Eliciting Provider and Patient Perspectives on New Obesity Management Services in a Team-Based Primary Care Organization.
Both providers and patients may have important insights to inform the development of obesity prevention and management services in Canadian primary care settings. In this formative study, insights for new obesity management services were sought from both providers and patients in 1 progressive citywide organization (150 physicians, team services, separate offices).



Seven focus groups with interprofessional health providers (n = 56) and 4 focus groups with patients (n = 34) were conducted. Two clinical vignettes (adult, child) were used to focus discussion. Four analysts coded for descriptive content and interpretative themes on possible tools and care processes using NVivo.



Participants identified numerous strategies for care processes, most of which could be categorized into 1 or more of 11 themes: 6 directed at clinical care of patients (raising awareness, screening, clinical care, skill building, ongoing support, and social/peer support) and 5 directed at the organization (coordination/collaboration, creating awareness among health professionals, adding new expertise to the team, marketing, and lobbying/advocacy).



The approach was successful in generating an extensive list of diverse activities to be considered for implementation studies. Both patients and providers identified that multiple strategies and systems approaches will be needed to address obesity management in primary care.
a Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON.
Dawna
D
Royall
a Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON.
Paula
P
Brauer
a Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON.
Edwoba
E
Atta-Konadu
a Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON.
John J M
JJM
Dwyer
b Data Librarian and Academic Director of the Research Data Centre, University of Guelph, Guelph, ON.
A Michelle
AM
Edwards
c Hamilton Family Health Team, Hamilton, ON.
Tracy
T
Hussey
c Hamilton Family Health Team, Hamilton, ON.
Nick
N
Kates
D000328:Adult; D002170:Canada; D002648:Child; D005260:Female; D017144:Focus Groups; D006302:Health Services Research; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D009765:Obesity / Q000175:diagnosis / Q000628:therapy*; D000073319:Obesity Management; D011320:Primary Health Care / Q000458:organization & administration*; D036301:Qualitative Research; D012944:Social Support; D011795:Surveys and Questionnaires