Healthcare professionals' perspectives on the current state of obesity management training: A mix methods study.

Introduction: Obesity is a disease that represents a major global health problem, affecting over a quarter of European adults and straining healthcare systems. Despite its multifactorial causes, many healthcare professionals lack adequate training and confidence in delivering effective, person-centered obesity care. Weight stigma and misconceptions further impair outcomes. Thus, improved education and interprofessional training are essential to support healthcare professionals in delivering optimal obesity care. The aim of this study is to explore the current state of obesity management training among healthcare professionals working in obesity management services by identifying perceived training gaps, confidence levels and impact on clinical practice. Methodology: This study employed a mixed-methods design by combining a cross-sectional survey of 100 healthcare professionals with semi-structured interviews of 20 professionals who work in obesity management. Survey data were analyzed descriptively, and interview transcripts underwent thematic analysis using Braun and Clarke's framework. Results: Of the 100 healthcare professionals surveyed, 88 % reported actively working in obesity management and completed the full survey. Undergraduate training in obesity care was limited, with only 44 % receiving any, and only 12 % rated it as good or excellent. Postgraduate training was pursued by 51 %, with only 6 % completing formal advanced education. Participant perceptions of obesity training were organized in 5 domains: a) Current state of obesity management training, b) Confidence level, c) Gaps in training, d) Impact on clinical practice and d) Recommendation for obesity training curriculum. Conclusion: Healthcare professionals report significant gaps in obesity management training that impact their confidence and clinical practice. The key recommendations made by participants in this study reflect both the perceived deficits and a clear demand for more structured and comprehensive training in obesity management. Integrating structured, evidence-based obesity education into healthcare training programs is essential to reduce stigma, build competence, and improve obesity care.