Bowie Owen, Kusch Jennifer, Morris George L, Flood Tracy, Gill Jessica, Walker Renee E, Cisler Ron A, Fink Jennifer T
College of Health Sciences, University of Wisconsin-Milwaukee, Milwaukee, WI.
School of Health Sciences, Milwaukee Area Technical College, Milwaukee, WI.
J Patient Cent Res Rev. 2018 Oct 29;5(4):287-297. doi: 10.17294/2330-0698.1643. eCollection 2018 Fall.
The primary aim of this study was to assess the perceptions of local African American women who are overweight or obese using semi-structured focus groups to identify barriers to weight management and factors that support strategy success. The secondary aim of this study was to determine recommendations for patient-centered weight management interventions established specifically for African American women in the Milwaukee-area community.
Three semi-structured focus groups to explore barriers to weight management were performed among women patients. Participants (N=41) were recruited via email, postal mail, and phone as available from an academic medical center in Milwaukee, Wisconsin. Focus group discussions were transcribed verbatim, reviewed by the study team, and coded based on recurring themes within and across interviews. Responses were analyzed by frequency of occurrence using qualitative computer software.
Five primary barriers to weight management were identified from focus groups: food choices, lifestyle changes, social support, locus of control, and health education. Based on participant reports, improvements to present practice and health literacy for patients may be merited. There was expressed interest by patients for being involved in future research and development of patient-centered interventions.
This study provides support for the use of a community-based participatory research approach in determining appropriate considerations for weight management interventions suitable for this patient population. Future research should include stakeholders not included in this study, such as community organization leaders, and primary care physicians to develop a refined intervention targeting the primary barriers to weight management.
本研究的主要目的是通过半结构化焦点小组来评估当地超重或肥胖的非裔美国女性的看法，以确定体重管理的障碍以及支持策略成功的因素。本研究的次要目的是确定专门为密尔沃基地区社区的非裔美国女性制定的以患者为中心的体重管理干预措施的建议。
在女性患者中进行了三个探索体重管理障碍的半结构化焦点小组。参与者（N = 41）通过电子邮件、邮政信件和电话从威斯康星州密尔沃基的一家学术医疗中心招募，视情况而定。焦点小组讨论逐字记录，由研究团队审查，并根据访谈中反复出现的主题进行编码。使用定性计算机软件按出现频率分析回答。
从焦点小组中确定了体重管理的五个主要障碍：食物选择、生活方式改变、社会支持、控制点和健康教育。根据参与者的报告，可能值得改进当前针对患者的实践和健康素养。患者表示有兴趣参与未来以患者为中心的干预措施的研究和开发。
本研究为使用基于社区的参与性研究方法来确定适合该患者群体的体重管理干预措施的适当考虑因素提供了支持。未来的研究应纳入本研究未包括的利益相关者，如社区组织领导人以及初级保健医生，以制定针对体重管理主要障碍的精细干预措施。
