Barriers to losing weight for women attending group visits in primary care: A qualitative exploration using in-depth interviews

Background Despite the accumulated evidence suggesting the positive aspects of using group visits in obesity, the number of qualitative studies that examine why and how the effects occur at an individual level is limited. Objectives This qualitative study aimed to explore the experiences and perspec...

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Autores principales:	Zeliha Yelda Özer, Sevgi Özcan, Gülşah Seydaoğlu, Hatice Kurdak
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	qualitative designs and methods; group medical visits weight stigma life trauma Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/bd6ea0ef09a94d61addd6a68f1e3af01
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spelling	oai:doaj.org-article:bd6ea0ef09a94d61addd6a68f1e3af012021-11-17T14:21:55ZBarriers to losing weight for women attending group visits in primary care: A qualitative exploration using in-depth interviews1381-47881751-140210.1080/13814788.2021.1998446https://doaj.org/article/bd6ea0ef09a94d61addd6a68f1e3af012021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/13814788.2021.1998446https://doaj.org/toc/1381-4788https://doaj.org/toc/1751-1402Background Despite the accumulated evidence suggesting the positive aspects of using group visits in obesity, the number of qualitative studies that examine why and how the effects occur at an individual level is limited. Objectives This qualitative study aimed to explore the experiences and perspectives of women who participated in group visits and had different weight loss outcomes in the programme. Method Purposive maximum variation sampling was performed. Data collection and analysis were performed iteratively, and the data saturation method was used as a guideline for sample size. All participants who completed the group visits were approached, and finally, 20 individuals were included in the study. Semi-structured in-depth interviews were audio-recorded, transcribed verbatim, and analysed thematically using a phenomenological approach. Results The mean age of the individuals was 38.5 ± 9.8 years, the education level ranged from incomplete-high school to university degree, and the weight changes were between +4.1% and −17.1%. Two main themes emerged from the thematic analysis revealing barriers: weight stigma (two sub-themes: internal and external stigma) and traumatic life events (three sub-themes: ‘loss of relatives,’ ‘childhood traumas,’ and ‘conflicting intimate partner relationships’). Conclusion Considering the barriers to weight loss efforts in this study, these issues need to be explicitly investigated before and during the group visits in addition to weight loss practices and behavioural changes.Zeliha Yelda ÖzerSevgi ÖzcanGülşah SeydaoğluHatice KurdakTaylor & Francis Grouparticlequalitative designs and methods; group medical visitsweight stigmalife traumaMedicine (General)R5-920ENEuropean Journal of General Practice, Vol 27, Iss 1, Pp 331-338 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	qualitative designs and methods; group medical visits weight stigma life trauma Medicine (General) R5-920
spellingShingle	qualitative designs and methods; group medical visits weight stigma life trauma Medicine (General) R5-920 Zeliha Yelda Özer Sevgi Özcan Gülşah Seydaoğlu Hatice Kurdak Barriers to losing weight for women attending group visits in primary care: A qualitative exploration using in-depth interviews
description	Background Despite the accumulated evidence suggesting the positive aspects of using group visits in obesity, the number of qualitative studies that examine why and how the effects occur at an individual level is limited. Objectives This qualitative study aimed to explore the experiences and perspectives of women who participated in group visits and had different weight loss outcomes in the programme. Method Purposive maximum variation sampling was performed. Data collection and analysis were performed iteratively, and the data saturation method was used as a guideline for sample size. All participants who completed the group visits were approached, and finally, 20 individuals were included in the study. Semi-structured in-depth interviews were audio-recorded, transcribed verbatim, and analysed thematically using a phenomenological approach. Results The mean age of the individuals was 38.5 ± 9.8 years, the education level ranged from incomplete-high school to university degree, and the weight changes were between +4.1% and −17.1%. Two main themes emerged from the thematic analysis revealing barriers: weight stigma (two sub-themes: internal and external stigma) and traumatic life events (three sub-themes: ‘loss of relatives,’ ‘childhood traumas,’ and ‘conflicting intimate partner relationships’). Conclusion Considering the barriers to weight loss efforts in this study, these issues need to be explicitly investigated before and during the group visits in addition to weight loss practices and behavioural changes.
format	article
author	Zeliha Yelda Özer Sevgi Özcan Gülşah Seydaoğlu Hatice Kurdak
author_facet	Zeliha Yelda Özer Sevgi Özcan Gülşah Seydaoğlu Hatice Kurdak
author_sort	Zeliha Yelda Özer
title	Barriers to losing weight for women attending group visits in primary care: A qualitative exploration using in-depth interviews
title_short	Barriers to losing weight for women attending group visits in primary care: A qualitative exploration using in-depth interviews
title_full	Barriers to losing weight for women attending group visits in primary care: A qualitative exploration using in-depth interviews
title_fullStr	Barriers to losing weight for women attending group visits in primary care: A qualitative exploration using in-depth interviews
title_full_unstemmed	Barriers to losing weight for women attending group visits in primary care: A qualitative exploration using in-depth interviews
title_sort	barriers to losing weight for women attending group visits in primary care: a qualitative exploration using in-depth interviews
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/bd6ea0ef09a94d61addd6a68f1e3af01
work_keys_str_mv	AT zelihayeldaozer barrierstolosingweightforwomenattendinggroupvisitsinprimarycareaqualitativeexplorationusingindepthinterviews AT sevgiozcan barrierstolosingweightforwomenattendinggroupvisitsinprimarycareaqualitativeexplorationusingindepthinterviews AT gulsahseydaoglu barrierstolosingweightforwomenattendinggroupvisitsinprimarycareaqualitativeexplorationusingindepthinterviews AT haticekurdak barrierstolosingweightforwomenattendinggroupvisitsinprimarycareaqualitativeexplorationusingindepthinterviews
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Barriers to losing weight for women attending group visits in primary care: A qualitative exploration using in-depth interviews

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