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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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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 -