Abstract
Depression and obesity are two of the most highly prevalent global public health concerns. Obesity and poor mental health are strongly associated, and it is likely that mental health needs are common in people seeking weight management services. The aim was to identify what psychological support is provided and required in tier 2 adult weight management services (T2 WMS). Online survey was conducted: quantitative data were summarized, and open-ended free-text questions were coded and thematically analysed. Participants were current or recent service users with self-reported mental health needs (n = 27), commissioners (n = 9) or providers (n = 17). Over half of service users did not feel their mental health needs were met and 60% said they would like additional psychological support within T2 WMS. Findings highlight the lack of psychological and emotional support. Psychological support and behaviour change techniques are conflated, with a lack of clear understanding or definition of what psychological support is, either between or within service users, providers, and commissioners. Moving towards more person-centred care, better identification and triaging of those living with mental health issues, together with improved resources and training of providers, is crucial to improve outcomes for people living with obesity and poor mental health.
| Original language | English |
|---|---|
| Journal | Clinical obesity |
| DOIs | |
| Publication status | Accepted/In press - 2023 |
| Externally published | Yes |
Bibliographical note
Funding Information:All authors developed the protocol which was registered by Tamara Brown. All authors designed the survey questions, Jordan Marwood set up the survey via Qualtrics and collected the data. Jordan Marwood and Tamara Brown analysed the survey data. Authors from Leeds Beckett University interpreted the data. Jordan Marwood and Tamara Brown wrote the first draft of the paper, and all authors were involved in redrafting the paper and had final approval of the submitted and published versions. This work was funded by the Office for Health Improvement and Disparities.
Funding Information:
Jordan Marwood, Tamara Brown, Mariana Kaiseler, Kenneth Clare, and Louisa Jane Ells were funded by the Office for Health Improvement and Disparities to undertake this project. Jamie Blackshaw declares no conflict of interest. Tamara Brown holds an Academic honorary contract with Office for Health Improvement and Disparities 2022–2027. Tamara Brown has received consultancy fees from the British Dietetic Association General Education and the European Association for the Study of Obesity. Mariana Kaiseler declares no conflict of interest. Kenneth Clare receives consulting fees from Apollo Endosurgery, Inc. and Lilly. Kenneth Clare receives payment or honoraria for presentations, speaking, and educational events as a Member of Global Patient & Patient Organization Advisory Board for Obesity, Boehringer Ingelheim, and a Member of Patient Advisory Board for Novo Nordisk. Kenneth Clare receives support for attending meetings and travel as a Member of Global Patient & Patient Organization Advisory Board for Obesity, Boehringer Ingelheim and a Member of Patient Advisory Board for Novo Nordisk. Kenneth Clare participates on an Advisory board as a Member of Global Patient & Patient Organization Advisory Board for Obesity, Boehringer Ingelheim and a Member of Patient Advisory Board for Novo Nordisk. Kenneth Clare is Trustee for the Association for the Study of Obesity UK; Trustee for WLSinfo; Chair of the European Association for the Study of Obesity; and Director of Bariatric and Metabolic Surgery Services at Obesity UK. Alison Feeley is affiliated to the Office for Health Improvement and Disparities. Jordan Marwood is affiliated to the Office for Health Improvement and Disparities. Louisa Jane Ells holds grants for the National Institute for Health Research, Office for Health Improvement and Disparities and Leeds City Council. Louisa Jane Ells has received financial support (travel and accommodation) from the European Association for the Study of Obesity to teach at the ‘train the trainer’ event. Louisa Jane Ells is a specialist academic advisor to the Office of Health Improvement and Disparities.
Publisher Copyright:
© 2023 The Authors. Clinical Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation.
Keywords
- mental health
- psychological support
- weight management
