Socioeconomically disadvantaged adults are both more likely to be obese and have lower levels of health literacy. This trial evaluated the implementation and effectiveness of primary care nurses acting as prevention navigators to support obese patients with low health literacy to lose weight.
Mark Harris (CPHCE), Nigel Stocks (University of Adelaide)
Nighat Faruqi (CPHCE)
Catherine Spooner (CPHCE), Nouhad El-Haddad (CPHCE)
In Australia, obesity is one of the most significant problems facing the healthcare system. Obesity is common (27%) among patients presenting in Australian general practice. The Australian National
Health and Medical Research Council’s Clinical practice guidelines for the management of overweight and obesity in adults, adolescents and children in Australia (the Guidelines) make recommendations for obesity management in clinical practice. However, there is evidence that general practitioners (GPs) do not adequately implement these recommendations.
The Better Management of Weight in General Practice (BMWGP) study aimed to evaluate a multi-level intervention for obese patients with low health literacy attending primary health care. The intervention aimed to improve patients’ health literacy for weight management and assist them to attend community-based weight management lifestyle modification programs.
This was a cluster randomised trial with practices randomised to intervention and control groups. The study was conducted in 20 general practices in Sydney (with South West Sydney Medicare Local) and Adelaide (with Central Adelaide Hills Medicare Local) over 12 months from August 2014 to August 2015.
General practitioners and practice nurses were interviewed and completed a questionnaire at baseline and 12 months. Patients were surveyed by telephone at baseline and 6 and 12 months and a sample of patients were also interviewed at baseline and 12 months.
One practice nurse in each intervention practice were trained as Prevention Navigator to assist patients to attend community-based referral programs and services.
The practice level intervention involved:
Training materials for the intervention practices are available here.
The clinical level intervention involved:
All participants provided full informed consent. Ethics approval was granted by the UNSW Australia Human Research Ethics Advisory Panel (HREAP) (2014-7-05) and the University of Adelaide Human Research Ethics committee.
1. Faruqi N, Spooner C, Joshi C, Lloyd J, Dennis S, Stocks N, Taggart J, Harris M: Primary healthcare-level interventions improving health literacy for weight loss: A systematic review of the literature. BMC Obesity 2015, 2(6):6. DOI: 10.1186/s40608-015-0035-7
2. Faruqi N, Stocks N, Spooner C, Haddad Ne, Harris M: Research Protocol: Management of obesity in patients with low health literacy in primary health care. BMC Obesity 2015, 2(5):5. https://doi.org/10.1186/s40608-015-0036-6
Mark Harris Email: firstname.lastname@example.org