Obesity Nutritional, Metabolic, Endocrine Obesity
Conditions
Interventions
After GPs have dealt with the participating patient’s original presenting complaint(s), and have confirmed the appropriateness of proceeding, they will briefly deliver one of two treatments, which the
Sponsors
University of Oxford
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Body mass index (BMI) >30 kg/m2 (or >25 kg/m2 for South Asian population groups) and excess body fat 2. Aged 18 years or over 3. Participant is willing and able to give informed consent for participation in the study and comply with study procedures.
Exclusion criteria
Exclusion criteria: 1. Pregnant or imminently intending to become pregnant 2. Persons with pacemakers or other electronic medical implants 3. Currently or within the past three months participated in a weight management programme (including pharmacotherapy or bariatric surgery) 4. Visiting the GP for weight management 5. GP deems it inappropriate to make an opportunistic intervention on weight management. This includes personal medical reasons known to the GP, such as an eating disorder, or reasons related to the consultation e.g. the patient has become distressed and it would seem insensitive to make such an intervention at this time. If the GP does not consider it appropriate, then the patient will not be enrolled and randomised into the trial (see section 7.5 Randomisation, blinding, and code breaking). 6. Unable to understand and speak English sufficiently to give informed consent and complete the research assessments
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Attendance at weight management programme assessed using participant report via telephone at 3 weeks after the consultation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Acceptance of GP referral immediately after the appointment, specifically whether they planned to attend the weight management programme in the immediate future (recorded immediately after the referral by the investigator). 2. Participants also rate the helpfulness and the appropriateness of the GP’s very brief intervention on five-item Likert-type scales. 3. Participants’ thoughts about the opportunistic intervention, (and the script specifically) that was delivered when they visited for reasons other than their weight. Also whether other styles may have resulted in a different reaction than the one experienced. This is assessed using a 3-week follow-up phone call via a semi-structured interview by the investigator. 4. GPs' thoughts and attitudes about the two brief intervention scripts. This will include exploring: why GPs felt as they did; whether other brief interventions might be more or less acceptable than the one they gave; and whether these interventions might be suitable for all people who are obese, or only those with relevant medical conditions. This is measured via a questionnaire pre- and post-intervention and a semi-structured interview up to 1 week post-intervention. 5. Comparison of the proportion of participants who attend a weight management programme in each treatment arm (basic cost vs cost comparison) at 3-week post-intervention follow-up. | — |
Countries
United Kingdom
Outcome results
None listed