Clinician and healthcare managers’ perspectives on the delivery of secondary and tertiary pediatric weight management services

2021 ◽  
pp. 136749352110521
Author(s):  
Jennifer Cohen ◽  
Shirley Alexander ◽  
Christina Signorelli ◽  
Kathryn Williams ◽  
Kyra A Sim ◽  
...  
Keyword(s):  
Weight Management ◽  
Holistic Approach ◽  
Models Of Care ◽  
Public Hospitals ◽  
High Risk Population ◽  
Management Service ◽  
Structured Interviews ◽  
Optimal Care ◽  
Pediatric Weight Management ◽  
Management Services

Clinician and healthcare managers' (HCMs) views on weight management service delivery are imperative for informing the nature of future services to treat children with obesity. This qualitative study used semi-structured focus groups and one-on-one semi-structured interviews. Participants were 27 clinicians (medical, nursing, or allied health) and nine HCMs (senior executives in the hospital) who worked in six secondary or tertiary pediatric weight management clinics across five public hospitals in New South Wales, Australia. Clinicians reported that using a combination of group and individual sessions improved engagement with families and reduced attrition rates. Clinicians and HCMs recommended integrating clinics into community centers and providing specific programs for sub-groups, such as children from culturally and linguistically diverse communities or children with developmental delay. Many clinicians and HCMs stressed the importance of pediatric weight clinics using a holistic approach to treatment. To improve the likelihood of future funding for pediatric weight management clinics and to optimize models of care, centers must embed research into their practice. Addressing common barriers to current pediatric weight management services and designing future models of care based on key stakeholders’ preferences is critical to achieving optimal care provision for this high-risk population.

scholarly journals Clinician perspectives on models of care for pediatric weight management services in Australia: A mixed-methods study

2019 ◽  
Author(s):  
Jennifer Cohen ◽  
Shirley Alexander ◽  
Christina Signorelli ◽  
Kathryn Williams ◽  
Kyra A Sim ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Weight Management ◽  
Theoretical Domains Framework ◽  
Models Of Care ◽  
Public Hospitals ◽  
Mixed Methods Study ◽  
High Risk Population ◽  
Treatment Research ◽  
Pediatric Weight Management ◽  
Management Services

Abstract Introduction For children with moderate to severe obesity, secondary and tertiary level services provide a platform for a more intensive approach toward weight management. Clinician and health care managers’ (HCM) views are imperative for informing the nature of future services to treat such children. Methods This concurrent mixed-methods study utilized questionnaires and semi-structured focus groups with clinicians, and one-on-one semi-structured interviews with HCMs, who worked in six secondary or tertiary pediatric weight management clinics across five public hospitals in New South Wales, Australia. The Theoretical Domains Framework was employed to underpin the development of the interview guides. The recorded interviews were transcribed verbatim and coded line-by-line, noting the key emerging themes. The results from the questionnaire were analyzed using descriptive statistics. Results Clinicians (n=27) provided multiple approaches to weight management, tailored to families and patients. Clinicians more often provided general healthy eating advice over a specific diet approach. Four-fifths used body mass index percentile change as a measure of success, as well as behavioral outcomes such as improvements in physical activity levels, screen time and sleep quality. Use of a combination of group and individual sessions were thought to improve engagement and reduce attrition rates. Clinicians and HCMs recommended integrating clinics into community centres and providing specific programs for sub-groups such as children from culturally and linguistically diverse communities or children with development delay. Many clinicians and HCMs stressed the importance of pediatric weight clinics using a holistic approach to treatment. Research into clinical outcomes for services was recommended to enable the development of a business case for further funding of pediatric weight management services. Conclusion Addressing common barriers to current pediatric weight management services, and designing future models of care based on key stakeholders’ preferences, are critical to achieving optimal care provision for this high risk population.

scholarly journals Experiences of the Pharmacy-Led Weight Management Service: Views of Service Providers in England

Pharmacy ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. 82
Author(s):  
Aliki Peletidi ◽  
Reem Kayyali
Keyword(s):  
Weight Management ◽  
Service Providers ◽  
Adult Population ◽  
Community Pharmacists ◽  
Management Service ◽  
Structured Interviews ◽  
Pharmacy Staff ◽  
Work Pressure ◽  
The Uk ◽  
Training And Support

Obesity constitutes one of the main modifiable risks of developing cardiovascular disease. In the UK, in 2016, 30% of the adult population were obese (30% of females and 29% of males). Community pharmacies are ideally situated to offer weight management (WM) services, enabling individuals to control and lose their excess weight. This study aimed at exploring the views of the pharmacy-led WM service providers in England. Semi-structured interviews were conducted with 15 trained community pharmacists and pharmacy staff—11 (73.3%) from Kent, three (20%) from Kingston and Richmond and one (6.7%) from Hackney and City—offering the WM service, either owning or working in independent pharmacies or for pharmacy chains. All interviews were audio-recorded, transcribed and anonymised. The analysis was conducted using thematic analysis. Three themes emerged: training and support, barriers and approach. Interestingly, service providers (SP) stated that obesity is a tough topic to talk about: they found it difficult to start a conversation about it, even if they had received training to facilitate this role. Additionally, several barriers for running such a service were identified, such as lack of time, too much work pressure and too little advertising, which could potentially lead to poor sustainability of the service. SPs can effectively intervene in an individual’s weight through the WM service that they offer. It is clear that further training should be provided in order for SPs to feel more comfortable in approaching and communicating with people and to increase the public’s awareness of the pharmacy-led WM service, so as to ensure the service’s sustainability.

Acceptability of Hospital-Based Pediatric Weight Management Services among Patients and Families: A Narrative Synthesis

2020 ◽  
Vol 16 (2) ◽  
pp. 129-140
Author(s):  
Caitlin M. McMaster ◽  
Megan L. Gow ◽  
Renee Neal ◽  
Shirley Alexander ◽  
Louise A. Baur ◽  
...  
Keyword(s):  
Weight Management ◽  
Narrative Synthesis ◽  
Pediatric Weight Management ◽  
Management Services

scholarly journals Employees' experiences of participating in a workplace-supported weight management service: a qualitative inquiry

2020 ◽  
Vol 13 (2) ◽  
pp. 203-221
Author(s):  
Leanne Jane Staniford ◽  
Duncan Radley ◽  
Paul Gately ◽  
Jamie Blackshaw ◽  
Lisa Thompson ◽  
...  
Keyword(s):  
Weight Management ◽  
Academic Research ◽  
Health And Safety ◽  
Qualitative Inquiry ◽  
Management Programme ◽  
Management Service ◽  
Management Support ◽  
Structured Interviews ◽  
Content Type ◽  
Weight Management Programme

PurposeThe purpose of this study is to explore public health employees' experiences of participating in a commercial weight management programme supported by their employers over a 12-week period.Design/methodology/approachSemi-structured interviews were conducted with 28 employees who had participated in the programme (group-based or online).FindingsThe main motivators for enquiring about and attending the programme were: the offer to attend the programme free of charge, the opportunity to kick start their weight loss efforts, to take part in an academic research study and the opportunity for “shared experiences” with their colleagues.Research limitations/implicationsThis study did not allow us to explore the reasons why some employees opted not to take up the opportunity for weight management support through their workplace. Further qualitative research with non-engagers would allow us to inquire about why employees might not engage with WM support and offer alternative strategies.Practical implicationsEmployers should facilitate their employees' efforts to lead a healthier lifestyle in the long-term creating employer health and safety policies that actively encourage healthy living and weight management. Improving employee health can contribute to increasing productivity, reducing stress and absenteeism.Originality/valueThis paper presents a novel approach to facilitating employees' weight management. Employees perceived their employer-supported participation in a commercial weight management programme outside of their work setting as a positive experience that assisted their weight management efforts suggesting the acceptability and feasibility of this approach to addressing weight in the workplace.

The acceptability, effectiveness, and impact of different models of care for paediatric weight management services: a concurrent mixed-methods study

2019 ◽  
Vol 13 (3) ◽  
pp. 305
Author(s):  
Jennifer Cohen ◽  
Shirley Alexander ◽  
Michelle Cretikos ◽  
Sarah P. Garnett ◽  
Alison J. Hayes ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Weight Management ◽  
Models Of Care ◽  
Mixed Methods Study ◽  
Management Services

scholarly journals Evaluation of pharmacy-led weight management service to minimise the risk of cardiovascular disease

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Aliki Peletidi ◽  
Reem Kayyali
Keyword(s):  
Physical Activity ◽  
Weight Management ◽  
Activity Levels ◽  
Management Service ◽  
Initial Weight ◽  
Public Health Services ◽  
Clinical Role ◽  
Physical Activity Levels ◽  
Before And After ◽  
The Mean

Abstract Aims The primary aim of the programme was a minimum of a 5% weight reduction of the initial weight, while the secondary outcomes were a reduction in participants’ body mass index (BMI), waist circumference (WC), blood pressure (BP), AUDIT-C score and an increase in the Mediterranean diet (MD) score and an improvement in physical activity levels. Methods This 'before and after' study was a 10-week weight management (WM) programme and it was developed and delivered in community pharmacies in Patras chosen for convenience, thus consisting the first service of its type in Greece. The sample size was calculated (n = 96) based on the mean BMI for a Greek male and female individual, and the standard deviation (SD) of weight at baseline of 14 kg. Results Nearly every participant enrolled in the 20 participating pharmacies, 97.4% (n = 114/117), achieved the programme’s aim, losing at least 5% of their initial weight. The mean percentage of total weight loss of the 117 participants at the 10th week was 8.97% (SD 2.65), and the t-test showed statistically significant results (P-value < 0.001; 95% CI [8.48, 9.45]). A significant reduction in the waist-to-height ratio (WHtR) was observed in both male (P-value = 0.004) and female (P-value < 0.001) participants. The participants’ BP and AUDIT-C score and physical activity levels significantly improved (P-value < 0.001), as well as their MD score. Conclusion This study provides the first evidence that Greek pharmacists have the potential to play an important role within primary healthcare and that after training they are able to provide public health services for both the public’s benefit and their clinical role enhancement.

scholarly journals Stay in treatment: Predicting dropout from pediatric weight management study protocol

2021 ◽  
pp. 100799
Author(s):  
Diane C. Berry ◽  
Erinn T. Rhodes ◽  
Sarah Hampl ◽  
Caroline Blackwell Young ◽  
Gail Cohen ◽  
...  
Keyword(s):  
Weight Management ◽  
Study Protocol ◽  
Management Study ◽  
Pediatric Weight Management
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