How Group-Based Interventions Can Improve Services for People with Severe Obesity

被引：20

作者：

Swancutt, Dawn ^{[1
,2
]}

Tarrant, Mark ^{[3
]}

Pinkney, Jonathan ^{[1
,2
,4
]}

机构：

[1] Univ Plymouth, Peninsula Sch Med, ITTC Bldg,Plymouth Sci Pk, Plymouth PL6 8BX, Devon, England

[2] Univ Plymouth, Peninsula Sch Dent, ITTC Bldg,Plymouth Sci Pk, Plymouth PL6 8BX, Devon, England

[3] Univ Exeter, Coll Med & Hlth, Heavitree Rd, Exeter EX1 2LU, Devon, England

[4] Univ Med, Univ Hosp Plymouth NHS Trust, Level 7,Derriford Rd, Plymouth PL6 8DH, Devon, England

来源：

CURRENT OBESITY REPORTS | 2019年 / 8卷 / 03期

关键词：

Severe obesity; Group-based intervention; Tier; 3; Behaviour change; Weight management services; WEIGHT MANAGEMENT SERVICE; PHYSICAL-ACTIVITY; ADULTS;

D O I：

10.1007/s13679-019-00348-y

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose of ReviewRising demand for specialised Tier 3 weight management services in England is exceeding capacity, leading many services to offer group-based care programmes. This review considers the organisation of current provision, exploring how group programmes may enhance services and how these could be scaled up for wider implementation.Recent FindingsExisting group-based programmes mainly focus on providing patients with information and education about their condition. Evidence suggests that groups themselves offer therapeutic benefits beyond this, by underpinning patients' engagement with programme materials and contributing to wider health and well-being. To maximise these benefits, there is a need to attend to the group processes that emerge in treatment groups which, left unchecked, may limit or even adversely impact programme outcomes.SummaryGroup-based interventions may be of benefit to patients in Tier 3 specialist weight management services, although their format is complex and reliant on facilitators' expertise.

引用

页码：333 / 339

页数：7

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