included papers were linked to specific detail regarding BMI status.Conclusions Although group-based interventions were favoured, people with severe obesity might be especially vulnerable to physical and mental comorbidities which could inhibit engagement with certain intervention components. |
| format | Article |
| id | doaj-art-fa11fb257ccb402daf3f42d10759ea41 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-fa11fb257ccb402daf3f42d10759ea412025-08-20T02:06:44ZengBMJ Publishing GroupBMJ Open2044-60552019-09-019910.1136/bmjopen-2019-029473Acceptability and feasibility of weight management programmes for adults with severe obesity: a qualitative systematic reviewGraeme Maclennan0David Cooper1Paul Aveyard2Magaly Aceves-Martins3Fiona Stewart4Jennifer Logue5Zoë C Skea6Michal Shimonovich7Clare Robertson8Alison Avenell9Elisabet JacobsenDwayne Boyers10Lise RetatLaura WebberEmily CorbouldBenshuai XuAbbygail JaccardBonnie BoyleEilidh DuncanCynthia Fraser11Lara KempLorna Van LieropRichard ClarkeLaura Stewart12Richard Welbourn13Jamie Blackshaw14Su Sethi153 Centre for Healthcare Randomised Trials (CHaRT), University of Aberdeen, Aberdeen, UK12 Northumbria Healthcare NHS Foundation Trust, North Shields, Tyne and Wear, UKNuffield Department of Primary Care Health Sciences, Oxford University, Oxford, UKHealth Services Research Unit, University of Aberdeen, Aberdeen, UK3Birmingham Women’s and Children’s NHS Foundation TrustLancaster Medical School, Lancaster University, Lancaster, UK4 Health Services Research Unit, University of Aberdeen, Aberdeen, UK5 University of Glasgow, Glasgow, UKHealth Services Research Unit, University of Aberdeen, Aberdeen, UK1 Health Services Research Unit, University of Aberdeen, Aberdeen, UKHealth Economics Research Unit, University of Aberdeen, Aberdeen, UK2 Health Services Research Unit, University of Aberdeen, Aberdeen, UKBC Children`s Hospital, Vancouver, British Columbia, CanadaDepartment of Upper Gastro-intestinal and Bariatric Surgery, Musgrove Park Hospital, Taunton, UK10 United Kingdom Department of Health and Social Care, London, UKPublic Health Medicine, North West Commissioning Support Unit, Oldham, UKObjectives To improve our understanding of the acceptability of behavioural weight management programmes (WMPs) for adults with severe obesity.Design A systematic review of qualitative evidence.Data sources Medline, Embase, PsycINFO, CINAHL, SCI, SSCI and CAB abstracts were searched from 1964 to May 2017.Eligibility criteria Papers that contained qualitative data from adults with body mass index (BMI) ≥35 kg/m2 (and/or the views of providers involved in their care) and considered issues about weight management.Data extraction and synthesis Two reviewers read and systematically extracted data from the included papers which were compared, and contrasted according to emerging issues and themes. Papers were appraised for methodological rigour and theoretical relevance using Toye’s proposed criteria for quality in relation to meta-ethnography.Results 33 papers met our inclusion criteria from seven countries published 2007–2017. Findings were presented from a total of 644 participants and 153 programme providers. Participants described being attracted to programmes that were perceived to be novel or exciting, as well as being endorsed by their healthcare provider. The sense of belonging to a group who shared similar issues, and who had similar physiques and personalities, was particularly important and seemed to foster a strong group identity and related accountability. Group-based activities were enjoyed by many and participants preferred WMPs with more intensive support. However, some described struggling with physical activities (due to a range of physical comorbidities) and not everyone enjoyed group interaction with others (sometimes due to various mental health comorbidities). Although the mean BMI reported across the papers ranged from 36.8 to 44.7 kg/m2, no quotes from participants in any of the included papers were linked to specific detail regarding BMI status.Conclusions Although group-based interventions were favoured, people with severe obesity might be especially vulnerable to physical and mental comorbidities which could inhibit engagement with certain intervention components.https://bmjopen.bmj.com/content/9/9/e029473.full |
| spellingShingle | Graeme Maclennan David Cooper Paul Aveyard Magaly Aceves-Martins Fiona Stewart Jennifer Logue Zoë C Skea Michal Shimonovich Clare Robertson Alison Avenell Elisabet Jacobsen Dwayne Boyers Lise Retat Laura Webber Emily Corbould Benshuai Xu Abbygail Jaccard Bonnie Boyle Eilidh Duncan Cynthia Fraser Lara Kemp Lorna Van Lierop Richard Clarke Laura Stewart Richard Welbourn Jamie Blackshaw Su Sethi Acceptability and feasibility of weight management programmes for adults with severe obesity: a qualitative systematic review BMJ Open |
| title | Acceptability and feasibility of weight management programmes for adults with severe obesity: a qualitative systematic review |
| title_full | Acceptability and feasibility of weight management programmes for adults with severe obesity: a qualitative systematic review |
| title_fullStr | Acceptability and feasibility of weight management programmes for adults with severe obesity: a qualitative systematic review |
| title_full_unstemmed | Acceptability and feasibility of weight management programmes for adults with severe obesity: a qualitative systematic review |
| title_short | Acceptability and feasibility of weight management programmes for adults with severe obesity: a qualitative systematic review |
| title_sort | acceptability and feasibility of weight management programmes for adults with severe obesity a qualitative systematic review |
| url | https://bmjopen.bmj.com/content/9/9/e029473.full |
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