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

Author

Listed:
  • 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
    School of Public Health, University of Technology Sydney, Ultimo, NSW 2007, Australia)

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.

Suggested Citation

  • Sarah J. Prior & Sharon P. Luccisano & Michelle L. Kilpatrick & Giuliana O. Murfet, 2022. "Assessment and Management of Obesity and Self-Maintenance (AMOS): An Evaluation of a Rural, Regional Multidisciplinary Program," IJERPH, MDPI, vol. 19(19), pages 1-17, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12894-:d:936440
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