General practitioner views on addressing weight opportunistically in primary care: an embedded sequential mixed-methods study

Maryam Kebbe, Susan Jebb, Rachna Begh, Anna Christian-Brown, Hannah Wheat, Amanda Farley, Amanda Lewis, Paul Aveyard

Research output: Contribution to journalArticlepeer-review

Abstract

Objective
To assess GPs’ thoughts, feelings, and practices on providing opportunistic weight loss interventions before and after educational training and application in practice.

Methods
In an embedded sequential mixed-methods design, 137 GPs delivered a 30-second brief opportunistic intervention to a mean of 14 patients with obesity. To assess GPs’ experiences and views on the intervention, all were invited to complete pre- and post-trial questionnaires and 18 were purposively interviewed. Data were transcribed verbatim and analysed using inductive framework analysis.

Results
GPs’ attitudes (importance, feasibility, appropriateness, helpfulness, and effectiveness), capacities (comfort, confidence, and knowledge), perceived subjective norms (role expectations), willingness, and intentions on providing weight loss interventions were predominantly improved post-trial. The research setting allowed GPs to depersonalise intervening on obesity and feel more comfortable discussing the topic. Beyond the trial, GPs reverted largely to not intervening, citing barriers that had reportedly been overcome during the trial.

Conclusion
GPs who delivered the intervention had positive experiences doing so, shifting their beliefs modestly that this intervention is important, feasible, and acceptable.

Practice Implications
Given that outside of the trial GPs were apprehensive about intervening without a prompt, developing systems to prompt patients may support implementation.
Original languageEnglish
JournalPatient Education and Counseling
Early online date29 Jun 2021
DOIs
Publication statusE-pub ahead of print - 29 Jun 2021

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