A mixed method evaluation of adult tier 2 lifestyle weight management service provision across a county in Northern England.

Louisa Ells, Patricia Watson, Sarit Carlebach, Claire O'Malley, Daniel Jones, Theodora Machaira, Victoria Whittaker, Heather Clements, Paul Walker, Katie Needham, C. D. (Carolyn) Summerbell, Vicki Coulton, Vera Araújo-Soares

Research output: Contribution to journalArticle

316 Downloads (Pure)

Abstract

Adult obesity in the UK remains a public health priority. Current guidance recommends local areas provide multicomponent interventions to treat adults with overweight and obesity; however, there is currently a dearth of published evidence on the evaluation of these programmes. This study reports on a mixed method evaluation of seven tier 2 weight management programmes funded by a local authority in the North of England through their public health grant (a lifestyle multicomponent weight management programme for the treatment of adults with overweight and obesity, but not severe obesity, or obesity with severe co-morbidities). Data collected from over 2000 participants demonstrated that the proportion of participants achieving 5% initial body weight loss was comparable to that reported in recent UK weight management trials. Two services exceeded national criteria of 30% of participants achieving 5% initial body weight loss at 12 weeks, although long term data was limited. Greater weight loss was also observed in participants aged 35-44 and those without co-morbidities. This study provides important learning points for improvements in real world weight management services, these include: standardised data collection and management tools; staff training and communication requirements; the importance of programmes that are joined up to wider support services; and the importance of providing ongoing peer and provider support, continuous monitoring and feedback, and physical activities tailored to user needs.
Original languageEnglish
Pages (from-to)191-202
Number of pages12
JournalClinical obesity
Volume8
Issue number3
Early online date28 Apr 2018
DOIs
Publication statusPublished - 1 Jun 2018

Fingerprint

England
Life Style
Weights and Measures
Weight Loss
Morbid Obesity
Obesity
Public Health
Body Weight
Morbidity
Health Priorities
Organized Financing
Program Evaluation
Communication
Learning
Exercise
Therapeutics

Cite this

Ells, Louisa ; Watson, Patricia ; Carlebach, Sarit ; O'Malley, Claire ; Jones, Daniel ; Machaira, Theodora ; Whittaker, Victoria ; Clements, Heather ; Walker, Paul ; Needham, Katie ; Summerbell, C. D. (Carolyn) ; Coulton, Vicki ; Araújo-Soares, Vera. / A mixed method evaluation of adult tier 2 lifestyle weight management service provision across a county in Northern England. In: Clinical obesity. 2018 ; Vol. 8, No. 3. pp. 191-202.
@article{00c4ecd23f9e4414ae7d6ffe7681042d,
title = "A mixed method evaluation of adult tier 2 lifestyle weight management service provision across a county in Northern England.",
abstract = "Adult obesity in the UK remains a public health priority. Current guidance recommends local areas provide multicomponent interventions to treat adults with overweight and obesity; however, there is currently a dearth of published evidence on the evaluation of these programmes. This study reports on a mixed method evaluation of seven tier 2 weight management programmes funded by a local authority in the North of England through their public health grant (a lifestyle multicomponent weight management programme for the treatment of adults with overweight and obesity, but not severe obesity, or obesity with severe co-morbidities). Data collected from over 2000 participants demonstrated that the proportion of participants achieving 5{\%} initial body weight loss was comparable to that reported in recent UK weight management trials. Two services exceeded national criteria of 30{\%} of participants achieving 5{\%} initial body weight loss at 12 weeks, although long term data was limited. Greater weight loss was also observed in participants aged 35-44 and those without co-morbidities. This study provides important learning points for improvements in real world weight management services, these include: standardised data collection and management tools; staff training and communication requirements; the importance of programmes that are joined up to wider support services; and the importance of providing ongoing peer and provider support, continuous monitoring and feedback, and physical activities tailored to user needs.",
author = "Louisa Ells and Patricia Watson and Sarit Carlebach and Claire O'Malley and Daniel Jones and Theodora Machaira and Victoria Whittaker and Heather Clements and Paul Walker and Katie Needham and Summerbell, {C. D. (Carolyn)} and Vicki Coulton and Vera Ara{\'u}jo-Soares",
year = "2018",
month = "6",
day = "1",
doi = "10.1111/cob.12250",
language = "English",
volume = "8",
pages = "191--202",
journal = "Clinical obesity",
issn = "1758-8103",
publisher = "Wiley",
number = "3",

}

A mixed method evaluation of adult tier 2 lifestyle weight management service provision across a county in Northern England. / Ells, Louisa; Watson, Patricia; Carlebach, Sarit; O'Malley, Claire; Jones, Daniel; Machaira, Theodora; Whittaker, Victoria; Clements, Heather; Walker, Paul; Needham, Katie; Summerbell, C. D. (Carolyn); Coulton, Vicki; Araújo-Soares, Vera.

In: Clinical obesity, Vol. 8, No. 3, 01.06.2018, p. 191-202.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A mixed method evaluation of adult tier 2 lifestyle weight management service provision across a county in Northern England.

AU - Ells, Louisa

AU - Watson, Patricia

AU - Carlebach, Sarit

AU - O'Malley, Claire

AU - Jones, Daniel

AU - Machaira, Theodora

AU - Whittaker, Victoria

AU - Clements, Heather

AU - Walker, Paul

AU - Needham, Katie

AU - Summerbell, C. D. (Carolyn)

AU - Coulton, Vicki

AU - Araújo-Soares, Vera

PY - 2018/6/1

Y1 - 2018/6/1

N2 - Adult obesity in the UK remains a public health priority. Current guidance recommends local areas provide multicomponent interventions to treat adults with overweight and obesity; however, there is currently a dearth of published evidence on the evaluation of these programmes. This study reports on a mixed method evaluation of seven tier 2 weight management programmes funded by a local authority in the North of England through their public health grant (a lifestyle multicomponent weight management programme for the treatment of adults with overweight and obesity, but not severe obesity, or obesity with severe co-morbidities). Data collected from over 2000 participants demonstrated that the proportion of participants achieving 5% initial body weight loss was comparable to that reported in recent UK weight management trials. Two services exceeded national criteria of 30% of participants achieving 5% initial body weight loss at 12 weeks, although long term data was limited. Greater weight loss was also observed in participants aged 35-44 and those without co-morbidities. This study provides important learning points for improvements in real world weight management services, these include: standardised data collection and management tools; staff training and communication requirements; the importance of programmes that are joined up to wider support services; and the importance of providing ongoing peer and provider support, continuous monitoring and feedback, and physical activities tailored to user needs.

AB - Adult obesity in the UK remains a public health priority. Current guidance recommends local areas provide multicomponent interventions to treat adults with overweight and obesity; however, there is currently a dearth of published evidence on the evaluation of these programmes. This study reports on a mixed method evaluation of seven tier 2 weight management programmes funded by a local authority in the North of England through their public health grant (a lifestyle multicomponent weight management programme for the treatment of adults with overweight and obesity, but not severe obesity, or obesity with severe co-morbidities). Data collected from over 2000 participants demonstrated that the proportion of participants achieving 5% initial body weight loss was comparable to that reported in recent UK weight management trials. Two services exceeded national criteria of 30% of participants achieving 5% initial body weight loss at 12 weeks, although long term data was limited. Greater weight loss was also observed in participants aged 35-44 and those without co-morbidities. This study provides important learning points for improvements in real world weight management services, these include: standardised data collection and management tools; staff training and communication requirements; the importance of programmes that are joined up to wider support services; and the importance of providing ongoing peer and provider support, continuous monitoring and feedback, and physical activities tailored to user needs.

U2 - 10.1111/cob.12250

DO - 10.1111/cob.12250

M3 - Article

VL - 8

SP - 191

EP - 202

JO - Clinical obesity

JF - Clinical obesity

SN - 1758-8103

IS - 3

ER -