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

Sarah J. Prior, Sharon P. Luccisano, Michelle L. Kilpatrick and Giuliana O. Murfet ()
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Sarah J. Prior: Tasmanian School of Medicine, University of Tasmania, Burnie, TAS 7320, Australia
Sharon P. Luccisano: Diabetes Centre, Tasmanian Health Service—North West, Burnie, TAS 7320, Australia
Michelle L. Kilpatrick: Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS 7000, Australia
Giuliana O. Murfet: Diabetes Centre, Tasmanian Health Service—North West, Burnie, TAS 7320, Australia

IJERPH, 2022, vol. 19, issue 19, 1-17

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.

Keywords: obesity care model; nurse practitioner; allied health; motivation for weight loss; barriers to obesity management; diabetes management (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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