Research Article
A Decision Aid Intervention to Improve Decisions about Weight Management Referral in Primary Care: Development and Feasibility Study
| Ian Brown1* and Michelle Deighton2 | |
| 1Senior Clinical Lecturer, Sheffield Hallam University, Sheffield, UK | |
| 2Research Nurse, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK | |
| Corresponding Author : | Ian Brown Centre for Health and Social Care Research Sheffield Hallam University Sheffield S10 2BP, UK Tel: +44 114 225 5798 E-mail: ian.brown@shu.ac.uk |
| Received August 26, 2013; Accepted September 18, 2013; Published September 21, 2013 | |
| Citation: Brown I, Deighton M (2013) A Decision Aid Intervention to Improve Decisions about Weight Management Referral in Primary Care: Development and Feasibility Study. J Obes Weight Loss Ther 3:195. doi:10.4172/2165-7904.1000195 | |
| Copyright: © 2013 Brown I, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
Abstract
Patient non-attendance after referral to weight management support is a problem in routine health care. The decision making process prior to referral is a useful focus for research. The present study aimed to develop a patient decision aid intervention and to investigate patient and clinician perspectives on its acceptability and implementation in primary care. The content of a decision aid booklet was developed following in-depth interviews with 52 adults (mean age 56 years; 26 women, 26 men). The content was refined within a study of patients (n=21, 15 women) and clinicians (n=45) comprising doctors (n=12), nurses (n=15) and allied professions (n=18). An exploratory study of implementation was undertaken in primary care with feedback obtained from 18 patients (mean age 52 years; 12 women) and 5 nurses in relation to weight review consultations. Study findings show the weight management decision process is potentially complex and challenging to patients for both cognitive and social reasons. A decision aid developed to address patient needs was liked by patients and, to a lesser extent, by clinicians. The intervention was viewed as acceptable and feasible for implementation into routine practice. Active ingredients within a complex intervention appeared to be improvements in cognitive processing for patients but also improvements in rapport between patient and clinician. Further research should now evaluate outcomes including consultation rapport and patient attendance.
