300 Co-creating a weight management programme addressing patient reported barriers and enablers for weight loss. pilot study and service evaluation

Hadley-Barrows, T.; Jassall, J.; Johnson, A.; Singh Chugger, N.; Smith, C.; Moore, J.; Olomolaiye, B.; Stone, A.; Parker, L.; Jones, S.; Kaur Bassi, J.

Abstract

Purpose: Osteoarthritis is the most common form of arthritis and its prevalence is increasing. It is more common in women, people living in deprived areas, people aged 45 and over and people living with obesity.
NHS estimates suggest that currently 1 in 4 adults are living with obesity.
Obesity is reported to increase the risk of many health conditions including: type 2 diabetes, cardiovascular disease, cancers, joint and back pain.
It is suggested that OA deteriorates more quickly in people living with obesity.
National Institute for Clinical Excellence guidance recommend core treatments for OA: therapeutic exercise, weight management, information and support. Weight loss for patients overweight or obese is reported to improve quality of life, physical function and pain.
Weight management programmes support people to change their dietary and physical activity behaviours through education and behavioural change techniques, however it is reported less than 50% of attendees complete sessions or successfully achieve weight loss of 5%.
Patient perceived barriers and enablers to weight loss have not been fully explored in the literature.
This pilot study aimed to evaluate the effectiveness of using a community of practice and co-creation approach to address barriers and support enablers to weight management with evidence based key messages for patients with obesity and OA.
Methods: Patients with obesity, osteoarthritis and co-morbidities were identified via a patient search in the electronic patient record system and invited to attend a meeting to design a new weight management programme.
Primary care practitioners supporting patients with weight management including a physiotherapist, practice nurse, dietitian, pharmacist, GP and social prescriber were also invited.
Using a community of practice and co-creation approach, barriers and facilitators for weight loss were explored with all attendees and a new weight loss programme with proposed measures of success agreed.
Six, weekly interactive sessions included goal setting, education, advice and myth busting around OA, exercise, medications, obesity and genetics, behaviour change, healthy eating, overcoming barriers, community mental health support and physical activity opportunities.
Patients were reassessed one month after completion.
Results: 8 of 10 patient participants developed and completed the 6 weekly sessions.
6 of 10 completed full data collection, 2 were unable to attend final review due to holidays and adverse weather conditions.
All patients lost weight, reduced waist circumference and increased timed sit to stands in 30 seconds.
All except one patient reported improved scores in the PHQ-9 depression screening test.
Patient feedback comments:
‘Education is key! I have learnt so much thanks to all, it has been honestly life changing!!ʼ
‘Really informative and enjoyable. Presentation was very easy to follow and understand. Discussing everything afterwards helps with our mental wellbeingʼ
‘Access to information was excellent, opened pathways for further education for individual needsʼ
Conclusion(s): This small pilot suggests that a co-created weight loss programme addressing barriers and facilitators to weight loss is effective in the short term. Long term follow-up with further evaluation is planned.
Impact: Further work and evaluation with other long-term conditions, and culturally relevant translations of materials inclusive of all of our
communities are planned.

Citation

Hadley-Barrows, T., Jassall, J., Johnson, A., Singh Chugger, N., Smith, C., Moore, J., Olomolaiye, B., Stone, A., Parker, L., Jones, S., & Kaur Bassi, J. (2024, October). 300 Co-creating a weight management programme addressing patient reported barriers and enablers for weight loss. pilot study and service evaluation. Poster presented at CSP Annual Conference 2024, UK

• Presentation Conference Type: Poster
• Conference Name: CSP Annual Conference 2024
• Start Date: Oct 10, 2024
• End Date: Oct 12, 2024
• Acceptance Date: Mar 27, 2025
• Online Publication Date: Mar 27, 2025
• Publication Date: Mar 27, 2025
• Deposit Date: Apr 9, 2025
• Journal: Physiotherapy
• Print ISSN: 0031-9406
• Electronic ISSN: 1873-1465
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 126
• Issue: S1
• Article Number: 101581
• Pages: 93
• DOI: https://doi.org/10.1016/j.physio.2025.101581
• Public URL: https://keele-repository.worktribe.com/output/1192925
• Publisher URL: https://www.sciencedirect.com/science/article/pii/S0031940625001191?via%3Dihub