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Assessment and management of obesity and self-maintenance (AMOS): an evaluation of a rural, regional multidisciplinary program


Prior, SJ and Luccisano, SP and Kilpatrick, ML and Murfet, GO, Assessment and management of obesity and self-maintenance (AMOS): an evaluation of a rural, regional multidisciplinary program, International Research Journal of Public Health, 19, (19) Article 12894. ISSN 1660-4601 (2022) [Refereed Article]

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© 2022 The authors. This article is distributed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license

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DOI: doi:10.3390/ijerph191912894


Obesity is common in rural areas, and reduced specialist healthcare access impedes its management. A pilot nurse-practitioner-led Assessment and Management of Obesity and Self-Maintenance (AMOS) Clinic focused on individualised obesity care in people living with type 2 diabetes delivered in a rural setting. This study aimed to explore participant and staff experiences of the multidisciplinary obesity clinic to identify barriers and facilitators to self-care, health, and well-being. A two-stage, mixed-method design was used. Initially, three focus groups involving a sample of AMOS participants and semi-structured staff interviews helped identify key barriers/facilitators. These findings informed a survey delivered to all AMOS participants. Qualitative data were analysed using an inductive two-step thematic networks technique to identify themes. Quantitative data were summarised using descriptive statistics. A total of 54 AMOS participants and 4 staff participated in the study. Four themes were identified to describe AMOS participant experiencesí: 1. affordability; 2. multidisciplinary care; 3. person-centred care; and 4. motivation. Specialised, multidisciplinary and individualised obesity care available through one clinic facilitated self-care and improved health and well-being. Dedicated multidisciplinary obesity clinics are recommended in rural and remote areas.

Item Details

Item Type:Refereed Article
Keywords:obesity care model; nurse practitioner; allied health; motivation for weight loss; barriers to obesity management; diabetes management
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Rural and remote health services
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Health system performance (incl. effectiveness of programs)
UTAS Author:Prior, SJ (Dr Sarah Prior)
UTAS Author:Kilpatrick, ML (Dr Michelle Kilpatrick)
ID Code:153827
Year Published:2022
Deposited By:Medicine
Deposited On:2022-10-09
Last Modified:2022-11-29

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