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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: A qualitative study comparing commercial and health service weight loss groups, classes and clubs
Author(s): Allan, Karen
Hoddinott, Pat
Avenell, Alison
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Keywords: commercial
health service
weight loss
Issue Date: Feb-2011
Date Deposited: 4-Apr-2014
Citation: Allan K, Hoddinott P & Avenell A (2011) A qualitative study comparing commercial and health service weight loss groups, classes and clubs. Journal of Human Nutrition and Dietetics, 24 (1), pp. 23-31.
Abstract: Background: Group-based interventions for weight loss are popular, however, little is known about how health service groups compare with the commercial sector, from either the participant or the group leader perspective. Currently health professionals have little guidance on how to deliver effective group interventions. The aim of this study was to compare and contrast leaders' and attendees' experiences of health service and commercial weight loss groups, through in-depth interviews and group observations. Methods: Purposive sampling, guided by a sampling frame, was employed to identify diverse groups operating in Scotland with differing content, structures and style. Data collection and analysis took place concurrently in accordance with a grounded theory approach. Thirteen semi-structured group observations and in-depth audio-recorded interviews with 11 leaders and 22 attendees were conducted. Identification of themes and the construction of matrices to identify data patterns were guided by the Framework Method for qualitative analysis. Results: Compared with commercial groups, health service "groups" or "classes" tended to offer smaller periodic fixed term groups, involving gatekeeper referral systems. Commercial organisations provide a fixed branded package, for "club" or "class" members and most commercial leaders share personal experiences of losing weight. Health service leaders had less opportunity for supervision, peer support or specific training in how to run their groups compared with commercial leaders Conclusions: Commercial and health service groups differ in access; attendee and leader autonomy; engagement in group processes; and approaches to leadership and training, which could influence weight loss outcomes. Health service groups can provide different group content and experiences particularly for those with chronic diseases and for populations less likely to attend commercial groups, like men.
DOI Link: 10.1111/j.1365-277X.2010.01110.x
Rights: Publisher policy allows this work to be made available in this repository. Published in Journal of Human Nutrition and Dietetics, Volume 24, Issue 1, pages 23–31, February 2011, by The British Dietetic Association Ltd/ Blackwell Publishing. DOI: 10.1111/j.1365-277X.2010.01110.x The definitive version is available at

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