P.2.037 Reducing long term physical health risks associated with severe mental illness through a weight management programme: 3 year results

Purpose – The increasing prevalence of obesity in the UK has been of concern for some time. This is particularly true in Liverpool and in response the Liverpool Weight Management Programme (LWMP) was devised. It offers a service involving dietitians and other expert agencies working towards facilitating dietary and lifestyle changes in obese NHS patients in Liverpool via a 12-week education programme. This qualitative study aims to investigate patients' experiences of the LWMP. Design/methodology/approach – Informed volunteers participated in focus groups exploring their experiences following the programme. Focus groups were audio recorded and transcribed verbatim, then analysed following a thematic approach utilising constant comparison analysis to allow a qualitative view of the LWMP to be formed. Findings – Participants described an increase in immediate self-confidence during the LWMP, as opposed to coercion and pressure experienced elsewhere. The results also show the implementation of dietary changes by participants and favourable opinions towards both the group settings and patient-centred care. Participants also positively described the LWMP regarding the programmes social approach and aspects of programme content; however, there were issues with over-dependence on healthcare professionals. Healthcare professionals also need to recognise that long-term empowerment may still be lacking and that follow-up support and the effectiveness of some areas of programme content need to be considered to ensure patients benefit from sustainable weight management. Originality/value – This paper addresses an identified need for qualitative research in the area of health service weight management programmes and highlights the importance of long-term support in empowering patients by exploring their lived experience of the LWMP.

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Impact of a 6-month family-based weight management programme on child food and activity behaviours: short-term and long-term outcomes of the PEACH™ intervention

Pediatric Obesity ◽

10.1111/ijpo.12460 ◽

2018 ◽

Vol 13 (11) ◽

pp. 744-751 ◽

Cited By ~ 4

Author(s):

R. A. Perry ◽

L. Daniels ◽

L. A. Baur ◽

A. Magarey

Keyword(s):

Weight Management ◽

Management Programme ◽

Long Term Outcomes ◽

Short Term ◽

Weight Management Programme ◽

Family Based

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Exploring the facilitators, barriers, and strategies for self-management in adults living with severe mental illness, with and without long-term conditions: A qualitative evidence synthesis

PLoS ONE ◽

10.1371/journal.pone.0258937 ◽

2021 ◽

Vol 16 (10) ◽

pp. e0258937

Author(s):

Abisola Balogun-Katung ◽

Claire Carswell ◽

Jennifer V. E. Brown ◽

Peter Coventry ◽

Ramzi Ajjan ◽

...

Keyword(s):

Mental Illness ◽

Physical Health ◽

Severe Mental Illness ◽

Evidence Synthesis ◽

Barriers And Facilitators ◽

Self Management ◽

Qualitative Evidence Synthesis ◽

Long Term Conditions ◽

Qualitative Evidence

Background People living with severe mental illness (SMI) have a reduced life expectancy by around 15–20 years, in part due to higher rates of long-term conditions (LTCs) such as diabetes and heart disease. Evidence suggests that people with SMI experience difficulties managing their physical health. Little is known, however, about the barriers, facilitators and strategies for self-management of LTCs for people with SMI. Aim To systematically review and synthesise the qualitative evidence exploring facilitators, barriers and strategies for self-management of physical health in adults with SMI, both with and without long-term conditions. Methods CINAHL, Conference Proceedings Citation Index- Science, HMIC, Medline, NICE Evidence and PsycInfo were searched to identify qualitative studies that explored barriers, facilitators and strategies for self-management in adults with SMI (with or without co-morbid LTCs). Articles were screened independently by two independent reviewers. Eligible studies were purposively sampled for synthesis according to the richness and relevance of data, and thematically synthesised. Results Seventy-four articles met the inclusion criteria for the review; 25 articles, reporting findings from 21 studies, were included in the synthesis. Seven studies focused on co-morbid LTC self-management for people with SMI, with the remaining articles exploring self-management in general. Six analytic themes and 28 sub-themes were identified from the synthesis. The themes included: the burden of SMI; living with co-morbidities; beliefs and attitudes about self-management; support from others for self-management; social and environmental factors; and routine, structure and planning. Conclusions The synthesis identified a range of barriers and facilitators to self-management, including the burden of living with SMI, social support, attitudes towards self-management and access to resources. To adequately support people with SMI with co-morbid LTCs, healthcare professionals need to account for how barriers and facilitators to self-management are influenced by SMI, and meet the unique needs of this population.

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Long-term outcomes of attending a community weight management programme

Obesity Abstracts ◽

10.1530/obabs.01.p36 ◽

2019 ◽

Author(s):

Amanda Avery ◽

Laura Holloway ◽

Sarah E Bennett ◽

Josef Toon ◽

Kath Roberts ◽

...

Keyword(s):

Weight Management ◽

Management Programme ◽

Long Term Outcomes ◽

Weight Management Programme

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36-Month Evaluation of a Weight Management Programme in Chinese Overweight and Obese Adults

Frontiers in Public Health ◽

10.3389/fpubh.2021.749302 ◽

2021 ◽

Vol 9 ◽

Author(s):

Xi Yang ◽

Kaushik Chattopadhyay ◽

Richard Hubbard ◽

Jia-Lin Li ◽

Li Li ◽

...

Keyword(s):

Weight Loss ◽

Weight Management ◽

Management Programme ◽

Obese Adults ◽

Initial Weight Loss ◽

Face To Face ◽

Weight Management Programme ◽

Baseline Weight ◽

Personal Advice

Background: Few comprehensive lifestyle intervention programmes have been investigated on overweight and obese adults in China. This study was to evaluate the effect of a 36-month weight management programme on weight loss and its maintenance among overweight and obese patients in Ningbo, China.Methods: Adults with BMI ≥24kg/m2 enrolled in this programme, including nutritional, physical activity, psychological and endocrinological counselling sessions, from July 2015 to January 2020. Adults participated in face-to-face counselling sessions and group-based education. Then, participants joined 21-day intensive programme using Bohe health APP and WeChat group to get personal advice of nutrition and lifestyle. In the end, participants were requested to join 33-month follow-ups including face-to-face counselling and personal advice on WeChat group. The main outcome was to evaluate the changes in weight at each followup from baseline weight.Results: In total, 692 adults participated in this entire weight management programme. During follow-ups, 579, 475, 299, 219, and 135 adults participated at 3, 6, 12, 24, and 36 months, respectively. All participants had a significant initial weight loss at 3 months, then maintained the weight loss during 33-month follow-ups. At 36 months, 11.0%, 6.4%, and 3.5% of all participants achieved 5%, 10%, and 15% weight loss from the baseline weight, respectively. Adjusted weight at 36 months was significantly reduced from the baseline weight in both sex (−7.2 kg).Conclusion: This weight management programme is suggested to benefit to reduce initial body weight and maintain long-term weight loss among overweight and obese adults.

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