PMID- 28122922
OWN - NLM
STAT- MEDLINE
DCOM- 20180117
LR  - 20180118
IS  - 1460-2229 (Electronic)
IS  - 0263-2136 (Linking)
VI  - 34
IP  - 1
DP  - 2017 Feb
TI  - Feasibility and acceptability of a physician-delivered weight management 
      programme.
PG  - 43-48
LID - 10.1093/fampra/cmw105 [doi]
AB  - BACKGROUND: Primary health care requires new approaches to assist patients with 
      overweight and obesity. This is a particular concern for patients with limited 
      access to specialist or allied health services due to financial cost or location. 
      The Change Program is a toolkit that provides a structured approach for GPs 
      working with patients on weight management. OBJECTIVE: To assess the 
      acceptability and feasibility of a GP-delivered weight management programme. 
      METHODS: A feasibility trial in five Australian general practices with 12 GPs and 
      23 patients. Mixed methods were used to assess the objective through participant 
      interviews, online surveys and the NOrmalization MeAsure Development (NoMAD) tool 
      based on Normalization Process Theory. Content analysis of interviews is 
      presented alongside Likert scales, free text and the NoMAD tool. RESULTS: The 
      Change Program was acceptable to most GPs and patients. It was best suited to 
      patient-GP dyads where the patient felt a strong preference for GP involvement. 
      Patients' main concerns were the time and possible cost associated with the 
      programme if run outside a research setting. For sustainable implementation, it 
      would have been preferable to recruit a whole practice rather than single GPs to 
      enable activation of systems to support the programme. CONCLUSION: A GP-delivered 
      weight management programme is feasible and acceptable for patients with obesity 
      in Australian primary health care. The addition of this structured toolkit to 
      support GPs is particularly important for patients with a strong preference for 
      GP involvement or who are unable to access other resources due to cost or 
      location.
CI  - (c) The Author 2016. Published by Oxford University Press. All rights reserved. For 
      permissions, please e-mail: journals.permissions@oup.com.
FAU - Sturgiss, Elizabeth A
AU  - Sturgiss EA
AD  - Academic Unit of General Practice, Australian National University, Canberra, 
      Australian Capital Territory, Australia, Elizabeth.sturgiss@anu.edu.au.
FAU - Elmitt, Nicholas
AU  - Elmitt N
AD  - Academic Unit of General Practice, Australian National University, Canberra, 
      Australian Capital Territory, Australia.
FAU - Haesler, Emily
AU  - Haesler E
AD  - Academic Unit of General Practice, Australian National University, Canberra, 
      Australian Capital Territory, Australia.
AD  - School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, Western 
      Australia, Australia.
FAU - van Weel, Chris
AU  - van Weel C
AD  - Department of Health Services Research and Policy, Australian National 
      University, Canberra, Australian Capital Territory, Australia and.
AD  - Department of Primary and Community Care, Radboud University Medical Center, 
      Nijmegen, The Netherlands.
FAU - Douglas, Kirsty
AU  - Douglas K
AD  - Academic Unit of General Practice, Australian National University, Canberra, 
      Australian Capital Territory, Australia.
LA  - eng
SI  - ANZCTR/ACTRN12614001192673
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20161017
PL  - England
TA  - Fam Pract
JT  - Family practice
JID - 8500875
SB  - IM
MH  - Adult
MH  - Attitude of Health Personnel
MH  - Australia
MH  - Feasibility Studies
MH  - Female
MH  - *General Practice
MH  - Health Expenditures
MH  - Humans
MH  - Internet
MH  - Interviews as Topic
MH  - Male
MH  - Middle Aged
MH  - Mindfulness
MH  - Obesity/*therapy
MH  - Office Visits/economics/statistics & numerical data
MH  - *Patient Acceptance of Health Care
MH  - Patient Care Planning
MH  - Patient Dropouts
MH  - Patient Education as Topic
MH  - *Physician's Role
MH  - Physician-Patient Relations
MH  - Surveys and Questionnaires
MH  - Time Factors
MH  - *Weight Reduction Programs/economics
OTO - NOTNLM
OT  - General practice
OT  - health promotion
OT  - obesity
OT  - patient-centred care
OT  - pilot study
OT  - primary health care.
EDAT- 2017/01/27 06:00
MHDA- 2018/01/18 06:00
CRDT- 2017/01/27 06:00
PHST- 2017/01/27 06:00 [entrez]
PHST- 2017/01/27 06:00 [pubmed]
PHST- 2018/01/18 06:00 [medline]
AID - cmw105 [pii]
AID - 10.1093/fampra/cmw105 [doi]
PST - ppublish
SO  - Fam Pract. 2017 Feb;34(1):43-48. doi: 10.1093/fampra/cmw105. Epub 2016 Oct 17.