Experiences and perceptions of dietitians for obesity management: a general practice qualitative study.

Abbott, Sally, Parretti, H M and Greenfield, S (2021) Experiences and perceptions of dietitians for obesity management: a general practice qualitative study. Journal of human nutrition and dietetics : the official journal of the British Dietetic Association. ISSN 1365-277X.

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Official URL: https://onlinelibrary.wiley.com/doi/10.1111/jhn.12...

Abstract

BACKGROUND

Multi-component lifestyle interventions are the first line treatment for obesity. Dietitians are ideally placed healthcare professionals to deliver such interventions. However, only a small proportion of patients with obesity are referred by general practice to dietitians, and the reasons for this are not clear. The present study aimed to explore general practice healthcare professionals' (GPHCPs) experiences and perceptions of dietitians in the context of obesity management.

METHODS

A convenience sample of GPHCPs practicing in the UK was recruited via a targeted social media strategy, using virtual snowball sampling. Data were collected using semi-structured interviews and analysed using framework analysis.

RESULTS

In total, 20 participants were interviewed (11 general practice nurses and nine general practitioners). Experiences of referring patients with obesity for dietetic intervention resulted in two main themes: (i) access barriers and (ii) the dietetic consult experience. Three themes emerged from participants' perceptions of a role for general practice dietitians: (i) utilising dietetic expertise; (ii) access to dietitian; and (iii) time. Participants experienced barriers to accessing dietitians for obesity management and felt that having a dietitian working within their general practice team would help address this. Having a dietitian embedded within their general practice team was perceived to have the potential to alleviate GPHCPs' clinical time pressures, offer opportunities for upskilling, and may improve patient engagement with obesity management.

CONCLUSIONS

GPHCPs perceived that embedding a dietitian within their general practice team would be valuable and beneficial for obesity management. Our findings provide support for the funding of general practice dietitian roles in the UK.

Item Type: Article
Subjects: WD Diseases and disorders of systemic, metabolic or environmental origin > WD10 Diet and nutrition
Divisions: Ambulatory Care > Endocrinology
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Depositing User: Mrs Caroline Tranter
Date Deposited: 22 Jan 2021 09:36
Last Modified: 22 Jan 2021 09:36
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3887

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