Qualitative studies of obesity: A review of  methodology

Brown, Ian; Gould, Jill

doi:10.4236/health.2013.58a3010

Cited by 11 publications

(13 citation statements)

References 54 publications

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“…The researcher, a clinical psychologist specialized in qualitative methods, was familiar with the context. The transcription data were analysed using thematic content analysis [29].…”

Section: Data Collectionmentioning

confidence: 99%

A Qualitative Analysis of an Aerobic Interval Training Programme for Obese Outpatients Carried Out in a Hospital Context

Cabanillas-Cruz

López-Rodriguez

Romero‐Blanco

et al. 2020

IJERPH

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Purpose: To describe the experience of obese adults following participation in an indoor aerobic interval training (AIT) intervention. Methodology: Qualitative, in-depth semi-structured individual interviews, using phenomenology, with 24 obese adults (body mass index (BMI) ≥30 kg/m2) from the Endocrinology Department, at the Severo Ochoa Hospital in Leganés (Madrid). Questions were related to: (a) The physical activity (PA) programme, (b) their perspectives of the activity and exercise environment and (c) the perceived benefits from participation. Data were analysed with a constant comparison approach. Results: The main patients’ reasons for beginning the programme were motivations to take part including weight loss, health improvement and doctors’ recommendation. Also, patients showed doubts and feelings of apprehension at the beginning of the intervention. Patients highlighted the role of the instructor, feelings of exercising in a safe environment, a good intervention and accessibility of the facility. They reported an improvement in their quality of life and recommended continuing the program. Conclusions: (1) Common themes in the qualitative analysis included enjoyment of the activity and a desire to maintain physical fitness, (2) AIT was perceived as a suitable exercise programme for this population and (3) recommendations for further investigation to understand the role of PA programmes for people with obesity.

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“…The researcher, a clinical psychologist specialized in qualitative methods, was familiar with the context. The transcription data were analysed using thematic content analysis [29].…”

Section: Data Collectionmentioning

confidence: 99%

A Qualitative Analysis of an Aerobic Interval Training Programme for Obese Outpatients Carried Out in a Hospital Context

Cabanillas-Cruz

López-Rodriguez

Romero‐Blanco

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…Semistructured interviews prompts based on existing evidence, and the advanced interviewing techniques of the researches supported the collection of quality interview dialogue (35). Rigour was also enhance by addressing of methodological issues raised about previous studies with people with obesity (32).…”

Section: Methodsmentioning

confidence: 99%

Perceptions of clinical leaders and managers of inpatients with obesity in an Australian public health service

Qvist¹,

Pazsa²,

Hitch³

2021

J Hosp Manag Health Policy

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Background: In 2014-15, 63.4% of Australian adults were overweight or obese, with 25% categorized as obese. Internationally, people with obesity are reported to experience inadequate quality of care, increased length of stay, more adverse events and higher costs of care. There are unique challenges associated with ensuring this cohort is provided with safe care which promotes their personal dignity. The aim of this study was to describe the experience of clinical leaders and managers of care provision to people with obesity, during inpatient admissions to an Australian public health service.Methods: A purposive, convenience sampling method was utilised, resulting in the recruitment of 17 participants. Data was collected via semi-structured interviews in the workplace, which were all digitally recorded for verbatim transcription. All data was subjected to thematic analysis, with identified codes reorganised into overall themes.Results: Five overarching themes were identified, four of which are discussed in this publication. The main themes and subthemes were (I) resource allocation (incorporating inequality, economic resources, human resources and physical resources); (II) service context (incorporating understanding 'bariatric', physical/ built environment, staff knowledge and skills, and organisational culture; (III) care transitions (incorporating transitions in care, communication and organisational processes; and recommendations for best care for people with obesity. Conclusions:The experience and perceptions of participants reflect the issues they prioritised in their respective roles, and confirm that providing care for people with obesity has significant policy and practice implications. These issues cannot be considered in isolation, with significant overlap and interdependence was evident. Participants also described the positive outcomes and progress which could be achieved when organisations take direct action to improve the care they provide to people with obesity.

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“…Eligible patients were then invited to participate in one of six scheduled focus groups stratified by gender (self-identified as “male” or “female”). As obesity is a stigmatized condition [ 37 ], we anticipated that participants would be more comfortable in gender-specific groups [ 38 ]. We also attempted to stratify participants by referral/attendance to the MOVE!…”

Section: Methodsmentioning

confidence: 99%

Military service and other socioecological factors influencing weight and health behavior change in overweight and obese Veterans: a qualitative study to inform intervention development within primary care at the United States Veterans Health Administration

et al. 2016

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BackgroundObesity affects 37 % of patients at Veterans Health Administration (VHA) medical centers. The VHA offers an intensive weight management program (MOVE!) but less than 10 % of eligible patients ever attend. However, VHA patients see their primary care provider about 3.6 times per year, supporting the development of primary care-based weight management interventions. To address gaps in the literature regarding Veterans’ experiences with weight management and determine whether and how to develop a primary care-based weight management intervention to both improve obesity counseling and increase attendance to MOVE!, we conducted a qualitative study to assess: 1) Veterans’ personal experiences with healthy weight-related behavior change (including barriers and facilitators to behavior change and experiences with primary care providers, staff, and the MOVE! program), and 2) potential new approaches to improve weight management within primary care at the VHA including goal setting and technology.MethodsOverweight/obese VHA patients (aged 18–75, BMI greater than 30 or greater than 25 with at least 1 co-morbidity) were recruited for focus group sessions stratified by gender, MOVE! referral, and attendance. Each session was facilitated by a trained moderator, audio-recorded, and professionally transcribed. Using an iterative coding approach, two coders separately reviewed and coded transcripts, and met frequently to negotiate codes and synthesize emerging themes.ResultsOf 161 eligible patients, 54 attended one of 6 focus groups (2 female, 4 male, 9–11 participants per session): 63 % were male, 46 % identified as African-American, 32 % White/Caucasian, 74 % were college-educated or higher, and 61 % reported having attended MOVE!. We identified two major themes: Impact of Military Service and Promotion and Sustainability of Healthy Behaviors. After service in a highly structured military environment, Veterans had difficulty maintaining weight on their own. They perceived physical activity as having more impact than diet, but chronic pain was a barrier. We identified individual/interpersonal-, community/environment-, and healthcare system-related factors affecting healthy behaviors. We also received input about Veteran’s preferences and experiences with technology and setting health goals.ConclusionsUnique factors influence weight management in Veterans. Findings will inform development of a technology-assisted weight management intervention with tailored counseling and goal-setting within primary care at the VHA.

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Qualitative studies of obesity: A review of methodology

Cited by 11 publications

References 54 publications

A Qualitative Analysis of an Aerobic Interval Training Programme for Obese Outpatients Carried Out in a Hospital Context

A Qualitative Analysis of an Aerobic Interval Training Programme for Obese Outpatients Carried Out in a Hospital Context

Perceptions of clinical leaders and managers of inpatients with obesity in an Australian public health service

Military service and other socioecological factors influencing weight and health behavior change in overweight and obese Veterans: a qualitative study to inform intervention development within primary care at the United States Veterans Health Administration

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