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Multidisciplinary Approach to Obesity Management: A Case Report
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Understanding Primary Care Dietitians' Experiences and Perspectives on Weight Management Practice Using the COM-B
Amira Hassan1,2, Lynne Williams1,2,3, Megan E Rollo1
1Curtin School of Population Health, Curtin University, Bentley, Western Australia, Australia.
Summary
Understanding dietitian behavior in weight management is key. Interventions should target capability, opportunity, and motivation to improve practice and client outcomes.
Area of Science:
- Dietetics
- Behavioural Science
- Health Psychology
Background:
- Weight management is a primary focus in dietetic practice.
- Understanding the behavioral influences on dietitians is crucial for effective support.
- The Capability, Opportunity, Motivation-Behaviour (COM-B) model provides a framework for analyzing behavior.
Purpose of the Study:
- To explore the behavioral drivers influencing dietitians' weight management practice using the COM-B model.
- To identify factors related to capability, opportunity, and motivation that shape dietitian behavior.
Main Methods:
- Qualitative descriptive study with an interpretivist approach.
- Semi-structured interviews conducted with primary care dietitians in Australia.
- Content analysis of interview transcripts, mapped to the COM-B model.
Main Results:
- Dietitians showed understanding of weight management complexity and used holistic approaches but faced challenges with clients' psychosocial needs (Capability).
- System constraints and multidisciplinary environments impacted care, while digital solutions offered advantages (Opportunity).
- Strong professional drive and client-centered strategies characterized dietitian motivation (Motivation).
Conclusions:
- Targeted interventions are needed across all COM-B components to support dietitians.
- Enhancing capability through training, improving opportunity via digital integration, and sustaining motivation through clinical pathways are recommended.
- These strategies aim to improve dietitian practice and client-centered care in weight management.
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