Perceptions of social support for weight loss among patients in primary care

Brown, Megan M; Pasko, Kristen; Gupta, Adarsh

doi:10.1016/j.orcp.2019.10.005

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…Social support is an integral part of several obesity management programs and is associated with better dietary adherence [20], better weight management [21], and even lower mortality risk [22]. Family and friends are the most commonly reported sources of social support for weight loss among primary care weight management patients, with women receiving more support than men [23]. us, it is unclear why social isolation during the pandemic was associated with positive effects on weight management and lifestyle behaviours.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Weight Loss and Weight Gain in Weight Management Patients during the COVID-19 Pandemic

et al. 2021

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Objective. To examine the associations between patient struggles, health, and weight management changes during the COVID-19 pandemic. Methods. 585 patients attending a publicly funded clinical weight management program responded to an electronic survey. Results. Over half of the patients reported worsened overall health, mental health, physical activity, or diet during the pandemic. Approximately 30% of patients lost ≥3% of their body weight and 21% gained ≥3% of their body weight between March and July of the pandemic. Reports of social isolation was associated with increased odds for weight loss in women (OR = 2.0, 1.2–3.3), while low motivation (OR = 1.9, 1.0–3.7), depression (OR = 2.5, 1.0–6.3), and struggles with carbohydrate intake (OR = 2.1, 1.0–4.3) were associated with weight gain. Cooking more at home/eating less take out was associated with increased likelihood of weight loss (OR = 2.1, 1.1–3.9) and lower odds for weight gain (OR = 0.2, 0.1 to 0.97). Working from home was not associated with weight loss or weight gain ( P > 0.6 ). Conclusion. The COVID-19 pandemic is associated with certain factors that may facilitate weight loss and other factors that promote weight gain. Thus, depending on the patient experience during the pandemic, prevention of weight gain may be more appropriate than weight loss.

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Section: Discussionmentioning

confidence: 99%

Predictors of Weight Loss and Weight Gain in Weight Management Patients during the COVID-19 Pandemic

et al. 2021

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“…Social stigma was an added problem for people with MO [ 21 ], as social networks and the media promoted an idealised body image. The participants reported a lack of access to quality support for weight control [ 52 ], even though they received support from family and professionals every time they used social networks [ 53 ]. Social support could be more effective in long-term weight loss but there was a lack of evidence on the subject [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Social Support for People with Morbid Obesity in a Bariatric Surgery Programme: A Qualitative Descriptive Study

Torrente-Sánchez

Ferrer-Márquez

Estébanez-Ferrero

et al. 2021

IJERPH

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Background—Morbid obesity (MO) is a chronic metabolic disease affecting physical, psychological and social wellbeing. Bariatric surgery is a reliable method for losing weight in the long term, improving the quality of life, body image and social life of people with MO. Current literature recognises the importance of social support in controlling weight and coping with MO. The objective of this study was to describe and understand experiences related to social support for patients with MO included in a bariatric surgery programme. Methods—A qualitative descriptive study, where data collection included thirty-one interviews with people diagnosed with MO involved in a bariatric surgery programme. Results—Three main themes emerged from the analysis: (1) accepting the problem in order to ask for help, (2) the need for close support and (3) professional support: opposing feelings. Conclusions—A partner, family and friends are the key pillars of social support for those with MO included in a bariatric surgery programme. Healthcare professionals gave formal support; the bariatric surgery team provided information, trust and assurance. Nurses provided healthcare 24 h a day, making them the main formal support for people in the bariatric surgery programme.

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“…Despite the potential of weight loss‐focused social media communities and self‐monitoring tools, their use is low. 27 , 28 , 29 Further, use of health focused apps in general is lower among individuals who have obesity and weight‐related comorbidities, and who have lower income and education. 30 , 31 Thus, the people who have the most potential to benefit from these tools are least likely to be using them.…”

Section: Introductionmentioning

confidence: 99%

Engaging primary care patients with existing online tools for weight loss: A pilot trial

McVay

Cooper

Donahue

et al. 2022

Obesity Science & Practice

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Objective: Free online tools show potential for promoting weight loss at a low cost, but there is limited evidence about how to effectively engage patients with them. To address this, a low-dose, flexible intervention was developed that aims to enhance weight-related discussions with primary care providers (PCPs) and engage patients with an organic (i.e., not researcher-created) weight loss-focused social media community and online self-monitoring tool. Feasibility and acceptability of the intervention was evaluated in a single-arm, 12-week pilot.Methods: PCPs were recruited at two clinics, then PCP's patients with upcoming appointments were identified and recruited. Patients received an interactive online kickoff before their scheduled primary care appointment, then 8 follow-up messages over 12 weeks via email or their electronic health record patient portal. Patients completed assessments at baseline, post-appointment, and week 12. Primary care providers and patients completed semi-structured interviews.Results: All PCPs approached enrolled (n = 6); patient recruitment was on track to meet the study goal prior to COVID-19 restrictions, and n = 27 patients enrolled.Patient satisfaction with the pre-appointment kickoff was high. Twenty-four patients reported discussing weight-related topics at their primary care appointment and all were satisfied with the discussion. Twenty-two patients completed 12-week assessments. Of these, 15 reported engaging with the self-monitoring tool and 9 with the social media community. Patient interviews revealed reasons for low social media community engagement, including perceived lack of fit. On average, patients with available data (n = 21) lost 2.4 � 4.1% of baseline weight, and 28.6% of these patients lost ≥3% of baseline weight. Primary care providers reported high intervention satisfaction. Conclusions:The intervention and trial design show potential, although additional strategies are needed to promote tool engagement.This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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Perceptions of social support for weight loss among patients in primary care

Cited by 5 publications

References 6 publications

Predictors of Weight Loss and Weight Gain in Weight Management Patients during the COVID-19 Pandemic

Predictors of Weight Loss and Weight Gain in Weight Management Patients during the COVID-19 Pandemic

Social Support for People with Morbid Obesity in a Bariatric Surgery Programme: A Qualitative Descriptive Study

Engaging primary care patients with existing online tools for weight loss: A pilot trial

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