Patient experiences of a lifestyle program for metabolic syndrome offered in family medicine clinics: a mixed methods study

BMC Family Practice
Jennifer KleinKhursheed Jeejeebhoy

Abstract

Patient perspectives on new programs to manage metabolic syndrome (MetS) are critical to evaluate for possible implementation in the primary healthcare system. Participants' perspectives were sought for the Canadian Health Advanced by Nutrition and Graded Exercise (CHANGE) study, which enrolled 293 participants, and demonstrated 19% reversal of MetS after 1 year. The main purpose of this study was to examine participants' perceptions of their experiences with the CHANGE program, enablers and barriers to change. A convergent parallel mixed methods design combined patients' perspectives collected by questionnaires (n = 164), with insights from focus groups (n = 41) from three sites across Canada. Qualitative data were thematically analyzed using interpretative description. Insights were organized within a socio-ecologic framework. Key aspects identified by participants included intra-individual factors (personal agency, increased time availability), inter-individual factors (trust, social aspects) and organizational factors (increased mental health support, tailored programs). Results revealed participants' overall support for the CHANGE program, especially the importance of an extended program under the guidance of a family phys...Continue Reading

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Citations

Jan 16, 2018·Primary Health Care Research & Development·Paula BrauerMaya Israeloff-Smith
Nov 19, 2019·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Jayson L AzziIsabelle Giroux
Aug 31, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Elin SalemonsenAnne Lise Holm
Nov 29, 2020·BMC Health Services Research·Rhiannon E HawkesDavid P French

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