Barriers and Facilitators to Engagement With a Weight Management Intervention in Asian Patients With Overweight or Obesity: A Systematic Review |
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| Institution: | 1. Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore;2. Yong Loo Lin School of Medicine, National University Singapore, Singapore;3. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University Singapore, Singapore;4. Division of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore;5. National University Centre for Organ Transplantation, National University Health System, Singapore;6. Department of Biosciences, School of Science, Indrashil University, Rajpur, Mehsana, Gujarat, India;7. Center for Biomedicine and Community Health, International School, Vietnam National University, Hanoi, Vietnam;8. Department of Natural Science and Technology, International School, Vietnam National University, Hanoi, Vietnam;9. Department of Endocrinology, National University Hospital, Singapore;10. Department of Cardiology, National University Heart Centre, National University Health System, Singapore;11. Faculty of Life Sciences and Medicine, School of Life Course Sciences, King''s College London, London, United Kingdom;12. Department of Endocrinology ASO/EASO COM, King''s College Hospital NHS Foundation Trust, Denmark Hill, London, United Kingdom;1. Mayo Clinic Department of Medicine, Division of Endocrinology, Diabetes, Nutrition Rochester, Minnesota;2. Midwest Endocrinology, Crystal Lake, Illinois;3. Mayo Clinic Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, Jacksonville, Florida;1. Endocrinology and Metabolism Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, México;2. Clinical Epidemiology Unit, Hospital Infantil Federico Gómez, Mexico City, México;3. Clinical Epidemiology Unit, UMAE, Hospital de Especialidades Centro Medico Siglo XXI, IMSS, Mexico City, México;4. Metabolic Diseases Research Unit, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, México;1. Department of Cardiology, National University Heart Centre, National University Hospital, Singapore;2. Yong Loo Lin School of Medicine, National University of Singapore, Singapore;3. Division of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore;4. National University Centre for Organ Transplantation, National University Health System, Singapore;5. Division of Endocrinology, Department of Medicine, National University Hospital, Singapore;6. Department of Cardiology, Ng Teng Fong General Hospital, Singapore;1. Department of Endocrinology and Metabolism, the Second Affiliated Hospital of Nanchang University, Nanchang, China;2. Institute for the Study of Endocrinology and Metabolism in Jiangxi Province, Nanchang, China;3. Branch of National Clinical Research Center for Metabolic Diseases, Nanchang, China;1. Division of Endocrinology, Cooper University Hospital and Cooper Medical School of Rowan University, Camden, New Jersey;2. Cooper Research Institute, Dallas, Texas;1. Nursing Department, Universitat Rovira Virgili, Campus Terres de l’Ebre, Avenue Remolins, Tarragona, Spain;2. Department of Health and Medical Science, Liwa College of Technology, Abu Dhabi, United Arab Emirates;3. Hospital de Tortosa Verge de la Cinta, Catalan Institute of Health, Pere Virgili Institute, Carretera Esplanetes, Tarragona, Spain |
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| Abstract: | ObjectiveThe obesity epidemic is a global health concern with Asian countries facing one of the most rapid rises in obesity rates. However, given the underwhelming long-term efficacy of weight loss strategies, especially in Asia, this review aimed to explore barriers and facilitators to weight management of patients with overweight and obesity in Asia.MethodsMedline, CINAHL, PsycINFO, and Web of Science were searched for articles discussing barriers and facilitators of treatment to obesity from the perspectives of both health care professionals (HCPs) and patients. Qualitative and mixed method studies from Asia were included. Key quotes were extracted, coded, and thematically analyzed according to the methodology of Thomas and Harden.ResultsA total of 26 articles were included in this review. From patient perspectives, 3 main themes were identified: factors influencing poor eating behavior, inhibiting lifestyle modifications, and facilitating lifestyle modifications. Patients highlighted several barriers including the lack of social support, physiologic limitations to exercise, and low health literacy. Rigid sociocultural norms and lack of accessible health care services, exercise facilities, and healthy food exacerbated the barriers. Facilitators to lifestyle modifications consisted of strong support systems and high health literacy. HCPs agreed that low health literacy, lack of social support, and patient motivation impeded patients’ weight loss attempts but were unaware of the other barriers they faced.ConclusionThere are discrepancies between ideas of barriers and facilitators of HCPs and patients. A mixture of population level, primary care, and personal interventions are required to address this disparity, and enhanced health literacy can improve weight loss outcomes. |
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| Keywords: | obesity management barriers facilitators qualitative review BMI"} {"#name":"keyword" "$":{"id":"kwrd0040"} "$$":[{"#name":"text" "_":"body mass index CASP"} {"#name":"keyword" "$":{"id":"kwrd0050"} "$$":[{"#name":"text" "_":"Critical Appraisal Skills Programme HCP"} {"#name":"keyword" "$":{"id":"kwrd0060"} "$$":[{"#name":"text" "_":"health care professional |
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