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Variations in weight management services in Scotland: a national survey of weight management provision

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Variations in weight management services in Scotland : a national survey of weight management provision. / Read, S; Logue, Jennifer.

In: Journal of Public Health, 17.09.2016, p. e325-e335.

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@article{1beef2f73ce941e496173f953a3c9419,
title = "Variations in weight management services in Scotland: a national survey of weight management provision",
abstract = "BackgroundDespite National guidance recommending their use, there is uncertainty regarding the best way to deliver weight management services across the UK and worldwide.MethodsTo ascertain access, provision and interventions used in lifestyle Tier 2 and specialist Tier 3 weight management services in Scotland, a survey was distributed to all mainland health boards covering pathways for referral, eligibility criteria, intervention format and definitions of attendance completion and adherence.ResultsNine Health boards provided information on their weight management services. The provision of services was low. Only four health boards offered services for those with a BMI 25–30 kg/m2. Lifestyle Tier 2 services were mainly weekly or fortnightly group sessions for 8–12 weeks delivered by dietitians or community workers. Specialist Tier 3 services were largely similar to lifestyle Tier 2 services. The provision of specialist interventions including pharmacotherapy, cognitive behavioural therapy sessions and low-calorie prescribed diets was low.ConclusionsThis national survey has illustrated large disparities in the provision of weight management across Scotland, a likely consequence of uncertainty regarding best practice. There is a clear requirement for the evaluation of existing services to identify those that lead to the largest improvements in health outcomes and are cost-effective.",
keywords = "obesity, service provision, survey, weight management",
author = "S Read and Jennifer Logue",
year = "2016",
month = sep,
day = "17",
doi = "10.1093/pubmed/fdv132",
language = "English",
pages = "e325--e335",
journal = "Journal of Public Health",
issn = "1741-3842",
publisher = "Oxford University Press",

}

RIS

TY - JOUR

T1 - Variations in weight management services in Scotland

T2 - a national survey of weight management provision

AU - Read, S

AU - Logue, Jennifer

PY - 2016/9/17

Y1 - 2016/9/17

N2 - BackgroundDespite National guidance recommending their use, there is uncertainty regarding the best way to deliver weight management services across the UK and worldwide.MethodsTo ascertain access, provision and interventions used in lifestyle Tier 2 and specialist Tier 3 weight management services in Scotland, a survey was distributed to all mainland health boards covering pathways for referral, eligibility criteria, intervention format and definitions of attendance completion and adherence.ResultsNine Health boards provided information on their weight management services. The provision of services was low. Only four health boards offered services for those with a BMI 25–30 kg/m2. Lifestyle Tier 2 services were mainly weekly or fortnightly group sessions for 8–12 weeks delivered by dietitians or community workers. Specialist Tier 3 services were largely similar to lifestyle Tier 2 services. The provision of specialist interventions including pharmacotherapy, cognitive behavioural therapy sessions and low-calorie prescribed diets was low.ConclusionsThis national survey has illustrated large disparities in the provision of weight management across Scotland, a likely consequence of uncertainty regarding best practice. There is a clear requirement for the evaluation of existing services to identify those that lead to the largest improvements in health outcomes and are cost-effective.

AB - BackgroundDespite National guidance recommending their use, there is uncertainty regarding the best way to deliver weight management services across the UK and worldwide.MethodsTo ascertain access, provision and interventions used in lifestyle Tier 2 and specialist Tier 3 weight management services in Scotland, a survey was distributed to all mainland health boards covering pathways for referral, eligibility criteria, intervention format and definitions of attendance completion and adherence.ResultsNine Health boards provided information on their weight management services. The provision of services was low. Only four health boards offered services for those with a BMI 25–30 kg/m2. Lifestyle Tier 2 services were mainly weekly or fortnightly group sessions for 8–12 weeks delivered by dietitians or community workers. Specialist Tier 3 services were largely similar to lifestyle Tier 2 services. The provision of specialist interventions including pharmacotherapy, cognitive behavioural therapy sessions and low-calorie prescribed diets was low.ConclusionsThis national survey has illustrated large disparities in the provision of weight management across Scotland, a likely consequence of uncertainty regarding best practice. There is a clear requirement for the evaluation of existing services to identify those that lead to the largest improvements in health outcomes and are cost-effective.

KW - obesity

KW - service provision

KW - survey

KW - weight management

U2 - 10.1093/pubmed/fdv132

DO - 10.1093/pubmed/fdv132

M3 - Journal article

C2 - 26386909

SP - e325-e335

JO - Journal of Public Health

JF - Journal of Public Health

SN - 1741-3842

ER -