Abstracts / Posters
Factors affecting successful implementation of a weight management programme in UK primary care: the Counterweight programme
The International Association for the Study of Obesity.Obesity Reviews. 2006 7 (supp 2) p283
The Counterweight Project Team
Background: Multiple factors influence the uptake of weight management programmes
Method: The Counterweight programme is a multi-centre trial aimed at improving obesity management in primary care. Practice staff were trained and supported by specialist dietitians to deliver an evidence-based, structured weight management service in 65 practices in seven areas in the UK. A qualitative study to explore the primary care staff (n= 26) experience was conducted by an independent research team. Sample practices were chosen to represent those both successful and unsuccessful in the recruitment and follow-up of patients in the Counterweight Programme. Barriers and motivators to successful programme implementation were assessed.
Results: Motivating factors to successful implementation were: perceived ownership of the programme, having a practice obesity ‘lead’ committed to weight management, committed and enthusiastic practice nurses, training and ongoing support by Counterweight dietitians, provision of programme materials and resources, integration into practice routine and commitment from all practice staff especially General Practitioners (GPs). Barriers to successful implementation were: competing priorities for practice time, low level of commitment from GPs, high staff turnover, perceived scepticism over commercial sponsorship despite programme being funded by an independent grant-in-aid, external pressure to take part and limited evidence of effectiveness of obesity management in primary care
Conclusion: The successful implementation of a structured weight management programme must involve all clinical staff from the outset. Motivated GPs are essential to provide leadership, which in turn increases likelihood of success.