Is the Counterweight Program a feasible and acceptable option for structured weight management delivered by practice nurses in Australia? A mixed-methods study

被引:4
|
作者
Gray, Jodi [1 ,2 ]
Hoon, Elizabeth A. [1 ]
Afzali, Hossein Haji Ali [1 ]
Spooner, Catherine [2 ,3 ]
Harris, Mark F. [2 ,3 ]
Karnon, Jonathan [1 ,2 ]
机构
[1] Univ Adelaide, Sch Publ Hlth, Level 7,178 North Terrace, Adelaide, SA 5005, Australia
[2] Univ NSW, CPHCE, Ctr Obes Management & Prevent Res Excellence Prim, Level 3,AGSM Bldg, Sydney, NSW 2052, Australia
[3] Univ NSW, CPHCE, Level 3,AGSM Bldg, Sydney, NSW 2052, Australia
关键词
general practice; obesity; overweight; primary care; GENERAL-PRACTICE; OBESITY; DISEASE; RISK; CARE; INTERVENTIONS; INVOLVEMENT; MODELS; POLICY; COST;
D O I
10.1071/PY16105
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Nurse-led weight management programs, like the Counterweight Program in the United Kingdom, may offer a way for Australian general practices to provide weight management support to adults who are overweight or obese. During Counterweight, nurses provide patients with six fortnightly education sessions and three follow-up sessions to support weight maintenance. This study examined the feasibility, acceptability and perceived value of the Counterweight Program in the Australian primary care setting using a mixed-methods approach. Six practice nurses, from three general practices, were trained and subsidised to deliver the program. Of the 65 patients enrolled, 75% (n=49) completed the six education sessions. General practitioners and practice nurses reported that the training and resource materials were useful, the program fitted into general practices with minimal disruption and the additional workload was manageable. Patients reported that the program created a sense of accountability and provided a safe space to learn about weight management. Overall, Counterweight was perceived as feasible, acceptable and valuable by Australian practice staff and patients. The key challenge for future implementation will be identifying adequate and sustainable funding. An application to publically fund Counterweight under the Medicare Benefits Schedule would require stronger evidence of effectiveness and cost-effectiveness in Australia.
引用
收藏
页码:348 / 363
页数:16
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