A qualitative assessment of weight control among rural Kansas women.
OBJECTIVE
To explore weight control beliefs, attitudes, knowledge, and practices among rural Kansas women, and to characterize the relationship of these women with their primary-care providers around weight control.


METHODS
Qualitative research using focus groups.


METHODS
Three separate communities of rural Kansas.


METHODS
Six focus groups among 31 women during fall 2006.


METHODS
Two focus groups in each community, each of 2-hour duration. A focus group moderator's guide was used to explore the roles of individuals, primary-care practice teams, and communities around weight control.


METHODS
This study used a qualitative analysis with an iterative process and standard techniques. The analysis team summarized central findings, descriptive topic areas, and general themes.


RESULTS
There were 5 broad themes that emerged from these focus groups. These themes are lack of support from primary-care providers; primary-care offices as community resources; lack of resources for promoting dietary change, but adequate resources for physical activity; the importance of group support and inclusiveness; and a need for more intensive interventions for weight control.


CONCLUSIONS
Rural populations have an above-average prevalence of obesity and related comorbidities. Rural communities need better approaches for addressing the obesity epidemic.
Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS 66160, USA. aely@kumc.edu
Andrea C
AC
Ely
Christie
C
Befort
Angela
A
Banitt
Cheryl
C
Gibson
Debra
D
Sullivan
D001835:Body Weight; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006304:Health Status; D006801:Humans; D007615:Kansas; D008875:Middle Aged; D009752:Nutritional Status; D009765:Obesity / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control / Q000523:psychology; D010821:Physicians, Family / Q000523:psychology*; D011320:Primary Health Care / Q000379:methods* / Q000592:standards; D014930:Women / Q000523:psychology*