Obesity

Barriers and Facilitators to Engagement With a Weight Management Intervention in Asian Patients With Overweight or Obesity: A Systematic Review

Endocr PractPublished Systematic review of qualitative and mixed method studies

Authors' conclusion

There are discrepancies between ideas of barriers and facilitators of HCPs and patients. A mixture of population level, primary care, and personal interventions are required to address this disparity, and enhanced health literacy can improve weight loss outcomes.

Study context

Population
Patients with overweight or obesity in Asia and health care professionals (HCPs); qualitative and mixed method studies from Asia26 articles
Outcome
Barriers and facilitators to weight management
Methodological detailsthematic synthesis (Thomas and Harden), Medline, CINAHL, PsycINFO and Web of Science searched
  • Thematic synthesis (Thomas and Harden)
  • Medline, CINAHL, PsycINFO and Web of Science searched

Pooled result

As reported in the abstract

  • Patient perspectives: 3 main themes — factors influencing poor eating behavior, inhibiting lifestyle modifications, and facilitating lifestyle modifications
  • Patient-reported barriers: lack of social support, physiologic limitations to exercise, low health literacy; exacerbated by rigid sociocultural norms and lack of accessible health care services, exercise facilities and healthy food
  • Facilitators: strong support systems and high health literacy
  • HCPs agreed low health literacy, lack of social support and patient motivation impeded weight loss but were unaware of the other barriers patients faced

Original publication

Barriers and Facilitators to Engagement With a Weight Management Intervention in Asian Patients With Overweight or Obesity: A Systematic Review. Endocr Pract. Published 15 November 2022. doi:10.1016/j.eprac.2022.10.006

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