ArticleBMC primary care2022
"Sometimes choices are not made, because we have 'a' choice, they're made because they are 'the' choice": Barriers to weight management for clients in rural general practice.
Article in BMC primary care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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.
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.
Who cites it
7 citing papers in PubMed, 8 citations in OpenAlex.
- A Review of the Management of Obesity in Primary Care.Clinical obesity · 2026Review
- Implementation of Clinical Services for Adults with Obesity in Different Health Systems: A Scoping Review and Causal Loop Diagram.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025Review
- Implementing a Virtual, Collaborative Care Weight Management Program in Rural Primary Care: Pilot Results and Insights.Telemedicine reports · 2025Article
- A cross-sectional study of factors influencing sexual health among spouses of patients with cervical cancer.PloS one · 2025Article
- Exploring successes, barriers, and enablers in the one-year digital Healthy Weight Coaching.BMC health services research · 2024Article
- Patient, facility, and environmental factors associated with obesity treatment in US Veterans.Obesity science & practice · 2024Article
- 'They're all individuals, none of them are on the same boat': barriers to weight management in general practice from the rural nurse perspective.Primary health care research & development · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity is an international health issue which currently affects over 34% of New Zealand adults and leads to further physical and psychosocial health complications. People living in rural communities experience health inequities and have a high-risk of becoming obese. The aim of this study was to explore and identify barriers to effective weight management in rural Waikato general practice.
methodsUsing semi-structured interviews, 16 rural Waikato participants shared their experiences with barriers to weight management. Interviews were transcribed and analysed using thematic analysis.
resultsFour themes were identified: resource constraints, rural locality barriers, rural sociocultural norms barriers, and participants' understanding the solutions needed to overcome their specific barriers to effective weight management. For these participants, finding a feasible weight management strategy was a challenging first step in their weight management journey. A programme that would 'work' meant one that was economically viable for low-income persons, accessible, even if living rurally with less resources, and did not cause harm or jeopardise their social connections within family or community.
conclusionOverall, participants noted a lack of weight management strategy 'choice' because of income, isolation or accessibility of their rural location and/or the sociocultural norms of the community they lived in restricted options available to them. Future weight management initiatives may be better devised from within communities themselves and will need to be cognisant of the barriers specific to rural communities. Rural perspectives have much to offer in any such reconsideration of weight management initiatives.
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Registered trials
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.