University of Tasmania
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Assessment and management of obesity and self-maintenance (AMOS): an evaluation of a rural, regional multidisciplinary program

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journal contribution
posted on 2023-05-21, 14:15 authored by Sarah PriorSarah Prior, Luccisano, SP, Michelle KilpatrickMichelle Kilpatrick, Murfet, GO
Obesity is common in rural areas, and reduced specialist healthcare access impedes its management. A pilot nurse-practitioner-led Assessment and Management of Obesity and Self-Maintenance (AMOS) Clinic focused on individualised obesity care in people living with type 2 diabetes delivered in a rural setting. This study aimed to explore participant and staff experiences of the multidisciplinary obesity clinic to identify barriers and facilitators to self-care, health, and well-being. A two-stage, mixed-method design was used. Initially, three focus groups involving a sample of AMOS participants and semi-structured staff interviews helped identify key barriers/facilitators. These findings informed a survey delivered to all AMOS participants. Qualitative data were analysed using an inductive two-step thematic networks technique to identify themes. Quantitative data were summarised using descriptive statistics. A total of 54 AMOS participants and 4 staff participated in the study. Four themes were identified to describe AMOS participant experiences’: 1. affordability; 2. multidisciplinary care; 3. person-centred care; and 4. motivation. Specialised, multidisciplinary and individualised obesity care available through one clinic facilitated self-care and improved health and well-being. Dedicated multidisciplinary obesity clinics are recommended in rural and remote areas.

Funding

Tasmanian Health Service - North West

History

Publication title

International Research Journal of Public Health

Volume

19

Issue

19

Article number

12894

Number

12894

Pagination

1-17

ISSN

1660-4601

Department/School

Tasmanian School of Medicine

Publisher

MDPI AG

Place of publication

Switzerland

Rights statement

© 2022 The authors. This article is distributed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license https://creativecommons.org/licenses/by/4.0/

Repository Status

  • Open

Socio-economic Objectives

Health system performance (incl. effectiveness of programs); Overweight and obesity