Primary care-led weight-management intervention: qualitative insights into patient experiences at one-year follow up

Introduction The global prevalence of overweight and obesity is continuously increasing. Long-term weight loss results remain disappointing. This study aims to identify factors and strategies for successful long-term weight loss in a primary care-led weight-loss intervention from the perspective of participants.Materials and methods This qualitative interview study is the first follow-up study in a 2-year study series of participants with overweight or obesity. Methods utilized are semi-structured interviews (n = 20) with quantitative self-description. The data were transcribed from audio-taped interviews and analysed thematically.Results This study found that clear, continuously evolving self-monitoring strategies facilitated by strong routines and a long-term focus enhanced successful outcomes. Challenges faced included stress, disappointment and loss of routine along with external criticism and discouragement. Benefits experienced due to weight loss included improved health, self-esteem, communal support and encouragement, which continued to fuel motivation. Receiving continuous support and encouragement from healthcare practitioners was instrumental for long-term success.Conclusion This study highlighted the complex, multifaceted experiences patients encounter in the pursuit of trying to achieve long-term weight loss. Personalized treatment protocols taking into account the diverse requirements and circumstances of individuals have the potential to improve treatment outcomes. Continuous, professional support may enhance long-term outcomes.

Automated summary

This qualitative interview study explores the factors and strategies for successful long-term weight loss in a primary care-led intervention. The findings indicate that clear and evolving self-monitoring strategies, strong routines, and a long-term focus contribute to successful outcomes. Challenges such as stress and disappointment are faced, but the benefits of weight loss, such as improved health and self-esteem, fuel motivation. Continuous support and encouragement from healthcare practitioners play a significant role in long-term success.