Evaluation of a community group weight management scheme: Are outcomes influenced by who delivers it?

Hdl Handle:
http://hdl.handle.net/10034/214215
Title:
Evaluation of a community group weight management scheme: Are outcomes influenced by who delivers it?
Authors:
Shotton, Dawn M.
Abstract:
This dissertation aimed to investigate if clinical outcomes, attendance rates and the demographics of patients vary according to the type of health worker who delivered a primary care group weight management scheme. An observational, retrospective evaluation: a before and after analysis of twelve week group weight management programmes. A dataset containing 974 suitable entries was examined according to three cohorts of primary care health workers; administrative assistants (AA), health care assistants (HCA) and nurses. Comparisons between these worker groups included: differences in worker outcomes for weight, waist circumference, body mass index (BMI), and blood pressure after 12 weeks; percentage attendance at week 12; gender, age, ethnicity and the registered general practice (GP) indices of multiple deprivation score (IMD) of patients who enrolled. Patients seen by personnel in health assistant roles lost more weight (-1kg, p=0.008) lowered their BMI (- 0.3 kg/m², p=0.008) and decreased their waist circumference (-2cm, p<0.001) significantly more than those seen by nurses. Poor data entry for blood pressure recordings hampered analysis of this outcome. Attendance was 38% and not significantly different between any workers (p=0.444). Those who completed the programme were predominantly white (99.5%) women (82%), significantly older (median age 61years compared to 57 years, p<0.001) and from GP practices with significantly lower IMD scores (27.3 compared to 31.5, p<0.001). Patient characteristics were generally similar, irrespective of the deliverer. Health care workers in supporting clinical roles were able to help patients achieve greater weight loss outcomes than nurses. High levels of erroneous and missing clinical data were problematic for less qualified deliverers and indicative of a lack of more advanced clinical abilities. High attrition and limited appeal were difficulties for all three health worker groups and jeopardised the overall efficacy of the scheme.
Advisors:
Fallows, Stephen
Publisher:
University of Chester
Publication Date:
2012
URI:
http://hdl.handle.net/10034/214215
Type:
Thesis or dissertation
Language:
en
Appears in Collections:
Masters Dissertations

Full metadata record

DC FieldValue Language
dc.contributor.advisorFallows, Stephenen_GB
dc.contributor.authorShotton, Dawn M.en_GB
dc.date.accessioned2012-03-05T13:54:30Zen
dc.date.available2012-03-05T13:54:30Zen
dc.date.issued2012en
dc.identifier.urihttp://hdl.handle.net/10034/214215en
dc.description.abstractThis dissertation aimed to investigate if clinical outcomes, attendance rates and the demographics of patients vary according to the type of health worker who delivered a primary care group weight management scheme. An observational, retrospective evaluation: a before and after analysis of twelve week group weight management programmes. A dataset containing 974 suitable entries was examined according to three cohorts of primary care health workers; administrative assistants (AA), health care assistants (HCA) and nurses. Comparisons between these worker groups included: differences in worker outcomes for weight, waist circumference, body mass index (BMI), and blood pressure after 12 weeks; percentage attendance at week 12; gender, age, ethnicity and the registered general practice (GP) indices of multiple deprivation score (IMD) of patients who enrolled. Patients seen by personnel in health assistant roles lost more weight (-1kg, p=0.008) lowered their BMI (- 0.3 kg/m², p=0.008) and decreased their waist circumference (-2cm, p<0.001) significantly more than those seen by nurses. Poor data entry for blood pressure recordings hampered analysis of this outcome. Attendance was 38% and not significantly different between any workers (p=0.444). Those who completed the programme were predominantly white (99.5%) women (82%), significantly older (median age 61years compared to 57 years, p<0.001) and from GP practices with significantly lower IMD scores (27.3 compared to 31.5, p<0.001). Patient characteristics were generally similar, irrespective of the deliverer. Health care workers in supporting clinical roles were able to help patients achieve greater weight loss outcomes than nurses. High levels of erroneous and missing clinical data were problematic for less qualified deliverers and indicative of a lack of more advanced clinical abilities. High attrition and limited appeal were difficulties for all three health worker groups and jeopardised the overall efficacy of the scheme.en_GB
dc.language.isoenen
dc.publisherUniversity of Chesteren
dc.subjectgroup interventionsen_GB
dc.subjectweight lossen_GB
dc.subjecthealth workersen_GB
dc.subjectefficacyen_GB
dc.titleEvaluation of a community group weight management scheme: Are outcomes influenced by who delivers it?en_GB
dc.typeThesis or dissertationen
dc.type.qualificationnameMScen
dc.type.qualificationlevelMasters Degreeen
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