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HOMER, Catherine, KINSELLA, Karina, BROWN, Tamara, MARWOOD, Jordan, DREW, Kevin, RADLEY, Duncan, FREEMAN, Charlotte, OJO, Abimbola, TEKE, Jennifer, CLARE, Ken, BAKHAI, Chirag and ELLS, Louisa (2024). ‘Life changing or a failure’? Qualitative experiences of service users from the weight maintenance phase of the NHS Low Calorie Diet Programme pilot for type 2 diabetes. British Journal of Diabetes, 24.
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Homer 2024 Life changing or a failure Qualitative experiences of service users from the weight maintenance phase of the NHS Low Calorie Diet Programme pilot for type 2 diabetes.pdf - Published Version Creative Commons Attribution. Download (898kB) | Preview |
Abstract
Background: The weight maintenance phase of the NHS Low Calorie Diet (LCD) programme focuses on embedding long- term dietary and physical activity changes. Understanding individual experiences of this phase is crucial to exploring long- term effectiveness and equity of the intervention approach. Methods: This was a coproduced qualitative study underpinned by a realist informed approach, using interviews and photovoice techniques. Service users (n=25) of the NHS LCD programme were recruited from three delivery models, across 21 sites in England. Data were analysed using a thematic approach. Results: The experiences reported were largely positive, with many participants reporting changes in their diet and physical activity. Some service users expressed a need for additional support and there appeared variation in their experiences of the service providers and the wider available support network. Fear of weight regain and its glycaemic consequences was expressed by many; various mitigations were employed, including participating in other weight loss services and continuing use of Total Diet Replacement products. Conclusions: The NHS LCD programme has been life-changing for some people. However, service user insights suggest that a stronger person-centred focus might further improve effectiveness and service user experience.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | 1103 Clinical Sciences; Endocrinology & Metabolism; 3202 Clinical sciences; 4203 Health services and systems |
| Identification Number: | https://doi.org/10.15277/bjd.2024.432 |
| SWORD Depositor: | Symplectic Elements |
| Depositing User: | Symplectic Elements |
| Date Deposited: | 09 May 2024 11:22 |
| Last Modified: | 09 May 2024 13:09 |
| URI: | https://shura.shu.ac.uk/id/eprint/33695 |
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