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Evaluation of an adult weight management service delivered by pharmacies and GP practices
Mills, Sarah
Mills, Sarah
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2011-10-10
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dissertation
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Abstract
This study aimed to determine whether an adult weight management programme delivered by pharmacies and GP practices in Birmingham was effective and if there was a difference between pharmacy and GP led programmes. In this repeated measures study (n=450) of a 12 week weight management programme consisting of weekly appointments and three follow up appointments delivered in pharmacies (n=183) and GP practices (n=267). Participants at baseline had a mean age of 42 (±12.4) years, and mean BMI of 34.5 (±6.0) kg/m² and were measured at baseline (n=450), 12 weeks (n=166) and 6 month follow up (n=82). Weight, BMI, waist circumference and quality of life (QoL) measurements were taken at each time point. Overall there was a significant decrease in weight (3.10kg (±4.32)), waist (6.20cm (±6.21)) and BMI (1.12kg/m² (±1.76)) between baseline and 12 weeks (p=0.000), and baseline and six month follow up (p=0.000). With 39% of participants losing more than 5% of their weight and 54% losing more than 5cm from their waist at 6 month follow up. QoL significantly increased between baseline and 12 weeks (p=0.000), and baseline and six month follow up (p=0.000). GP led programmes had a significantly (p=0.043) higher percentage weight loss than the pharmacy led programmes at 12 weeks. However, the pharmacy led programme demonstrated significant (p=0.009) weight loss between completing the 12 week programme and 6 month follow up, compared to the GP led programme where weight increased. The pharmacy led programme had a considerably higher retention rate and resulted in a 4.03%(±5.24) weight loss at follow up with significantly (p=0.019) more participants achieving more than 5% weight loss at the 6 month follow up compared with the GP led programme. The adult weight management programme is effective, resulting in a significant decrease in weight, BMI and waist circumference and a significant increase in quality of life at 12 weeks and maintained 6 months post intervention. The pharmacy led programme appears more effective than the GP led programme demonstrating a significantly greater retention rate with a significant percentage of participants maintaining their weight loss 6 months post intervention.
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University of Chester
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Thesis or dissertation
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en