Evidence map›Paper›PMID 25824184›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2015

Obesity in primary care: a qualitative synthesis of patient and practitioner perspectives on roles and responsibilities.

Emily Henderson

Open access · bronzeAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. The importance of service-users' perspectives: A systematic review of qualitative evidence reveals overlooked critical features of weight management programmes.Health expectations : an international journal of public participation in health care and health policy · 2018
    Pooled it
  3. Epidemiology of adult overweight recording and management by UK GPs: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Pooled it
  4. The Influence of Relationships Within Behavioral Weight Management Interventions: An Overview.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  5. Article
  6. Review
  7. GPs' perspectives on GLP-1RAs for obesity management: a qualitative study in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  8. Barriers and enablers to effective weight management for people living with overweight and obesity: A rapid scoping review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Consulting Obese and Overweight Patients for Nutrition and Physical Activity in Primary Healthcare in Poland.International journal of environmental research and public health · 2022
    Article
  14. Review
  15. Article
  16. A Community Jury on initiating weight management conversations in primary care.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  17. Article
  18. Article
  19. What works and why in the identification and referral of adults with comorbid obesity in primary care: A realist review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020
    Review
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Emily HendersonCentre for Public Policy and Health, School of Medicine, Pharmacy and Health, Wolfson Research Institute for Health and Wellbeing, Durham University Queen's Campus, Stockton on Tees.
The Centre for Health (New Zealand) · NZ

Funding

Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

backgroundObesity is a top-priority global health issue; however, a clear way to address obesity in primary care is not yet in view.

aimTo conduct a meta-ethnography of patient and primary care practitioner perspectives of roles and responsibilities in how to address obesity in the UK, to inform evidence-based services that are acceptable to, and appropriate for, patients and practitioners. DESIGN AND

settingQualitative synthesis applying meta-ethnographic methods according to the Noblit and Hare monograph. Database searches in MEDLINE(®), Social Sciences Citation Index(®), CINAHL, and Health Management Information Consortium were limited to 1997-2012 to examine recent perspectives.

methodFull articles of practitioner and/or patient perspectives on obesity services in primary care were reviewed, and included semi-structured or unstructured interviews and focus groups, and participant observations.

resultsNine studies were synthesised with perspectives from patients (n = 105) and practitioners (n = 144). Practitioners believe that patients are responsible for obesity, and that primary care should not help, or is poorly equipped to do so. Patients 'take responsibility' by 'blaming' themselves, but feel that practitioners should demonstrate more leadership. The empowerment of patients to access health services is reliant on the empowerment of practitioners to take an unambiguous position.

conclusionPrimary care has the potential either to perpetuate or counter obesity-related stigma. There needs to be a firm decision as to what role primary care will take in the prevention and treatment of obesity. To remain ambiguous runs the risk of losing patients' confidence and adding to a growing sense of futility.

Indexed as

ObesityRisk Reduction BehaviorEvidence-Based PracticeHumansPatient Acceptance of Health CarePhysicians, Primary CarePhysician's RolePrimary Health CareQualitative ResearchSocial ResponsibilityUnited Kingdommeta-ethnographyobesity managementpatient perspectivespractitioner perspectivesprimary carequalitative synthesis

Identifiers

PMID25824184
PMCPMC4377591
OpenAlexW2155104429

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.