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J Public Health (Oxf). 2016 Sep;38(3):e325-e335. Epub 2015 Sep 19.

Variations in weight management services in Scotland: a national survey of weight management provision.

Author information

1
Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow G12 9PP, UK.

Abstract

BACKGROUND:

Despite National guidance recommending their use, there is uncertainty regarding the best way to deliver weight management services across the UK and worldwide.

METHODS:

To ascertain access, provision and interventions used in lifestyle Tier 2 and specialist Tier 3 weight management services in Scotland, a survey was distributed to all mainland health boards covering pathways for referral, eligibility criteria, intervention format and definitions of attendance completion and adherence.

RESULTS:

Nine Health boards provided information on their weight management services. The provision of services was low. Only four health boards offered services for those with a BMI 25-30 kg/m2. Lifestyle Tier 2 services were mainly weekly or fortnightly group sessions for 8-12 weeks delivered by dietitians or community workers. Specialist Tier 3 services were largely similar to lifestyle Tier 2 services. The provision of specialist interventions including pharmacotherapy, cognitive behavioural therapy sessions and low-calorie prescribed diets was low.

CONCLUSIONS:

This national survey has illustrated large disparities in the provision of weight management across Scotland, a likely consequence of uncertainty regarding best practice. There is a clear requirement for the evaluation of existing services to identify those that lead to the largest improvements in health outcomes and are cost-effective.

KEYWORDS:

obesity; service provision; survey; weight management

PMID:
26386909
DOI:
10.1093/pubmed/fdv132
[Indexed for MEDLINE]

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