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Dutch GPs' perspectives on addressing obesity: a qualitative study
Willemijn J van den Hout1, Marieke A Adriaanse2,3, Louise M Den Beer Poortugael2
1Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands w.j.van_den_hout@lumc.nl.
BJGP Open
|October 6, 2023
Summary
General practitioners (GPs) face barriers in discussing, diagnosing, and referring patients for obesity management. Tailored interventions addressing relationships, beliefs, and resources are crucial for effective primary care obesity management.
Area of Science:
- Primary Care Medicine
- Public Health
- Behavioral Science
Background:
- Obesity is a pandemic requiring early intervention in primary care.
- General Practitioners (GPs) often struggle with obesity management, showing low guideline adherence.
Purpose of the Study:
- To investigate Dutch GPs' views on addressing patient obesity.
- Focus on three key behaviors: weight discussion, diagnosis, and referral.
Main Methods:
- Qualitative focus group study with 21 GPs.
- Thematic analysis using deductive coding and the Theoretical Domains Framework (TDF).
Main Results:
- Barriers to discussing weight include unrelated complaints, fear of negative patient response, and topic sensitivity.
- Diagnosing obesity is hindered by lack of time and equipment.
- Referral barriers involve limited options and doubts about effectiveness.
- Trustworthy patient relationships facilitate weight discussions.
Conclusions:
- Specific barriers exist for discussing, diagnosing, and referring obesity.
- Interventions must be tailored to these behaviors.
- Addressing GPs' beliefs, fostering relationships, and improving resources are key, not just knowledge enhancement.
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