Dahl-Larsen Rasmus, Jakobsen P R, Søndergaard Jens, Henriksen Jan Erik, Assing Hvidt Elisabeth
University of Southern Denmark, Odense, Denmark
University of Southern Denmark, Odense, Denmark.
BMJ Open. 2025 Jul 25;15(7):e093357. doi: 10.1136/bmjopen-2024-093357.
In this case study conducted in a Danish general practice, we aimed to explore how patients with obesity experience a novel treatment approach: group consultations (GCs) for weight loss, lifestyle changes and semaglutide treatment. To receive semaglutide treatment, patients were required to participate in GCs focused on lifestyle changes.
A qualitative study design comprising individual, semistructured interviews was used. Patients were asked to reflect on and describe their past experiences with participating in GCs. Thematic analysis was used as an analytical strategy.
A general practice located in a larger city in the Region of Southern Denmark.
12 patients (eight women and four men) with obesity, aged between 27 years and 69 years, who met the Danish obesity treatment criteria for semaglutide (body mass index over 30 kg/m or over 27 kg/m with comorbidities), were included. Data were collected from 1 November 2023 to 31 January 2024.
Before attending GCs, patients were worried about sharing personal information with other patients and losing their confidentiality. They also feared being judged by the others in the group, possibly due to previous experiences of stigmatisation. However, after participating in GCs, patients reported positive experiences with peer sharing, had no issues with confidentiality and found the consultations beneficial. Most patients indicated a preference for GCs over one-on-one consultations in the future.
Despite initial concerns about confidentiality and stigmatisation, patients ultimately had positive experiences and gained valuable peer support during group GCs in general practice. Various aspects of the group design, such as the hybrid consultation format and the role of the facilitator, may impact the effectiveness of peer support and influence patients' overall experience of GCs.
在丹麦一家普通诊所进行的本案例研究中，我们旨在探讨肥胖患者如何体验一种新的治疗方法：针对减肥、生活方式改变和司美格鲁肽治疗的小组咨询（GCs）。为了接受司美格鲁肽治疗，患者被要求参加专注于生活方式改变的GCs。
采用了包括个体半结构化访谈的定性研究设计。要求患者反思并描述他们过去参与GCs的经历。采用主题分析作为分析策略。
位于丹麦南部大区一个较大城市的一家普通诊所。
纳入了12名肥胖患者（8名女性和4名男性），年龄在27岁至69岁之间，符合丹麦司美格鲁肽肥胖治疗标准（体重指数超过30kg/m²或合并症时超过27kg/m²）。数据收集于2023年11月1日至2024年1月31日。
在参加GCs之前，患者担心与其他患者分享个人信息并失去保密性。他们还担心会受到小组中其他人的评判，这可能是由于以前的被污名化经历。然而，在参加GCs之后，患者报告了同伴分享的积极经历，没有保密性问题，并认为咨询有益。大多数患者表示未来更倾向于GCs而不是一对一咨询。
尽管最初担心保密性和被污名化，但患者最终在普通诊所的小组GCs中获得了积极体验并得到了宝贵的同伴支持。小组设计的各个方面，如混合咨询形式和促进者的角色，可能会影响同伴支持的效果并影响患者对GCs的整体体验。
