Evidence map›Paper›PMID 37572233›Full record

ArticleThe patient2023

A Qualitative Exploration of Patient and Staff Experiences of the Receipt and Delivery of Specialist Weight Management Services in the UK.

Ross Watkins, Dawn Swancutt, Mia Alexander, Shokraneh Moghadam, Steve Perry, Sarah Dean, Rod Sheaff, Jonathan Pinkney, Mark Tarrant, Jenny Lloyd

Abstract read
In one paragraph

Article in The patient, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Training Healthcare Professionals to Deliver a Group-Based Intervention for People Living With Severe Obesity: Lessons From the PROGROUP Feasibility Trial.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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
  8. Article
  9. Article
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

10 authors.

Ross WatkinsUniversity of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK.
Dawn SwancuttUniversity of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK. D.Swancutt@exeter.ac.uk.ORCID 0000-0003-1477-9935
Mia AlexanderUniversity of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK.
Shokraneh MoghadamUniversity of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK.
Steve PerryIndependent Consultant (Patient Adviser), Plymouth, UK.
Sarah DeanUniversity of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK.
Rod SheaffUniversity of Plymouth, Plymouth, PL4 8AA, Devon, UK.
Jonathan PinkneyUniversity of Plymouth, Plymouth, PL4 8AA, Devon, UK.
Mark TarrantUniversity of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK.
Jenny LloydUniversity of Exeter Medical School, St Luke's Campus, Heavitree Road, Exeter, EX1 2LU, UK.

Funding

National Institute for Health and Care Research NIHR201038
6 · The paper itself

Abstract

backgroundAddressing the increasing prevalence of obesity is a global public health priority. Severe obesity (body mass index > 40) reduces life expectancy, due to its association with people developing complications (e.g. diabetes, cancer, cardiovascular disease), and greatly impairs quality of life. The National Health Service (NHS) in the UK provides specialist weight management services (SWMS) for people with severe obesity, but key uncertainties remain around patient access to and engagement with weight management services, as well as pathways beyond the service.

methodsIn this multiple methods study, using online forum data and semi-structured interviews, stakeholders' experiences of delivering and receiving SWMS were explored. Using the web search engine Google with keywords and web address (URL) identifiers, relevant public online platforms were sourced with snowball sampling and search strings used to identify threads related to people's experiences of accessing SWMS (n = 57). Interviews were conducted with 24 participants (nine patients, 15 staff), and data from all sources were analysed thematically using the framework approach.

resultsSix themes related to access to and engagement with SWMS emerged during data analysis: (1) making the first move, (2) uncertainty and confusion, (3) resource issues, (4) respect and understanding, (5) mode of delivery, and (6) desire for ongoing support.

conclusionThere is a mixed and varied picture of SWMS provision across the UK. The service offered is based on local clinical decision making and available resources, resulting in a range of patient experiences and perspectives. Whilst service capacity issues and patient anxiety were seen as barriers to accessing care, peer support and positive clinical and group interactions (connectedness between individuals) were considered to increase engagement.

Indexed as

Attitude of Health PersonnelObesity, MorbidWeight Reduction ProgramsAdultAgedFemaleHealth Services AccessibilityHumansInterviews as TopicMaleMiddle AgedQualitative ResearchState MedicineUnited Kingdom

Identifiers

PMID37572233
PMCPMC10570191

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.