Skip to main content
Top
Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

Developing dimensions for a multicomponent multidisciplinary approach to obesity management: a qualitative study

Authors: Anita J. Cochrane, Bob Dick, Neil A. King, Andrew P. Hills, David J. Kavanagh

Published in: BMC Public Health | Issue 1/2017

Login to get access

Abstract

Background

There have been consistent recommendations for multicomponent and multidisciplinary approaches for obesity management. However, there is no clear agreement on the components, disciplines or processes to be considered within such an approach.
In this study, we explored multicomponent and multidisciplinary approaches through an examination of knowledge, skills, beliefs, and recommendations of stakeholders involved in obesity management. These stakeholders included researchers, practitioners, educators, and patients.

Methods

We used qualitative action research methods, including convergent interviewing and observation, to assist the process of inquiry.

Results

The consensus was that a multicomponent and multidisciplinary approach should be based on four central meta-components (patient, practitioner, process, and environmental factors), and specific components of these factors were identified. Psychologists, dieticians, exercise physiologists and general practitioners were nominated as key practitioners to be included.

Conclusions

A complex condition like obesity requires that multiple components be addressed, and that both patients and multiple disciplines are involved in developing solutions. Implementing cycles of continuous improvement to deal with complexity, instead of trying to control for it, offers an effective way to deal with complex, changing multisystem problems like obesity.
Literature
3.
go back to reference National Health and Medical Research Council. In: DoHa A, editor. Clinical practice guidelines for the management of overweight or obesity in adults, adolescents and children in Australia. Australian Government: Canberra; 2013. p. 1–204. National Health and Medical Research Council. In: DoHa A, editor. Clinical practice guidelines for the management of overweight or obesity in adults, adolescents and children in Australia. Australian Government: Canberra; 2013. p. 1–204.
4.
go back to reference American Dietetic Association. Adult weight management evidence-based nutrition practice guideline: American Dietetic Association Evidence Analysis Library; 2012. American Dietetic Association. Adult weight management evidence-based nutrition practice guideline: American Dietetic Association Evidence Analysis Library; 2012.
6.
go back to reference Olds T, Maher C, Zumin S, Péneau S, Lioret S, Castetbon K, Bellisle, de Wilde J, Hohepa M, Maddison R, et al. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. Int J Pediatr Obes. 2011;6(5–6):342–60.CrossRefPubMed Olds T, Maher C, Zumin S, Péneau S, Lioret S, Castetbon K, Bellisle, de Wilde J, Hohepa M, Maddison R, et al. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. Int J Pediatr Obes. 2011;6(5–6):342–60.CrossRefPubMed
7.
go back to reference Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, Mullany EC, Biryukov S, Abbafati C, Abera SF, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014;384(9945):766–81.CrossRefPubMedPubMedCentral Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, Mullany EC, Biryukov S, Abbafati C, Abera SF, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014;384(9945):766–81.CrossRefPubMedPubMedCentral
8.
go back to reference Yaskin J, Toner RW, Goldfarb N. Obesity management interventions: a review of the evidence. Population Health Management. 2009;12(6):305–16.CrossRefPubMed Yaskin J, Toner RW, Goldfarb N. Obesity management interventions: a review of the evidence. Population Health Management. 2009;12(6):305–16.CrossRefPubMed
9.
go back to reference Laddu D, Dow C, Hingle M, Thomson C. Going S: a review of evidence-based strategies to treat obesity in adults. Nutr Clin Pract. 2011;26(5):512–25.CrossRefPubMed Laddu D, Dow C, Hingle M, Thomson C. Going S: a review of evidence-based strategies to treat obesity in adults. Nutr Clin Pract. 2011;26(5):512–25.CrossRefPubMed
10.
go back to reference NHMRC: Clinical practice guidelines for the management of overweight or obesity in adults, adolescents and children in Australia. In. Edited by Aging DoHa. Canberra: Australian Government; 2013: 1–204. NHMRC: Clinical practice guidelines for the management of overweight or obesity in adults, adolescents and children in Australia. In. Edited by Aging DoHa. Canberra: Australian Government; 2013: 1–204.
11.
go back to reference Beaulac J, Sandre D. Critical review of bariatric surgery, medically supervised diets, and behavioural interventions for weight management in adults. Perspectives in Public Health. 2017;47(137 (3)):162–72.CrossRef Beaulac J, Sandre D. Critical review of bariatric surgery, medically supervised diets, and behavioural interventions for weight management in adults. Perspectives in Public Health. 2017;47(137 (3)):162–72.CrossRef
12.
go back to reference Vioque J, Ramos JM, Navarrete-Muñoz EM, García-de-la-Hera M. A bibliometric study of scientific literature on obesity research in PubMed (1988-2007). Obesity Reviews: An Official Journal Of The International Association For The Study Of Obesity. 2010;11(8):603–11.CrossRef Vioque J, Ramos JM, Navarrete-Muñoz EM, García-de-la-Hera M. A bibliometric study of scientific literature on obesity research in PubMed (1988-2007). Obesity Reviews: An Official Journal Of The International Association For The Study Of Obesity. 2010;11(8):603–11.CrossRef
13.
go back to reference Flodgren G, Deane K, Dickinson HO, Kirk S, Alberti H, Beyer FR, Brown JG, Penney TL, Summerbell CD, Eccles MP. Interventions to change the behaviour of health professionals and the organisation of care to promote weight reduction in overweight and obese adults. Cochrane Database Syst Rev. 2010;3 Flodgren G, Deane K, Dickinson HO, Kirk S, Alberti H, Beyer FR, Brown JG, Penney TL, Summerbell CD, Eccles MP. Interventions to change the behaviour of health professionals and the organisation of care to promote weight reduction in overweight and obese adults. Cochrane Database Syst Rev. 2010;3
14.
go back to reference Roth A. What works for whom?: a critical review of psychotherapy research. New York: Guilford Press; 2006. Roth A. What works for whom?: a critical review of psychotherapy research. New York: Guilford Press; 2006.
15.
go back to reference Dietitians Association of Australia. DAA Best practice guidelines for the treatment of overweight and obesity in adults. Canberra: Dietitians Association of Australia; 2012. Dietitians Association of Australia. DAA Best practice guidelines for the treatment of overweight and obesity in adults. Canberra: Dietitians Association of Australia; 2012.
16.
go back to reference Green L. Public health asks of systems science: to advance our evidence-based practice, can you help us get more practice-based evidence? Am J Public Health. 2006;96(3):406–9.CrossRefPubMedPubMedCentral Green L. Public health asks of systems science: to advance our evidence-based practice, can you help us get more practice-based evidence? Am J Public Health. 2006;96(3):406–9.CrossRefPubMedPubMedCentral
17.
go back to reference Horn SD, DeJong G, Deutscher D. Practice-based evidence research in rehabilitation: an alternative to randomized controlled trials and traditional observational studies. Archives of Physical Medicine & Rehabilitation. 2012;93(8):S127–37.CrossRef Horn SD, DeJong G, Deutscher D. Practice-based evidence research in rehabilitation: an alternative to randomized controlled trials and traditional observational studies. Archives of Physical Medicine & Rehabilitation. 2012;93(8):S127–37.CrossRef
18.
go back to reference Parsonson BS. The case for practice-based evidence to support evidence-based practice. Journal Of Primary Health Care. 2012;4(2):98–9.PubMed Parsonson BS. The case for practice-based evidence to support evidence-based practice. Journal Of Primary Health Care. 2012;4(2):98–9.PubMed
19.
go back to reference Avenell A, Brown TJ, McGee MA, Campbell MK, Grant AM, Broom J, Jung RT, Smith WCS. What are the long-term benefits of weight reducing diets in adults? A systematic review of randomized controlled trials. Journal of Human Nutrition & Dietetics. 2004;17(4):317–35.CrossRef Avenell A, Brown TJ, McGee MA, Campbell MK, Grant AM, Broom J, Jung RT, Smith WCS. What are the long-term benefits of weight reducing diets in adults? A systematic review of randomized controlled trials. Journal of Human Nutrition & Dietetics. 2004;17(4):317–35.CrossRef
20.
go back to reference Jakicic JM, Tate DF, Lang W, Davis KK, Polzien K, Rickman AD, Erickson K, Neiberg RH, Finkelstein EA. Effect of a stepped-care intervention approach on weight loss in adults: a randomized clinical trial. JAMA. 2012;307(24):2617–26.CrossRefPubMedPubMedCentral Jakicic JM, Tate DF, Lang W, Davis KK, Polzien K, Rickman AD, Erickson K, Neiberg RH, Finkelstein EA. Effect of a stepped-care intervention approach on weight loss in adults: a randomized clinical trial. JAMA. 2012;307(24):2617–26.CrossRefPubMedPubMedCentral
21.
go back to reference NICE. NICE public health guidance 53. In: NICE: National Institute for Health, Excellence C, editors. Managing overweight or obesity in adults - lifestyle weight management services; 2014. p. 61. NICE. NICE public health guidance 53. In: NICE: National Institute for Health, Excellence C, editors. Managing overweight or obesity in adults - lifestyle weight management services; 2014. p. 61.
22.
go back to reference Germann JN. Comprehensive multidisciplinary program perspective. Obes Manag. 2009;5(1):14–6.CrossRef Germann JN. Comprehensive multidisciplinary program perspective. Obes Manag. 2009;5(1):14–6.CrossRef
23.
go back to reference Kirk SFL, Penney TL, McHugh T-L, Sharma AM. Effective weight management practice: a review of the lifestyle intervention evidence. Int J Obes. 2012;36:178–85.CrossRef Kirk SFL, Penney TL, McHugh T-L, Sharma AM. Effective weight management practice: a review of the lifestyle intervention evidence. Int J Obes. 2012;36:178–85.CrossRef
24.
go back to reference Grace C. A review of one-to-one dietetic obesity management in adults. Journal of Human Nutrition & Dietetics. 2011;24(1):13–22.CrossRef Grace C. A review of one-to-one dietetic obesity management in adults. Journal of Human Nutrition & Dietetics. 2011;24(1):13–22.CrossRef
25.
go back to reference American Dietetic Association. Position of the American dietetic association: weight management. J Am Diet Assoc. 2009;109(2):330–46.CrossRef American Dietetic Association. Position of the American dietetic association: weight management. J Am Diet Assoc. 2009;109(2):330–46.CrossRef
26.
go back to reference Hamid TKA. Thinking in circles about obesity: applying systems thinking to weight management. New York: Springer; 2009.CrossRef Hamid TKA. Thinking in circles about obesity: applying systems thinking to weight management. New York: Springer; 2009.CrossRef
27.
go back to reference Plsek PE, Greenhalgh T. Complexity science: the challenge of complexity in health care. BMJ: British Medical Journal (International Edition). 2001;323(7313):625.CrossRef Plsek PE, Greenhalgh T. Complexity science: the challenge of complexity in health care. BMJ: British Medical Journal (International Edition). 2001;323(7313):625.CrossRef
28.
go back to reference Johns DJ, Hartmann-Boyce J, Jebb SA, Aveyard P. Diet or exercise interventions vs combined behavioral weight management programs: a systematic review and meta-analysis of direct comparison. J Acad Nutr Diet. 2014;114(10):1557–68.CrossRefPubMedPubMedCentral Johns DJ, Hartmann-Boyce J, Jebb SA, Aveyard P. Diet or exercise interventions vs combined behavioral weight management programs: a systematic review and meta-analysis of direct comparison. J Acad Nutr Diet. 2014;114(10):1557–68.CrossRefPubMedPubMedCentral
29.
go back to reference Rudolph A, Hilbert A. Post-operative behavioural management in bariatric surgery: a systematic review and meta-analysis of randomized controlled trials. Obes Rev. 2013;14:292–302.CrossRefPubMed Rudolph A, Hilbert A. Post-operative behavioural management in bariatric surgery: a systematic review and meta-analysis of randomized controlled trials. Obes Rev. 2013;14:292–302.CrossRefPubMed
30.
go back to reference Freshwater D. In: Berkshire HI, editor. Action research for changing and improving practice. In: Qualitative research in health care. England: Open University press; 2005. p. 210–28. Freshwater D. In: Berkshire HI, editor. Action research for changing and improving practice. In: Qualitative research in health care. England: Open University press; 2005. p. 210–28.
31.
go back to reference Finegood DT. The importance of systems thinking to address obesity. Nestlé Nutrition Institute Workshop Series. 2012;73:123–37.CrossRefPubMed Finegood DT. The importance of systems thinking to address obesity. Nestlé Nutrition Institute Workshop Series. 2012;73:123–37.CrossRefPubMed
32.
go back to reference Fox NJ. Practice-based evidence: towards collaborative and transgressive research. Sociology. 2003;37(1):81–102.CrossRef Fox NJ. Practice-based evidence: towards collaborative and transgressive research. Sociology. 2003;37(1):81–102.CrossRef
33.
go back to reference Finegood DT, Merth TDN, Rutter H. Implications of the foresight obesity system map for solutions to childhood obesity. Obesity (19307381). 2010;18:S13–6.CrossRef Finegood DT, Merth TDN, Rutter H. Implications of the foresight obesity system map for solutions to childhood obesity. Obesity (19307381). 2010;18:S13–6.CrossRef
34.
go back to reference Rao S, Perry C. Convergent interviewing: a starting methodology for enterprise research programs. Qualitative Market Research. 2003;6(4):236–47.CrossRef Rao S, Perry C. Convergent interviewing: a starting methodology for enterprise research programs. Qualitative Market Research. 2003;6(4):236–47.CrossRef
35.
go back to reference Rao S, Perry C. Convergent interviewing: a starting methodology for enterprise research programs. In: Hine D, Northampton CD, editors. Innovative methodologies in enterprise research. Edn. Massachusetts, USA: Edward Elgar Publishing Limited; 2007. p. 86–100. Rao S, Perry C. Convergent interviewing: a starting methodology for enterprise research programs. In: Hine D, Northampton CD, editors. Innovative methodologies in enterprise research. Edn. Massachusetts, USA: Edward Elgar Publishing Limited; 2007. p. 86–100.
36.
go back to reference Attwater RC: Meta-methodology. In: The Sage encyclopaedia of action research edn. Edited by Coghlan D, Brydon Miller M. Los Angeles: Sage; 2014: 532–534. Attwater RC: Meta-methodology. In: The Sage encyclopaedia of action research edn. Edited by Coghlan D, Brydon Miller M. Los Angeles: Sage; 2014: 532–534.
37.
go back to reference Dick B: Convergent interviewing [On Line].2013. Dick B: Convergent interviewing [On Line].2013.
38.
go back to reference Driedger SM, Gallois C, Sanders CB, Santesso N. Finding common ground in team-based qualitative research using the convergent interviewing method. Qual Health Res. 2006;16(8):1145–57.CrossRefPubMed Driedger SM, Gallois C, Sanders CB, Santesso N. Finding common ground in team-based qualitative research using the convergent interviewing method. Qual Health Res. 2006;16(8):1145–57.CrossRefPubMed
39.
go back to reference Kelle U. A companion to qualitative research. In: Flick U, von Kardoff E, Steinke I, editors. Computer-assisted analysis of qualitative data. London: Sage Publications; 2004. p. 276–83. Kelle U. A companion to qualitative research. In: Flick U, von Kardoff E, Steinke I, editors. Computer-assisted analysis of qualitative data. London: Sage Publications; 2004. p. 276–83.
40.
go back to reference Dick B. Convergent interviewing (3rd version). Chapel Hill: Interchange; 1990. Dick B. Convergent interviewing (3rd version). Chapel Hill: Interchange; 1990.
41.
go back to reference Jepsen DM, Rodwell JJ. Convergent interviewing:a qualitative diagnostic technique for researchers. Management Research. 2008;31(9):650–8. Jepsen DM, Rodwell JJ. Convergent interviewing:a qualitative diagnostic technique for researchers. Management Research. 2008;31(9):650–8.
43.
go back to reference Riege AM, Nair G. The diversity of convergent interviewing applications for early researchers and postgraduate students. Mark Rev. 2004;4:73–85.CrossRef Riege AM, Nair G. The diversity of convergent interviewing applications for early researchers and postgraduate students. Mark Rev. 2004;4:73–85.CrossRef
44.
go back to reference Stringer ET, Dwyer R: Action research in human services. Upper Saddle River, New Jersey: Pearson Education; 2005. Stringer ET, Dwyer R: Action research in human services. Upper Saddle River, New Jersey: Pearson Education; 2005.
45.
go back to reference Bazeley P. Qualitative data analysis with nvivo. London: Sage Publications Ltd; 2007. Bazeley P. Qualitative data analysis with nvivo. London: Sage Publications Ltd; 2007.
46.
go back to reference Liamputtong P. Qualitative research methods. 3rd ed. Sydney: Oxford University Press; 2009. Liamputtong P. Qualitative research methods. 3rd ed. Sydney: Oxford University Press; 2009.
47.
go back to reference Sankaran S, Dick B. Linking theory and practice in project managmenet research using action-oriented methods. In: Pasian B, Smith K, editors. Methods, Designs and Practices for Research into Project Management. Aldershot, UK: Gower; 2015. p. 211–24. Sankaran S, Dick B. Linking theory and practice in project managmenet research using action-oriented methods. In: Pasian B, Smith K, editors. Methods, Designs and Practices for Research into Project Management. Aldershot, UK: Gower; 2015. p. 211–24.
48.
go back to reference Dunne C. The place of the literature review in grounded theory research. Int J Soc Res Methodol. 2011;14(2):111–24.CrossRef Dunne C. The place of the literature review in grounded theory research. Int J Soc Res Methodol. 2011;14(2):111–24.CrossRef
49.
go back to reference Mann T, Tomiyama AJ, Westling E, Lew A-M, Samuels B, Chatman J. Medicare's search for effective obesity treatments: diets are not the answer. Am Psychol. 2007;62(3):220–33.CrossRefPubMed Mann T, Tomiyama AJ, Westling E, Lew A-M, Samuels B, Chatman J. Medicare's search for effective obesity treatments: diets are not the answer. Am Psychol. 2007;62(3):220–33.CrossRefPubMed
50.
go back to reference Tsai AG, Wadden TA. Systematic review: an evaluation of major commercial weight loss programs in the United States. Ann Intern Med. 2005;142(1):56.CrossRefPubMed Tsai AG, Wadden TA. Systematic review: an evaluation of major commercial weight loss programs in the United States. Ann Intern Med. 2005;142(1):56.CrossRefPubMed
51.
52.
go back to reference Waters E, de Silva-Sanigorski A, Hall BJ, Brown T, Campbell KJ, Gao Y, Armstrong R, Prosser L, Summerbell CD. Interventions for preventing obesity in children. Cochrane Database Syst Rev. 2011;12 Waters E, de Silva-Sanigorski A, Hall BJ, Brown T, Campbell KJ, Gao Y, Armstrong R, Prosser L, Summerbell CD. Interventions for preventing obesity in children. Cochrane Database Syst Rev. 2011;12
53.
go back to reference Loveman E, Frampton G, Shepherd J, Picot J, Cooper K, Bryant J, Welch K, Clegg A. The clinical effectiveness and cost-effectiveness of long-term weight management schemes for adults: a systematic review. Health Technol Assess. 2011;15(2):1–182.CrossRef Loveman E, Frampton G, Shepherd J, Picot J, Cooper K, Bryant J, Welch K, Clegg A. The clinical effectiveness and cost-effectiveness of long-term weight management schemes for adults: a systematic review. Health Technol Assess. 2011;15(2):1–182.CrossRef
54.
go back to reference Collins CE, Warren J, Neve M, McCoy P, Stokes BJ. Measuring effectiveness of dietetic interventions in child obesity: a systematic review of randomized trials. Archives of Pediatrics & Adolescent Medicine. 2006;160(9):906–22.CrossRef Collins CE, Warren J, Neve M, McCoy P, Stokes BJ. Measuring effectiveness of dietetic interventions in child obesity: a systematic review of randomized trials. Archives of Pediatrics & Adolescent Medicine. 2006;160(9):906–22.CrossRef
55.
go back to reference Renders CM, Valk GD, Griffin S, Wagner EH, Eijk JT, Assendelft WJ. Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. Cochrane Database Of Systematic Reviews (Online). 2001;1:CD001481. Renders CM, Valk GD, Griffin S, Wagner EH, Eijk JT, Assendelft WJ. Interventions to improve the management of diabetes mellitus in primary care, outpatient and community settings. Cochrane Database Of Systematic Reviews (Online). 2001;1:CD001481.
56.
go back to reference Montes M-V, Kravitz L. Unraveling the stress-eating-obesity knot: exercise can significantly mitigate the effects of stress and weight gain. IDEA Fitness Journal. 2011;8(2):44–50. Montes M-V, Kravitz L. Unraveling the stress-eating-obesity knot: exercise can significantly mitigate the effects of stress and weight gain. IDEA Fitness Journal. 2011;8(2):44–50.
57.
58.
go back to reference Nauta H, Hospers HJ, Jansen A, Kok G. Cognitions in obese binge eaters and obese non-binge eaters. Cogn Ther Res. 2000;24(5):521–31.CrossRef Nauta H, Hospers HJ, Jansen A, Kok G. Cognitions in obese binge eaters and obese non-binge eaters. Cogn Ther Res. 2000;24(5):521–31.CrossRef
59.
go back to reference Needham BL, Epel ES, Adler NE, Kiefe C. Trajectories of change in obesity and symptoms of depression: the CARDIA study. Am J Public Health. 2010;100(6):1040–6.CrossRefPubMedPubMedCentral Needham BL, Epel ES, Adler NE, Kiefe C. Trajectories of change in obesity and symptoms of depression: the CARDIA study. Am J Public Health. 2010;100(6):1040–6.CrossRefPubMedPubMedCentral
60.
go back to reference Atlantis E, Ball K. Association between weight perception and psychological distress. Int J Obes. 2008;32(4):715–21.CrossRef Atlantis E, Ball K. Association between weight perception and psychological distress. Int J Obes. 2008;32(4):715–21.CrossRef
61.
go back to reference Perri MG, Nezu AM, McKelvey WF, Shermer RL, Renjilian DA, Viegener BJ. Relapse prevention training and problem-solving therapy in the long-term management of obesity. J Consult Clin Psychol. 2001;69(4):722–6.CrossRefPubMed Perri MG, Nezu AM, McKelvey WF, Shermer RL, Renjilian DA, Viegener BJ. Relapse prevention training and problem-solving therapy in the long-term management of obesity. J Consult Clin Psychol. 2001;69(4):722–6.CrossRefPubMed
62.
go back to reference Sutin AR, Ferrucci L, Zonderman AB, Terracciano A. Personality and obesity across the adult life span. J Pers Soc Psychol. 2011; Sutin AR, Ferrucci L, Zonderman AB, Terracciano A. Personality and obesity across the adult life span. J Pers Soc Psychol. 2011;
63.
go back to reference Dietitians Association of Australia. Best practice guidelines for the treatment of overweight and obesity in adults. Canberra: Dietitians Association of Australia (DAA); 2005. Dietitians Association of Australia. Best practice guidelines for the treatment of overweight and obesity in adults. Canberra: Dietitians Association of Australia (DAA); 2005.
64.
go back to reference Porter JS, Bean MK, Gerke CK, Stern M. Psychosocial factors and perspectives on weight gain and barriers to weight loss among adolescents enrolled in obesity treatment. J Clin Psychol Med Settings. 2010;17(2):98–102.CrossRefPubMed Porter JS, Bean MK, Gerke CK, Stern M. Psychosocial factors and perspectives on weight gain and barriers to weight loss among adolescents enrolled in obesity treatment. J Clin Psychol Med Settings. 2010;17(2):98–102.CrossRefPubMed
65.
go back to reference National Heart Lung and Blood Institute. The practical guide: identification, evaluation. In: And treatment of overweight and obesity in adults: National Institutes of Health; 2000. National Heart Lung and Blood Institute. The practical guide: identification, evaluation. In: And treatment of overweight and obesity in adults: National Institutes of Health; 2000.
66.
go back to reference Kohn M, Rees JM, Brill S, Fonseca H, Jacobson M, Katzman DK, Loghmani ES, Neumark-Sztainer D, Schneider M. Preventing and treating adolescent obesity: a position paper of the Society for Adolescent Medicine. J Adolesc Health. 2006;38(6):784–7.CrossRefPubMed Kohn M, Rees JM, Brill S, Fonseca H, Jacobson M, Katzman DK, Loghmani ES, Neumark-Sztainer D, Schneider M. Preventing and treating adolescent obesity: a position paper of the Society for Adolescent Medicine. J Adolesc Health. 2006;38(6):784–7.CrossRefPubMed
67.
go back to reference National Health and Medical Research Council. Australian dietary guidelines. In: DoHa A, editor. In. Australian Government: Canberra; 2012. National Health and Medical Research Council. Australian dietary guidelines. In: DoHa A, editor. In. Australian Government: Canberra; 2012.
68.
go back to reference Sung-Chan P, Sung YW, Zhao X, Brownson RC. Family-based models for childhood-obesity intervention: a systematic review of randomized controlled trials. Obes Rev. 2013;14(4):265–78.CrossRefPubMed Sung-Chan P, Sung YW, Zhao X, Brownson RC. Family-based models for childhood-obesity intervention: a systematic review of randomized controlled trials. Obes Rev. 2013;14(4):265–78.CrossRefPubMed
69.
go back to reference National Health and Medical Research Council: Clinical practice guidelines for the management of overweight and obesity in adults. In.: Commonwealth of Australia: National Health and Medical Research Council; 2003a. National Health and Medical Research Council: Clinical practice guidelines for the management of overweight and obesity in adults. In.: Commonwealth of Australia: National Health and Medical Research Council; 2003a.
70.
go back to reference National Health and Medical Research Council. NHMRC. In: Management of overweight and obesity in adults, adolescents and children: clinical practice guidelines for primary care health professionals (draft public consultation document); 2012. National Health and Medical Research Council. NHMRC. In: Management of overweight and obesity in adults, adolescents and children: clinical practice guidelines for primary care health professionals (draft public consultation document); 2012.
71.
go back to reference Turk MW, Yang K, Hravnak M, Sereika SM, Ewing LJ, Burke LE. Randomized clinical trials of weight loss maintenance: a review. J Cardiovasc Nurs. 2009;24(1):58–80.CrossRefPubMedPubMedCentral Turk MW, Yang K, Hravnak M, Sereika SM, Ewing LJ, Burke LE. Randomized clinical trials of weight loss maintenance: a review. J Cardiovasc Nurs. 2009;24(1):58–80.CrossRefPubMedPubMedCentral
72.
go back to reference Shaw KA, Gennat HC, O'Rourke P, Del Mar C: Exercise for overweight or obesity (review). In: The Cochrane Library. Vol. issue 1, 21.01.09 edn: Wiley; 2009: 1–108. Shaw KA, Gennat HC, O'Rourke P, Del Mar C: Exercise for overweight or obesity (review). In: The Cochrane Library. Vol. issue 1, 21.01.09 edn: Wiley; 2009: 1–108.
73.
go back to reference Avenell A, Brown TJ, McGee MA, Campbell MK, Grant AM, Broom J, Jung RT, Smith WCS. What interventions should we add to weight reducing diets in adults with obesity? A systematic review of randomized controlled trials of adding drug therapy, exercise, behaviour therapy or combinations of these interventions. Journal of Human Nutrition & Dietetics. 2004;17(4):293–316.CrossRef Avenell A, Brown TJ, McGee MA, Campbell MK, Grant AM, Broom J, Jung RT, Smith WCS. What interventions should we add to weight reducing diets in adults with obesity? A systematic review of randomized controlled trials of adding drug therapy, exercise, behaviour therapy or combinations of these interventions. Journal of Human Nutrition & Dietetics. 2004;17(4):293–316.CrossRef
74.
go back to reference Jeffery RW, Epstein LH, Wilson GT, Drewnowski A, Stunkard AJ, Wing RR. Long-term maintenance of weight loss: current status. Health Psychol. 2000;19(1):5–16.CrossRefPubMed Jeffery RW, Epstein LH, Wilson GT, Drewnowski A, Stunkard AJ, Wing RR. Long-term maintenance of weight loss: current status. Health Psychol. 2000;19(1):5–16.CrossRefPubMed
75.
go back to reference World Health Organisation. Expert report on diet, nutrition and the prevention of chronic diseases: report of the joint WHO/FAO expert consultation: Geneva: WHO; 2003. p. 1–149. World Health Organisation. Expert report on diet, nutrition and the prevention of chronic diseases: report of the joint WHO/FAO expert consultation: Geneva: WHO; 2003. p. 1–149.
76.
go back to reference National Health and Medical Research Council: A ‘state of the knowledge’ assessment of comprehensive interventions that address the drivers of obesity: Final report, a rapid assessment.2010. National Health and Medical Research Council: A ‘state of the knowledge’ assessment of comprehensive interventions that address the drivers of obesity: Final report, a rapid assessment.2010.
77.
go back to reference Butland B, Jebb S, Kopelman P, Thomas S, Mardell J, Parry V. Tackling obesities: future choices - foresight project report. London: government office for Science; 2007. Butland B, Jebb S, Kopelman P, Thomas S, Mardell J, Parry V. Tackling obesities: future choices - foresight project report. London: government office for Science; 2007.
78.
go back to reference Bulik CM. Midlife eating disorders: your journey to recovery. New York: Walker and Company; 2013. Bulik CM. Midlife eating disorders: your journey to recovery. New York: Walker and Company; 2013.
79.
go back to reference Hay PJ, Mond J, Buttner P, Darby A. Eating disorder behaviors are increasing: findings from two sequential community surveys in South Australia. PLoS Med. 2008;3(2):e1541.CrossRef Hay PJ, Mond J, Buttner P, Darby A. Eating disorder behaviors are increasing: findings from two sequential community surveys in South Australia. PLoS Med. 2008;3(2):e1541.CrossRef
80.
go back to reference Maddah M, Karandish M. Gender difference in obesity management among Iranian patients with metabolic syndrome. Int J Cardiol. 2011;148(1):109–10.CrossRefPubMed Maddah M, Karandish M. Gender difference in obesity management among Iranian patients with metabolic syndrome. Int J Cardiol. 2011;148(1):109–10.CrossRefPubMed
81.
go back to reference Vernay M, Malon A, Oleko A, Salanave B, Roudier C, Szego E, Deschamps V, Hercberg S, Castetbon K. Association of socioeconomic status with overall overweight andcentral obesity in men and women: the French nutrition and HealthSurvey 2006. BMC Public Health. 2009;9:215–22.CrossRefPubMedPubMedCentral Vernay M, Malon A, Oleko A, Salanave B, Roudier C, Szego E, Deschamps V, Hercberg S, Castetbon K. Association of socioeconomic status with overall overweight andcentral obesity in men and women: the French nutrition and HealthSurvey 2006. BMC Public Health. 2009;9:215–22.CrossRefPubMedPubMedCentral
82.
go back to reference Inelmen E, Toffanello E, Enzi G, Sergi G, Coin A, Busetto L, Manzato E. Differences in dietary patterns between older and younger obese and overweight outpatients. The Journal of Nutrition Health and Aging. 2008;12(1):3–8.CrossRef Inelmen E, Toffanello E, Enzi G, Sergi G, Coin A, Busetto L, Manzato E. Differences in dietary patterns between older and younger obese and overweight outpatients. The Journal of Nutrition Health and Aging. 2008;12(1):3–8.CrossRef
83.
go back to reference Duncan BL, Miller SD, Wampold BE, Hubble MA, editors. The heart and soul of change: what works in therapy. 2nd ed: Washington American psychological association; 2009. Duncan BL, Miller SD, Wampold BE, Hubble MA, editors. The heart and soul of change: what works in therapy. 2nd ed: Washington American psychological association; 2009.
84.
go back to reference Kreindler SA, Dowd DA, Dana Star N, Gottschalk T. Silos and social identity: the social identity approach as a framework for understanding and overcoming divisions in health care. Milbank Q. 2012;90(2):347–74.CrossRefPubMedPubMedCentral Kreindler SA, Dowd DA, Dana Star N, Gottschalk T. Silos and social identity: the social identity approach as a framework for understanding and overcoming divisions in health care. Milbank Q. 2012;90(2):347–74.CrossRefPubMedPubMedCentral
85.
go back to reference McNair R. Breaking down the silos: Interprofessional education and inter-professionalism for an effective rural health care workforce. In: National Rural Health Conference (9th) Alice Springs. National Rural Health Alliance: Northern Territory; 2005. McNair R. Breaking down the silos: Interprofessional education and inter-professionalism for an effective rural health care workforce. In: National Rural Health Conference (9th) Alice Springs. National Rural Health Alliance: Northern Territory; 2005.
86.
go back to reference Bammer G. Integration and implementation sciences: building a new specialization. Ecol Soc. 2005;10(2):78–103.CrossRef Bammer G. Integration and implementation sciences: building a new specialization. Ecol Soc. 2005;10(2):78–103.CrossRef
87.
go back to reference Duncan BL, Miller SD, Sparks JA. The heroic client. San Francisco: John Wiley and Sons; 2004. Duncan BL, Miller SD, Sparks JA. The heroic client. San Francisco: John Wiley and Sons; 2004.
88.
go back to reference Taber BJ, Leibert TW, Agaskar VR. Relationships among client–therapist personality congruence, working alliance, and therapeutic outcome. Psychotherapy. 2011;48(4):376–80.CrossRefPubMed Taber BJ, Leibert TW, Agaskar VR. Relationships among client–therapist personality congruence, working alliance, and therapeutic outcome. Psychotherapy. 2011;48(4):376–80.CrossRefPubMed
89.
go back to reference Sharf J, Primavera LH, Diener MJ. Dropout and therapeutic alliance: a meta-analysis of adult individual psychotherapy. Psychother Theory Res Pract Train. 2010;47(4):637–45.CrossRef Sharf J, Primavera LH, Diener MJ. Dropout and therapeutic alliance: a meta-analysis of adult individual psychotherapy. Psychother Theory Res Pract Train. 2010;47(4):637–45.CrossRef
90.
go back to reference Abramson R, Garg M, Meghreblian MJ. Behavior modification for obesity: effect of therapist-patient relationship. Psychosomatics. 1980;21(8):675–83.CrossRefPubMed Abramson R, Garg M, Meghreblian MJ. Behavior modification for obesity: effect of therapist-patient relationship. Psychosomatics. 1980;21(8):675–83.CrossRefPubMed
91.
go back to reference Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action: interventions that encourage people to acquire self-management skills are essential in chronic illness care. Health Aff. 2001;20(6):64–78.CrossRef Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. Improving chronic illness care: translating evidence into action: interventions that encourage people to acquire self-management skills are essential in chronic illness care. Health Aff. 2001;20(6):64–78.CrossRef
92.
go back to reference Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington: Institute of Medicine; 2001. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington: Institute of Medicine; 2001.
93.
go back to reference McGowan PT. Self-management education and support in chronic disease management. Primary Care. 2012;39(2):307–25.CrossRefPubMed McGowan PT. Self-management education and support in chronic disease management. Primary Care. 2012;39(2):307–25.CrossRefPubMed
94.
go back to reference Department of Health: WA chronic conditions self-management strategic framework 2011–2015. 2011. Department of Health: WA chronic conditions self-management strategic framework 2011–2015. 2011.
95.
go back to reference Lambert MJ, Garfield SL, Bergin AE: Overview, trends and future issues. In: Bergin and Garfield’s handbook of psychotherapy and behavior change 5th edn. Edited by Lambert MJ. New York Wiley; 2004: 805–819. Lambert MJ, Garfield SL, Bergin AE: Overview, trends and future issues. In: Bergin and Garfield’s handbook of psychotherapy and behavior change 5th edn. Edited by Lambert MJ. New York Wiley; 2004: 805–819.
96.
go back to reference Oandasan I, Baker GR, Barker K, Bosco C, D’Amour D, Jones L, Kimpton S, Lemieux-Charles L, Nasmith L, San Martin Rodriguez L, et al. Teamwork in healthcare: promoting effective teamwork in healthcare in Canada. Canadian Health Services Research Foundation: Ottawa; 2006. Oandasan I, Baker GR, Barker K, Bosco C, D’Amour D, Jones L, Kimpton S, Lemieux-Charles L, Nasmith L, San Martin Rodriguez L, et al. Teamwork in healthcare: promoting effective teamwork in healthcare in Canada. Canadian Health Services Research Foundation: Ottawa; 2006.
97.
go back to reference Dick B. Helping groups to be effective: skills, processes and concepts for group facilitation. 2nd ed. Chapel Hill: Interchange; 1991. Dick B. Helping groups to be effective: skills, processes and concepts for group facilitation. 2nd ed. Chapel Hill: Interchange; 1991.
98.
go back to reference Bovet P, Gervasoni J-P, Mkamba M, Balampama M, Lengeler C, Paccaud F. Go4it; study design of a randomised controlled trial and economic evaluation of a multidisciplinary group intervention for obese adolescents for prevention of diabetes mellitus type 2. BMC Public Health. 2008;8:410–5.CrossRef Bovet P, Gervasoni J-P, Mkamba M, Balampama M, Lengeler C, Paccaud F. Go4it; study design of a randomised controlled trial and economic evaluation of a multidisciplinary group intervention for obese adolescents for prevention of diabetes mellitus type 2. BMC Public Health. 2008;8:410–5.CrossRef
99.
go back to reference Donini LM, Savina C, Castellaneta E, Coletti C, Paolini M, Scavone L, Civale C, Ceccarelli P, Zaninotto S, Tineri M, et al. Multidisciplinary approach to obesity. Eating And Weight Disorders: EWD. 2009;14(1):23–32.CrossRefPubMed Donini LM, Savina C, Castellaneta E, Coletti C, Paolini M, Scavone L, Civale C, Ceccarelli P, Zaninotto S, Tineri M, et al. Multidisciplinary approach to obesity. Eating And Weight Disorders: EWD. 2009;14(1):23–32.CrossRefPubMed
100.
go back to reference Orchard CA, Curran V, Kabene S. Creating a culture for interdisciplinary collaborative professional practice. Medical Education Online. 2005;10:1–13.CrossRef Orchard CA, Curran V, Kabene S. Creating a culture for interdisciplinary collaborative professional practice. Medical Education Online. 2005;10:1–13.CrossRef
101.
go back to reference Ham C, Dixon A, Brooke B. Transforming the delivery of health and social care: the case for fundamental change. London: The King’s Fund; 2012. Ham C, Dixon A, Brooke B. Transforming the delivery of health and social care: the case for fundamental change. London: The King’s Fund; 2012.
102.
go back to reference Swinburn B, Sacks G, Hall K, McPherson K, Finegood D, Moodie M, Gortmaker S. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378(9793):804–14.CrossRefPubMed Swinburn B, Sacks G, Hall K, McPherson K, Finegood D, Moodie M, Gortmaker S. The global obesity pandemic: shaped by global drivers and local environments. Lancet. 2011;378(9793):804–14.CrossRefPubMed
103.
go back to reference Power ML. The human obesity epidemic, the mismatch paradigm, and our modern “captive” environment. American Journal of Human Biology: The Official Journal of the Human Biology Council. 2012;24(2):116–22.CrossRef Power ML. The human obesity epidemic, the mismatch paradigm, and our modern “captive” environment. American Journal of Human Biology: The Official Journal of the Human Biology Council. 2012;24(2):116–22.CrossRef
104.
go back to reference Vandenbroeck P, Goossens J, Clemens M. Foresight: tackling obesities: future choices - building the obesity system map. London: Worcestershire, United Kingdom: UK Department for Business Innovation and Skills (BIS), Government Office for Science; 2007. p. 80. Vandenbroeck P, Goossens J, Clemens M. Foresight: tackling obesities: future choices - building the obesity system map. London: Worcestershire, United Kingdom: UK Department for Business Innovation and Skills (BIS), Government Office for Science; 2007. p. 80.
105.
go back to reference Ulijaszek SJ. With the benefit of foresight: obesity, complexity and joine-up government. BioSocieties. 2015;10(2):213–28.CrossRef Ulijaszek SJ. With the benefit of foresight: obesity, complexity and joine-up government. BioSocieties. 2015;10(2):213–28.CrossRef
106.
go back to reference Rutter H. The single most important intervention to tackle obesity. International Journal of Public Health. 2012;57(4):657–8.CrossRefPubMed Rutter H. The single most important intervention to tackle obesity. International Journal of Public Health. 2012;57(4):657–8.CrossRefPubMed
107.
go back to reference Kelly SA, Melnyk BM. Systematic review of multicomponent interventions with overweight middle adolescents: implications for clinical practice and research. Worldviews Evid-Based Nurs. 2008;5(3):113–35.CrossRefPubMed Kelly SA, Melnyk BM. Systematic review of multicomponent interventions with overweight middle adolescents: implications for clinical practice and research. Worldviews Evid-Based Nurs. 2008;5(3):113–35.CrossRefPubMed
108.
go back to reference Tsui A. Spirit of science and socially responsible scholarship: Manag Organ Rev; 2013. Tsui A. Spirit of science and socially responsible scholarship: Manag Organ Rev; 2013.
109.
go back to reference Glaser BG. Basics of grounded theory analysis: emergence vs. forcing. Mill Valley, CA: Sociology press; 1992. Glaser BG. Basics of grounded theory analysis: emergence vs. forcing. Mill Valley, CA: Sociology press; 1992.
110.
go back to reference Dick B. What can action researchers learn from grounded theorists? Australian and New Zealand: ALARPM/SCIAR conference. Gold Coast; 2003. Dick B. What can action researchers learn from grounded theorists? Australian and New Zealand: ALARPM/SCIAR conference. Gold Coast; 2003.
111.
go back to reference McIntyre A. Participatory action research. Los Angeles: Sage Publications; 2008.CrossRef McIntyre A. Participatory action research. Los Angeles: Sage Publications; 2008.CrossRef
112.
go back to reference Brownlie D, Hewer P, Wagner B, Svensson G. Management theory and practice: bridging the gap through multidisciplinary lenses. Eur Bus Rev. 2008;20(6):461–70.CrossRef Brownlie D, Hewer P, Wagner B, Svensson G. Management theory and practice: bridging the gap through multidisciplinary lenses. Eur Bus Rev. 2008;20(6):461–70.CrossRef
113.
go back to reference Cooper Z, Fairburn CG, Hawker DM. Treatment of obesity: a clinician's guide. New York: The Guilford Press; 2004. Cooper Z, Fairburn CG, Hawker DM. Treatment of obesity: a clinician's guide. New York: The Guilford Press; 2004.
114.
go back to reference Stubbs J, Whybrow S, Teixeira P, Blundell J, Lawton C, Westenhoefer J, Engel D, Shepherd R, McConnon Á, Gilbert P, et al. Problems in identifying predictors and correlates of weight loss and maintenance: implications for weight control therapies based on behaviour change. Obes Rev. 2011;12(9):688–708.PubMed Stubbs J, Whybrow S, Teixeira P, Blundell J, Lawton C, Westenhoefer J, Engel D, Shepherd R, McConnon Á, Gilbert P, et al. Problems in identifying predictors and correlates of weight loss and maintenance: implications for weight control therapies based on behaviour change. Obes Rev. 2011;12(9):688–708.PubMed
115.
go back to reference Egger G, Binns A, Rossner S. Lifestyle medicine. Sydney: McGraw-Hill; 2008. Egger G, Binns A, Rossner S. Lifestyle medicine. Sydney: McGraw-Hill; 2008.
116.
go back to reference Ford ES, Mokdad AH. Epidemiology of obesity in the western hemisphere. J Clin Endocrinol Metab. 2008;93(11 Suppl 1):S1–8.CrossRefPubMed Ford ES, Mokdad AH. Epidemiology of obesity in the western hemisphere. J Clin Endocrinol Metab. 2008;93(11 Suppl 1):S1–8.CrossRefPubMed
117.
go back to reference Enwald HPK, Huotari M-LA: Preventing the obesity epidemic by second generation tailored health communication: an interdisciplinary review. J Med Internet Res 2010, 12(2):16–16. Enwald HPK, Huotari M-LA: Preventing the obesity epidemic by second generation tailored health communication: an interdisciplinary review. J Med Internet Res 2010, 12(2):16–16.
118.
go back to reference Gortmaker SL, Swinburn BA, Levy D, Carter R, Mabry PL, Finegood DT, Huang T, Marsh T, Moodie ML. Changing the future of obesity: science, policy, and action. Lancet. 2011;378(9793):838–47.CrossRefPubMedPubMedCentral Gortmaker SL, Swinburn BA, Levy D, Carter R, Mabry PL, Finegood DT, Huang T, Marsh T, Moodie ML. Changing the future of obesity: science, policy, and action. Lancet. 2011;378(9793):838–47.CrossRefPubMedPubMedCentral
119.
go back to reference National Health and Medical Research Council: National statement on ethical conduct in human research.2007. National Health and Medical Research Council: National statement on ethical conduct in human research.2007.
Metadata
Title
Developing dimensions for a multicomponent multidisciplinary approach to obesity management: a qualitative study
Authors
Anita J. Cochrane
Bob Dick
Neil A. King
Andrew P. Hills
David J. Kavanagh
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4834-2

Other articles of this Issue 1/2017

BMC Public Health 1/2017 Go to the issue