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“Dietitians May Only Have One Chance”—The Realities of Treating Obesity in Private Practice in Australia

Introduction: Overweight and obesity are the leading contributors to non-fatal burden of disease in Australia. Very low energy diets (VLEDs) comprising of meal replacement products (MRP) effectively induce substantial weight loss in people with obesity, yet they are rarely used as a first line treat...

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Autores principales: Harper, Claudia, Seimon, Radhika V., Sainsbury, Amanda, Maher, Judith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872301/
https://www.ncbi.nlm.nih.gov/pubmed/35207016
http://dx.doi.org/10.3390/healthcare10020404
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author Harper, Claudia
Seimon, Radhika V.
Sainsbury, Amanda
Maher, Judith
author_facet Harper, Claudia
Seimon, Radhika V.
Sainsbury, Amanda
Maher, Judith
author_sort Harper, Claudia
collection PubMed
description Introduction: Overweight and obesity are the leading contributors to non-fatal burden of disease in Australia. Very low energy diets (VLEDs) comprising of meal replacement products (MRP) effectively induce substantial weight loss in people with obesity, yet they are rarely used as a first line treatment. Dietitians in private practice are perfectly placed to administer treatments for obesity; however, little is known about the preferred interventions used or their attitudes to incorporating VLEDs and MRPs into their treatments for overweight and obesity. Methods: This study used descriptive qualitative methods to explore accredited practicing dietitians’ (APDs’) perspectives and practices regarding obesity and obesity interventions, including the use of VLEDs and MRPs. Qualitative in-depth semi-structured interviews were conducted with 20 dietitians who had experience in private practice and in treating obesity. Transcribed interviews were analysed thematically using the technique of template analysis. Results: In the context within which dietitians’ practice was found to be a barrier to using evidence-based practice (EBP) for obesity treatment, four overarching themes were found. These were: (1) patient-centred care is the dietitians’ preferred intervention model; (2) VLEDs promote weight loss in specific situations; (3) systemic barriers constrain effective dietetic practice and equitable access to all, and (4) successful outcomes are predicated on working outside of systemic barriers. Conclusion: Dietitians in private practice are well placed and able to provide life-enhancing and evidence-based treatments for overweight and obesity and associated chronic disease in the community. However, systemic barriers need to be addressed to provide equitable access to effective care irrespective of socio-economic status.
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spelling pubmed-88723012022-02-25 “Dietitians May Only Have One Chance”—The Realities of Treating Obesity in Private Practice in Australia Harper, Claudia Seimon, Radhika V. Sainsbury, Amanda Maher, Judith Healthcare (Basel) Article Introduction: Overweight and obesity are the leading contributors to non-fatal burden of disease in Australia. Very low energy diets (VLEDs) comprising of meal replacement products (MRP) effectively induce substantial weight loss in people with obesity, yet they are rarely used as a first line treatment. Dietitians in private practice are perfectly placed to administer treatments for obesity; however, little is known about the preferred interventions used or their attitudes to incorporating VLEDs and MRPs into their treatments for overweight and obesity. Methods: This study used descriptive qualitative methods to explore accredited practicing dietitians’ (APDs’) perspectives and practices regarding obesity and obesity interventions, including the use of VLEDs and MRPs. Qualitative in-depth semi-structured interviews were conducted with 20 dietitians who had experience in private practice and in treating obesity. Transcribed interviews were analysed thematically using the technique of template analysis. Results: In the context within which dietitians’ practice was found to be a barrier to using evidence-based practice (EBP) for obesity treatment, four overarching themes were found. These were: (1) patient-centred care is the dietitians’ preferred intervention model; (2) VLEDs promote weight loss in specific situations; (3) systemic barriers constrain effective dietetic practice and equitable access to all, and (4) successful outcomes are predicated on working outside of systemic barriers. Conclusion: Dietitians in private practice are well placed and able to provide life-enhancing and evidence-based treatments for overweight and obesity and associated chronic disease in the community. However, systemic barriers need to be addressed to provide equitable access to effective care irrespective of socio-economic status. MDPI 2022-02-21 /pmc/articles/PMC8872301/ /pubmed/35207016 http://dx.doi.org/10.3390/healthcare10020404 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Harper, Claudia
Seimon, Radhika V.
Sainsbury, Amanda
Maher, Judith
“Dietitians May Only Have One Chance”—The Realities of Treating Obesity in Private Practice in Australia
title “Dietitians May Only Have One Chance”—The Realities of Treating Obesity in Private Practice in Australia
title_full “Dietitians May Only Have One Chance”—The Realities of Treating Obesity in Private Practice in Australia
title_fullStr “Dietitians May Only Have One Chance”—The Realities of Treating Obesity in Private Practice in Australia
title_full_unstemmed “Dietitians May Only Have One Chance”—The Realities of Treating Obesity in Private Practice in Australia
title_short “Dietitians May Only Have One Chance”—The Realities of Treating Obesity in Private Practice in Australia
title_sort “dietitians may only have one chance”—the realities of treating obesity in private practice in australia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872301/
https://www.ncbi.nlm.nih.gov/pubmed/35207016
http://dx.doi.org/10.3390/healthcare10020404
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