Evidence map›Paper›PMID 36782120›Full record

ArticleBMC primary care2023

Understanding weight management experiences from patient perspectives: qualitative exploration in general practice.

Kimberley Norman, Lisette Burrows, Lynne Chepulis, Rawiri Keenan, Ross Lawrenson

Abstract read
In one paragraph

Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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  8. Weight status underestimation and weight management goals among adults in the rural South of the United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
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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

5 authors.

Kimberley NormanUniversity of Waikato, Gate 1, Knighton Road, Hillcrest, Waikato District Health Board, Pembroke Street, Private Bag, Hamilton, 3200, New Zealand. Kimberley.norman@waikato.ac.nz.
Lisette BurrowsUniversity of Waikato, Gate 1, Knighton Road, Hillcrest, Waikato District Health Board, Pembroke Street, Private Bag, Hamilton, 3200, New Zealand.
Lynne ChepulisUniversity of Waikato, Gate 1, Knighton Road, Hillcrest, Waikato District Health Board, Pembroke Street, Private Bag, Hamilton, 3200, New Zealand.
Rawiri KeenanUniversity of Waikato, Gate 1, Knighton Road, Hillcrest, Waikato District Health Board, Pembroke Street, Private Bag, Hamilton, 3200, New Zealand.
Ross LawrensonUniversity of Waikato, Gate 1, Knighton Road, Hillcrest, Waikato District Health Board, Pembroke Street, Private Bag, Hamilton, 3200, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity is a complex health issue affecting the quality of life of individuals and contributing to an unsustainable strain on healthcare professionals and national health systems. National policy guidelines indicate that general practice is best suited to deliver obesity healthcare, however, obesity rates continue to rise worldwide indicating interventions are ineffective in this space. The aim of this study was to explore the weight management experiences from patient perspectives.

methodsThis qualitative study used semi-structured interviews with 16 rural Waikato general practice patients. Interviews were analysed using reflexive thematic analysis.

resultsFour themes were identified: Inconsistent Information, Significance of Holistic Factors, Obesity Centre Need, and Education. Participants expressed frustration at contradictory health messages, commercial company and 'expert' definition distrust, and that 'holistic' aspects to health significant to the weight management journey were unable to be addressed in general practice.

conclusionWhilst primary care is positioned as suitable for delivering obesity healthcare, this study found that participants do not perceive general practice to be equipped to deliver this care. Instead, participants argued for a specialist obesity centre capable of meeting all their obesity healthcare needs. Further, wider issues including on-line commodification of health and neo-liberal capitalism - factors that exploit people with a stigmatised health issue - can cause further harm to the participant. A radical modernisation of education, information, and resources from regulated, qualified and 'trusted' healthcare professionals who can provide safe, non-stigmatising supportive services is recommended to meet the unique and changing food climate, reduce obesity rates and improve health outcomes.

Indexed as

General PracticeQuality of LifeDelivery of Health CareFamily PracticeHumansObesityPrimary Health CareBarriersClient viewEffective weight managementNew ZealandObesityObesity healthcarePrimary care

Identifiers

PMID36782120
PMCPMC9926650

What OpenQuestion holds

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LicenceCC BY
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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.