Preliminary Outcomes from a Community Weight Management Program

Abstract

s / Can J Diabetes 39 (2015) S38eS74 S72 (N1⁄424) were allocation concealed and randomized. The implementation process and context was evaluated by a qualitative study (interviews, field notes) analyzed by thematic analysis. The quantitative outcome measure of the number of weight management visits per full time equivalent RN/NP was blinded and collected over 1 year. Results: Qualitative results have revealed interacting contextual factors influencing the implementation of the intervention. These include the complexity and embedded nature of obesity, multidisciplinary team factors, provider relationship with patients, individual ability and work environment. These factors will enhance understanding of the primary outcome. Qualitative results have identified changes in provider behavior such as a reduction of patient weight bias, improved use of 5As of Obesity Management tools, and efficient obesity assessment. Summary: Tailoring weight interventions to primary care context may be a necessary step in overcoming barriers to implementation and effective change.