Dataset Information

Patients' experience of accessing healthcare for obesity in Peninsular Malaysia: a qualitative descriptive study.

ABSTRACT:

Objective

To explore patients' experiences accessing healthcare for obesity and their perceived behaviour changes following the care.

Design

Using a descriptive qualitative research approach informed by Levesque's framework of access to healthcare, we conducted phone interviews in the Malaysian language, which were audio-recorded and transcribed verbatim. Data were analysed inductively using a reflexive thematic analysis approach.

Setting

Primary care clinics in five states in Peninsular Malaysia.

Participants

Adult patients with obesity receiving face-to-face care for obesity from healthcare providers in Peninsular Malaysia.

Results

We interviewed 22 participants aged 24-62, with the majority being female (77%), Malay (95%), married (73%) and with tertiary education (82%). Most participants attended obesity management services at public primary care clinics. We identified five themes: (1) moving from perceiving the need to seeking obesity care is a non-linear process for patients, (2) providers' words can inspire patients to change, (3) patients' needs and preferences are not adequately addressed in current obesity care, (4) over-focusing on weight by patients and healthcare providers can lead to self-blame and loss of hope for patients and (5) obesity healthcare can have consequences beyond weight loss.

Conclusion

Patients lack the self-regulatory skills to continue their lifestyle changes and struggle with self-blame and hopelessness. Over-focusing on weight by patients and obesity healthcare increase patients' self-stigmatisation. While provider-initiated weight discussions and engaging and personalised consultation provide the initial step towards weight management, obesity healthcare could be enhanced by behavioural support and patient education on the complexity of obesity. Further considerations could be given to shifting from a weight-centric to a more holistic health-centred approach in obesity healthcare.

SUBMITTER: Yunus NA

PROVIDER: S-EPMC10668280 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature

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Publications

Patients' experience of accessing healthcare for obesity in Peninsular Malaysia: a qualitative descriptive study.

Yunus Nor Akma NA Russell Grant G Muhamad Rosediani R Sturgiss Elizabeth Ann EA

BMJ open 20231121 11

<h4>Objective</h4>To explore patients' experiences accessing healthcare for obesity and their perceived behaviour changes following the care.<h4>Design</h4>Using a descriptive qualitative research approach informed by Levesque's framework of access to healthcare, we conducted phone interviews in the Malaysian language, which were audio-recorded and transcribed verbatim. Data were analysed inductively using a reflexive thematic analysis approach.<h4>Setting</h4>Primary care clinics in five states ...[more]

PMID: 37989390

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Project description:BackgroundDespite the increasing incidence of aplastic anemia in China, few studies have explored its effect on the patients' quality of life from the perspective of these patients. In fact, patients with aplastic disorder live with the disease for a long time, and need to face a variety of difficult realities, including multiple disease symptoms and drug side effects, heavy burden of medical costs, difficulties in social reintegration, and negative emotional distress. Therefore, this study used descriptive qualitative research to explore the direct and rich quality-of-life experiences of patients with aplastic anemia.MethodsA total of 19 patients with aplastic anemia were recruited in this study using purposive sampling combined with maximum variation strategy. 5 of the patients with AA were from northern China, and the others were from southern China. Data were collected using semi-structured interviews and analyzed using the conventional content analysis method.ResultsThis study yielded important information about the experiences of patients with aplastic anemia in China. The content analysis method finally identified 3 themes and 9 sub-themes, including: physical symptoms (declining physical capacity, treatment-related symptoms, changes in body image), psychological symptoms (mood changes related to the stage of the disease, change in self-image, growth resulting from the disease experience), social burden (decline in career development, perceived burden to the family, social stigma). Patients with AA from different regions didn't show much difference in quality of life.ConclusionsAplastic anemia affects the physical, psychological, and social aspects of patients' lives. Therefore, health care providers need to consider the patients' physical response and psychological feelings to provide relevant medical guidance and multi-channel social support that would improve their confidence and quality of life.Clinical trial registrationName: Development and preliminary application of Quality of Life Scale for Patients with Aplastic Anemia. Number: ChiCTR2100047575. URL: http://www.chictr.org.cn/login.aspx?referurl=%2flistbycreater.aspx .

Dataset Information

Patients' experience of accessing healthcare for obesity in Peninsular Malaysia: a qualitative descriptive study.

Objective

Design

Setting

Participants

Results

Conclusion

Publications

Patients' experience of accessing healthcare for obesity in Peninsular Malaysia: a qualitative descriptive study.

Similar Datasets

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