Assessment and Management of Obesity and Self-Maintenance (AMOS): An Evaluation of a Rural, Regional Multidisciplinary Program.

Prior, SJ; Luccisano, SP; Kilpatrick, ML; Murfet, GO

Assessment and Management of Obesity and Self-Maintenance (AMOS): An Evaluation of a Rural, Regional Multidisciplinary Program.

Prior, SJ Luccisano, SP Kilpatrick, ML Murfet, GO

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Publisher:: MDPI AG
Publication Type:: Journal Article
Citation:: International Journal of Environmental Research and Public Health, 2022, 19, (19), pp. 1-17
Issue Date:: 2022-10-08

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Field	Value	Language
dc.contributor.author	Prior, SJ
dc.contributor.author	Luccisano, SP
dc.contributor.author	Kilpatrick, ML
dc.contributor.author	Murfet, GO
dc.date.accessioned	2022-10-26T03:30:30Z
dc.date.available	2022-10-06
dc.date.available	2022-10-26T03:30:30Z
dc.date.issued	2022-10-08
dc.identifier.citation	International Journal of Environmental Research and Public Health, 2022, 19, (19), pp. 1-17
dc.identifier.issn	1660-4601
dc.identifier.issn	1660-4601
dc.identifier.uri	http://hdl.handle.net/10453/162708
dc.description.abstract	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 experiences': 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.
dc.format	Electronic
dc.language	eng
dc.publisher	MDPI AG
dc.relation.ispartof	International Journal of Environmental Research and Public Health
dc.relation.isbasedon	10.3390/ijerph191912894
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	Copyright: © 2022 by the authors. 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/)
dc.subject.classification	Toxicology
dc.subject.mesh	Diabetes Mellitus, Type 2
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Humans
dc.subject.mesh	Obesity
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Rural Population
dc.subject.mesh	Self Care
dc.subject.mesh	Diabetes Mellitus, Type 2
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Humans
dc.subject.mesh	Obesity
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Rural Population
dc.subject.mesh	Self Care
dc.subject.mesh	Humans
dc.subject.mesh	Diabetes Mellitus, Type 2
dc.subject.mesh	Obesity
dc.subject.mesh	Self Care
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Rural Population
dc.subject.mesh	Health Services Accessibility
dc.title	Assessment and Management of Obesity and Self-Maintenance (AMOS): An Evaluation of a Rural, Regional Multidisciplinary Program.
dc.type	Journal Article
utslib.citation.volume	19
utslib.location.activity	Switzerland
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-10-26T03:30:28Z
pubs.issue	19
pubs.publication-status	Published
pubs.volume	19
utslib.citation.issue	19

Abstract:

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 experiences': 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.

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http://hdl.handle.net/10453/162708