title: Qualitative and Quantitative Outcomes of a 1:1 Multidisciplinary Weight Management Clinic.
abstract: BACKGROUND
  Obesity management in Wales includes the provision of a 1:1 Multidisciplinary Weight Management Clinic (MDWMC). Strategic management of obesity in Wales is guided by The All Wales Obesity Pathway and recommends MDWMCs for people with obesity who have one or more co-morbidities and who have tried several interventions without success, or who have complex emotional relationships with food. No known previous studies have included a qualitative evaluation of a MDWMC.
  
  
  OBJECTIVE
  To conduct a service evaluation of a 1:1 Multi-disciplinary Weight Management Clinic to evaluate associated physiological benefits and qualitative data about the service.
  
  
  METHODS
  Semi-structured interviews were conducted with 180 patients attending the MDWMC at Aneurin Bevan Hospital, Ebbw Vale, Wales.
  
  
  RESULTS
  The MDWMC supports weight loss with 95% of patients reporting loss. For those for whom baseline data was available 73% lost at least 5% of initial body weight. Eighty-eight percent of patients prefer individual appointments and over 90% of patients who see each team member find consultations useful. Sixty-nine percent of patients report improved health mainly due to a decrease in obesity-related symptoms, and of patients taking obesity-related medication 48% report a reduction in dose of medication for asthma, 42% report a reduction in dose of antidepressants, and 36% report a reduction in dose for medication for diabetes. Of employed patients, 30% report a reduction of days taken off work due to sickness. Ninety-six percent of patients would recommend the clinic to others.
  
  
  CONCLUSIONS
  A 1:1 Multi-disciplinary Weight Management Clinic provides value in reducing obesity and symptoms of obesity-related diseases. It also is a treatment choice favoured by patients.
authors.affiliation: Aneurin Bevan Multidisciplinary Specialist Weight Management Centre, Ysbyty Aneurin Bevan, Ebbw Vale NP23 8XE, UK. desleyturner@doctors.org.uk.
authors.forename: Desley
authors.initials: D
authors.lastname: Turner
authors.affiliation: Aneurin Bevan Multidisciplinary Specialist Weight Management Centre, Ysbyty Aneurin Bevan, Ebbw Vale NP23 8XE, UK. nadim.haboubi@wales.nhs.uk.
authors.forename: Nadim
authors.initials: N
authors.lastname: Haboubi
keywords: BMI; obesity; weight management