Patients waitlisted for metabolic bariatric surgery in the Counties Manukau region wished that a more holistic, centralised weight management service was available, according to focus groups involving 21 individuals conducted between November and December 2023. Three main themes centering around service gaps were identified: 1) lack of treatment options and support; 2) weight-related stigma and shame; 3) psychological issues. Themes for an ideal weight management service were: 1) increased support from healthcare professionals; 2) group support; 3) funded weight loss medications and metabolic bariatric surgery; 4) a centre for weight management; 5) flexible programme formats and lengths. In addition to weight loss medications, the top ranked features of an ideal weight management service were peer support and health coach support. Authors noted that the study findings support the initial model of care for a recently initiated specialist weight management service based in Mangere (Te Mana ki Tua).
I have to say that I love that patients know more than I do about weight management – it’s an ever-changing area, new evidence appears each day and I can’t always keep on top of it. The themes presented here for people living in South Auckland align with the evidence and cost-effectiveness studies – start with multimodal interventions (combines diet, activity and psychosocial support) then medications then surgery. So, we should listen to our communities!
Independent commentary by Dr. Matire Hardwood
Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.
Research Review publications are intended for New Zealand health professionals.
Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.
