Obesity in general practice: A focus group study on patient experiences

Scandinavian Journal of Primary Health Care

Volumn 28, Issue 4, 2010, Pages 205-210

  Malterud, Kirsti ^a,b   Ulriksen, Kjersti ^a  

^a Research Unit for General Practice in Bergen   (Norway)

^b UNIVERSITY OF BERGEN   (Norway)

Author keywords

Doctor patient relations; focus groups; general practice; obesity; qualitative research; quality of health care

Indexed keywords

ADAPTIVE BEHAVIOR; ADOLESCENT; ADULT; ARTICLE; ATTITUDE TO HEALTH; BODY MASS; CLINICAL COMPETENCE; COUNSELING; DOCTOR PATIENT RELATION; EVIDENCE BASED MEDICINE; FEMALE; FOLLOW UP; GENERAL PRACTICE; HUMAN; INFORMATION PROCESSING; LIFESTYLE; MALE; MIDDLE AGED; OBESITY; PSYCHOLOGICAL ASPECT; QUESTIONNAIRE; SOCIAL PSYCHOLOGY;

ADAPTATION, PSYCHOLOGICAL; ADOLESCENT; ADULT; BODY MASS INDEX; CLINICAL COMPETENCE; COUNSELING; EVIDENCE-BASED MEDICINE; FAMILY PRACTICE; FEMALE; FOCUS GROUPS; FOLLOW-UP STUDIES; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; LIFE STYLE; MALE; MIDDLE AGED; OBESITY; PHYSICIAN-PATIENT RELATIONS; PREJUDICE; QUESTIONNAIRES; YOUNG ADULT;

EID: 79952047504     PISSN: 02813432     EISSN: 15027724     Source Type: Journal    
DOI: 10.3109/02813432.2010.526773     Document Type: Article

References (40)

1. WHO. Obesity and overweight. Available at: http://www.who.int/dietphysicalactivity/publications/facts/obesity/en/ (04.10.2005) 2003.
2. Ulset E, Undheim R, Malterud K. [Has the obesity epidemic reached Norway?] Tidsskr Nor Laegeforen 2007; 127: 34 – 7 (in Norwegian, English summary).
3. Dattilo AM, Kris-Etherton PM. Effects of weight reduction on blood lipids and lipoproteins: A meta-analysis. Am J Clin Nutr 1992; 56: 320 – 8.
4. Lean ME, Powrie JK, Anderson AS, Garthwaite PH. Obesity, weight loss and prognosis in type 2 diabetes. Diabet Med 1990; 7: 228 – 33.
5. Peppard PE, Young T, Palta M, Dempsey J, Skatrud J. Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA 2000; 284: 3015 – 21.
6. Leverence RR, Williams RL, Sussman A, Crabtree BF. Obesity counseling and guidelines in primary care: A qualitative study. Am J Prev Med 2007; 32: 334 – 9.
7. Galuska DA, Will JC, Serdula MK, Ford ES. Are health care professionals advising obese patients to lose weight? JAMA 1999; 282: 1576 – 8.
8. Brown I, Thompson J, Tod A, Jones G. Primary care support for tackling obesity: A qualitative study of the perceptions of obese patients. Br J Gen Pract 2006; 56: 666 – 72.
9. Gilje AM, Soderlund A, Malterud K. Obstructions for quality care experienced by patients with chronic fatigue syndrome (CFS): A case study. Patient Educ Couns 2008; 73: 36 – 41.
10. Malterud K, Hollnagel H. Women's self-assessed personal health resources. Scand J Prim Health Care 1997; 15: 163 – 8.
11. Steihaug S, Ahlsen B, Malterud K. From exercise and education to movement and interaction: Treatment groups in primary care for women with chronic muscular pain. Scand J Prim Health Care. 2001; 19: 249 – 54.
12. Puhl RM, Heuer CA. The stigma of obesity: A review and update. Obesity 2009; 17: 941 – 64.
13. Morgan DL. Focus groups as qualitative research. 2nd. Thousand Oaks, CA: Sage Publications; 1997.
14. De Zwaan M, Petersen I, Kaerber M, Burgmer R, Nolting B, Legenbauer T,. Obesity and quality of life: A controlled study of normal-weight and obese individuals. Psychosomatics 2009; 50: 474 – 82.
15. Giorgi A. Sketch of a psychological phenomenological method. Phenomenology and psychological research: essays. Pittsburgh, PA: Duquesne University Press; 1985. p. 8 – 22.
16. Malterud K. Shared understanding of the qualitative research process: Guidelines for the medical researcher. Fam Pract 1993; 10: 201 – 6.
17. Malterud K, Thesen J. When the helper humiliates the patient: A qualitative study about unintended intimidations. Scand J Public Health 2008; 36: 92 – 8.
18. Malterud K, Ulriksen K. “Norwegians fear fatness more than anything else”: A qualitative study of normative newspaper messages on obesity and health. Patient Educ Couns 2010; 81: 47 – 52.
19. Merrill E, Grassley J. Women's stories of their experiences as overweight patients. J Adv Nurs 2008; 64: 139 – 46.
20. Thomas SL, Hyde J, Karunaratne A, Herbert D, Komesaroff PA. Being “fat” in today's world: A qualitative study of the lived experiences of people with obesity in Australia. Health Expect 2008; 11: 321 – 30.
21. Brown I, Stride C, Psarou A, Brewins L, Thompson J. Management of obesity in primary care: Nurses’ practices, beliefs and attitudes. J Adv Nurs 2007; 59: 329 – 41.
22. Mercer SC, Tessier S. A qualitative study of general practitioners’ and practice nurses’ attitudes to obesity management in primary care. Health Bull 2001; 59: 248 – 53.
23. Rifkin D. The elephant in the room. Hastings Cent Rep 2006; 36: 9.
24. Drury C, Louis M. Exploring the association between body weight, stigma of obesity, and health care avoidance. J Am Acad Nurse Pract 2002; 14: 554 – 61.
25. Bjorkman M, Malterud K. Lesbian women's experiences with health care: A qualitative study. Scand J Prim Health Care 2009; 27: 238 – 43.
26. Thesen J. From oppression towards empowerment in clinical practice: Offering doctors a model for reflection. Scand J Public Health 2005; 66 (Suppl): 47 – 52.
27. McWhinney IR. “An acquaintance with particulars…”. Fam Med 1989; 21: 296 – 8.
28. Merleau-Ponty M. Phenomenology of perception. London: Routledge; 1962.
29. Gard M, Wright J. The obesity epidemic: Science, morality, and ideology. London: Routledge; 2005.
30. Lupton D. Food, the body and the self. London: Sage Publications; 1996.
31. Schwartz MB, Chambliss HO, Brownell KD, Blair SN, Billington C. Weight bias among health professionals specializing in obesity. Obesity Res 2003; 11: 1033 – 9.
32. Vaidya V. Psychosocial aspects of obesity. Adv Psychosom Med 2006; 27: 73 – 85.
33. Maes HH, Neale MC, Eaves LJ. Genetic and environmental factors in relative body weight and human adiposity. Behav Genet 1997; 27: 325 – 51.
34. Speakman JR. Obesity: The integrated roles of environment and genetics. J Nutr 2004; 134: 2090S – 105S.
35. Wang GJ, Yang J, Volkow ND, Telang F, Ma Y, Zhu W,. Gastric stimulation in obese subjects activates the hippocampus and other regions involved in brain reward circuitry. Proc Natl Acad Sci USA 2006; 103: 15641 – 5.
36. Avenell A, Broom J, Brown TJ, Poobalan A, Aucott L, Stearns SC,. Systematic review of the long-term effects and economic consequences of treatments for obesity and implications for health improvement. Health Technol Assess 2004; 8, 1 – 182.
37. Franz MJ, VanWormer JJ, Crain AL, Boucher JL, Histon T, Caplan W,. Weight-loss outcomes: A systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc 2007; 107: 1755 – 67.
38. Malterud K, Tonstad S. Preventing obesity: Challenges and pitfalls for health promotion. Patient Educ Couns 2009; 76: 254 – 9.
39. Idler EL, Benyamini Y. Self-rated health and mortality: A review of twenty-seven community studies. J Health Soc Behav 1997; 38: 21 – 37.
40. Burris S. Stigma, ethics and policy: A commentary on Bayer's “Stigma and the ethics of public health: Not can we but should we”. Soc Sci Med 2008; 67: 473 – 5.