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The lived experience of people with obesity: study protocol for a systematic review and synthesis of qualitative studies

Emma farrell.

1 School of Education, University College Dublin, Belfield, Dublin 4, Ireland

Marta Bustillo

2 University College Dublin Library, Dublin, Ireland

Carel W. le Roux

3 Diabetes Complications Research Centre, University College Dublin, Dublin, Ireland

Joe Nadglowski

4 Obesity Action Coalition, Tampa, USA

Eva Hollmann

Deirdre mcgillicuddy, associated data.

Not applicable.

Obesity is a prevalent, complex, progressive and relapsing chronic disease characterised by abnormal or excessive body fat that impairs health and quality of life. It affects more than 650 million adults worldwide and is associated with a range of health complications. Qualitative research plays a key role in understanding patient experiences and the factors that facilitate or hinder the effectiveness of health interventions. This review aims to systematically locate, assess and synthesise qualitative studies in order to develop a more comprehensive understanding of the lived experience of people with obesity.

This is a protocol for a qualitative evidence synthesis of the lived experience of people with obesity. A defined search strategy will be employed in conducting a comprehensive literature search of the following databases: PubMed, Embase, PsycInfo, PsycArticles and Dimensions (from 2011 onwards). Qualitative studies focusing on the lived experience of adults with obesity (BMI >30) will be included. Two reviewers will independently screen all citations, abstracts and full-text articles and abstract data. The quality of included studies will be appraised using the critical appraisal skills programme (CASP) criteria. Thematic synthesis will be conducted on all of the included studies. Confidence in the review findings will be assessed using GRADE CERQual.

The findings from this synthesis will be used to inform the EU Innovative Medicines Initiative (IMI)-funded SOPHIA (Stratification of Obesity Phenotypes to Optimize Future Obesity Therapy) study. The objective of SOPHIA is to optimise future obesity treatment and stimulate a new narrative, understanding and vocabulary around obesity as a set of complex and chronic diseases. The findings will also be useful to health care providers and policy makers who seek to understand the experience of those with obesity.

Systematic review registration

PROSPERO CRD42020214560 .

Supplementary Information

The online version contains supplementary material available at 10.1186/s13643-021-01706-5.

Obesity is a complex chronic disease in which abnormal or excess body fat (adiposity) impairs health and quality of life, increases the risk of long-term medical complications and reduces lifespan [ 1 ]. Operationally defined in epidemiological and population studies as a body mass index (BMI) greater than or equal to 30, obesity affects more than 650 million adults worldwide [ 2 ]. Its prevalence has almost tripled between 1975 and 2016, and, globally, there are now more people with obesity than people classified as underweight [ 2 ].

Obesity is caused by the complex interplay of multiple genetic, metabolic, behavioural and environmental factors, with the latter thought to be the proximate factor which enabled the substantial rise in the prevalence of obesity in recent decades [ 3 , 4 ]. This increased prevalence has resulted in obesity becoming a major public health issue with a resulting growth in health care and economic costs [ 5 , 6 ]. At a population level, health complications from excess body fat increase as BMI increases [ 7 ]. At the individual level, health complications occur due to a variety of factors such as distribution of adiposity, environment, genetic, biologic and socioeconomic factors [ 8 ]. These health complications include type 2 diabetes [ 9 ], gallbladder disease [ 10 ] and non-alcoholic fatty liver disease [ 11 ]. Excess body fat can also place an individual at increased cardiometabolic and cancer risk [ 12 – 14 ] with an estimated 20% of all cancers attributed to obesity [ 15 ].

Although first recognised as a disease by the American Medical Association in 2013 [ 16 ], the dominant cultural narrative continues to present obesity as a failure of willpower. People with obesity are positioned as personally responsible for their weight. This, combined with the moralisation of health behaviours and the widespread association between thinness, self-control and success, has resulted in those who fail to live up to this cultural ideal being subject to weight bias, stigma and discrimination [ 17 – 19 ]. Weight bias, stigma and discrimination have been found to contribute, independent of weight or BMI, to increased morbidity or mortality [ 20 ].

Thomas et al. [ 21 ] highlighted, more than a decade ago, the need to rethink how we approach obesity so as not to perpetuate damaging stereotypes at a societal level. Obesity research then, as now, largely focused on measurable outcomes and quantifiable terms such as body mass index [ 22 , 23 ]. Qualitative research approaches play a key role in understanding patient experiences, how factors facilitate or hinder the effectiveness of interventions and how the processes of interventions are perceived and implemented by users [ 24 ]. Studies adopting qualitative approaches have been shown to deliver a greater depth of understanding of complex and socially mediated diseases such as obesity [ 25 ]. In spite of an increasing recognition of the integral role of patient experience in health research [ 25 , 26 ], the voices of patients remain largely underrepresented in obesity research [ 27 , 28 ].

Systematic reviews and syntheses of qualitative studies are recognised as a useful contribution to evidence and policy development [ 29 ]. To the best of the authors’ knowledge, this will be the first systematic review and synthesis of qualitative studies focusing on the lived experience of people with obesity. While systematic reviews have been carried out on patient experiences of treatments such as behavioural management [ 30 ] and bariatric surgery [ 31 ], this review and synthesis will be the first to focus on the experience of living with obesity rather than patient experiences of particular treatments or interventions. This focus represents a growing awareness that ‘patients have a specific expertise and knowledge derived from lived experience’ and that understanding lived experience can help ‘make healthcare both effective and more efficient’ [ 32 ].

This paper outlines a protocol for the systematic review of qualitative studies based on the lived experience of people with obesity. The findings of this review will be synthesised in order to develop an overview of the lived experience of patients with obesity. It will look, in particular, at patient concerns around the risks of obesity and their aspirations for response to obesity treatment.

The review protocol has been registered within the PROSPERO database (registration number: CRD42020214560) and is being reported in accordance with the reporting guidance provided in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) statement [ 33 , 34 ] (see checklist in Additional file  1 ).

Information sources and search strategy

The primary source of literature will be a structured search of the following electronic databases (from January 2011 onwards—to encompass the increase in research focused on patient experience observed over the last 10 years): PubMed, Embase, PsycInfo, PsycArticles and Dimensions. There is no methodological agreement as to how many search terms or databases out to be searched as part of a ‘good’ qualitative synthesis (Toye et al. [ 35 ]). However, the breadth and depth of the search terms, the inclusion of clinical and personal language and the variety within the selected databases, which cover areas such as medicine, nursing, psychology and sociology, will position this qualitative synthesis as comprehensive. Grey literature will not be included in this study as its purpose is to conduct a comprehensive review of peer-reviewed primary research. The study’s patient advisory board will be consulted at each stage of the review process, and content experts and authors who are prolific in the field will be contacted. The literature searches will be designed and conducted by the review team which includes an experienced university librarian (MB) following the methodological guidance of chapter two of the JBI Manual for Evidence Synthesis [ 36 ]. The search will include a broad range of terms and keywords related to obesity and qualitative research. A full draft search strategy for PubMed is provided in Additional file  2 .

Eligibility criteria

Studies based on primary data generated with adults with obesity (operationally defined as BMI >30) and focusing on their lived experience will be eligible for inclusion in this synthesis (Table  1 ). The context can include any country and all three levels of care provision (primary, secondary and tertiary). Only peer-reviewed, English language, articles will be included. Studies adopting a qualitative design, such as phenomenology, grounded theory or ethnography, and employing qualitative methods of data collection and analysis, such as interviews, focus groups, life histories and thematic analysis, will be included. Publications with a specific focus, for example, patient’s experience of bariatric surgery, will be included, as well as studies adopting a more general view of the experience of obesity.

Inclusion and exclusion criteria based on modified PICoS (Methley et al.,[ 37 ])

Screening and study selection process

Search results will be imported to Endnote X9, and duplicate entries will be removed. Covidence [ 38 ] will be used to screen references with two reviewers (EF and EH) removing entries that are clearly unrelated to the research question. Titles and abstracts will then be independently screened by two reviewers (EF and EH) according to the inclusion criteria (Table  1 ). Any disagreements will be resolved through a third reviewer (DMcG). This layer of screening will determine which publications will be eligible for independent full-text review by two reviewers (EF and EH) with disagreements again being resolved by a third reviewer (DMcG).

Data extraction

Data will be extracted independently by two researchers (EF and EH) and combined in table format using the following headings: author, year, title, country, research aims, participant characteristics, method of data collection, method of data analysis, author conclusions and qualitative themes. In the case of insufficient or unclear information in a potentially eligible article, the authors will be contacted by email to obtain or confirm data, and a timeframe of 3 weeks to reply will be offered before article exclusion.

Quality appraisal of included studies

This qualitative synthesis will facilitate the development of a conceptual understanding of obesity and will be used to inform the development of policy and practice. As such, it is important that the studies included are themselves of suitable quality. The methodological quality of all included studies will be assessed using the critical appraisal skills programme (CASP) checklist, and studies that are deemed of insufficient quality will be excluded. The CASP checklist for qualitative research comprises ten questions that cover three main issues: Are the results of the study under review valid? What are the results? Will the results help locally? Two reviewers (EF and EH) will independently evaluate each study using the checklist with a third and fourth reviewer (DMcG and MB) available for consultation in the event of disagreement.

Data synthesis

The data generated through the systematic review outlined above will be synthesised using thematic synthesis as described by Thomas and Harden [ 39 ]. Thematic synthesis enables researchers to stay ‘close’ to the data of primary studies, synthesise them in a transparent way and produce new concepts and hypotheses. This inductive approach is useful for drawing inference based on common themes from studies with different designs and perspectives. Thematic synthesis is made up of a three-step process. Step one consists of line by line coding of the findings of primary studies. The second step involves organising these ‘free codes’ into related areas to construct ‘descriptive’ themes. In step three, the descriptive themes that emerged will be iteratively examined and compared to ‘go beyond’ the descriptive themes and the content of the initial studies. This step will generate analytical themes that will provide new insights related to the topic under review.

Data will be coded using NVivo 12. In order to increase the confirmability of the analysis, studies will be reviewed independently by two reviewers (EF and EH) following the three-step process outlined above. This process will be overseen by a third reviewer (DMcG). In order to increase the credibility of the findings, an overview of the results will be brought to a panel of patient representatives for discussion. Direct quotations from participants in the primary studies will be italicised and indented to distinguish them from author interpretations.

Assessment of confidence in the review findings

Confidence in the evidence generated as a result of this qualitative synthesis will be assessed using the Grading of Recommendations Assessment, Development and Evaluation Confidence in Evidence from Reviews of Qualitative Research (GRADE CERQual) [ 40 ] approach. Four components contribute to the assessment of confidence in the evidence: methodological limitations, relevance, coherence and adequacy of data. The methodological limitations of included studies will be examined using the CASP tool. Relevance assesses the degree to which the evidence from the primary studies applies to the synthesis question while coherence assesses how well the findings are supported by the primary studies. Adequacy of data assesses how much data supports a finding and how rich this data is. Confidence in the evidence will be independently assessed by two reviewers (EF and EH), graded as high, moderate or low, and discussed collectively amongst the research team.

Reflexivity

For the purposes of transparency and reflexivity, it will be important to consider the findings of the qualitative synthesis and how these are reached, in the context of researchers’ worldviews and experiences (Larkin et al, 2019). Authors have backgrounds in health science (EF and EH), education (DMcG and EF), nursing (EH), sociology (DMcG), philosophy (EF) and information science (MB). Prior to conducting the qualitative synthesis, the authors will examine and discuss their preconceptions and beliefs surrounding the subject under study and consider the relevance of these preconceptions during each stage of analysis.

Dissemination of findings

Findings from the qualitative synthesis will be disseminated through publications in peer-reviewed journals, a comprehensive and in-depth project report and presentation at peer-reviewed academic conferences (such as EASO) within the field of obesity research. It is also envisaged that the qualitative synthesis will contribute to the shared value analysis to be undertaken with key stakeholders (including patients, clinicians, payers, policy makers, regulators and industry) within the broader study which seeks to create a new narrative around obesity diagnosis and treatment by foregrounding patient experiences and voice(s). This synthesis will be disseminated to the 29 project partners through oral presentations at management board meetings and at the general assembly. It will also be presented as an educational resource for clinicians to contribute to an improved understanding of patient experience of living with obesity.

Obesity is a complex chronic disease which increases the risk of long-term medical complications and a reduced quality of life. It affects a significant proportion of the world’s population and is a major public health concern. Obesity is the result of a complex interplay of multiple factors including genetic, metabolic, behavioural and environmental factors. In spite of this complexity, obesity is often construed in simple terms as a failure of willpower. People with obesity are subject to weight bias, stigma and discrimination which in themselves result in increased risk of mobility or mortality. Research in the area of obesity has tended towards measurable outcomes and quantitative variables that fail to capture the complexity associated with the experience of obesity. A need to rethink how we approach obesity has been identified—one that represents the voices and experiences of people living with obesity. This paper outlines a protocol for the systematic review of available literature on the lived experience of people with obesity and the synthesis of these findings in order to develop an understanding of patient experiences, their concerns regarding the risks associated with obesity and their aspirations for response to obesity treatment. Its main strengths will be the breadth of its search remit—focusing on the experiences of people with obesity rather than their experience of a particular treatment or intervention. It will also involve people living with obesity and its findings disseminated amongst the 29 international partners SOPHIA research consortium, in peer reviewed journals and at academic conferences. Just as the study’s broad remit is its strength, it is also a potential challenge as it is anticipated that searchers will generate many thousands of results owing to the breadth of the search terms. However, to the best of the authors’ knowledge, this will be the first systematic review and synthesis of its kind, and its findings will contribute to shaping the optimisation of future obesity understanding and treatment.

Acknowledgements

Any amendments made to this protocol when conducting the study will be outlined in PROSPERO and reported in the final manuscript.

Abbreviations

Authors’ contributions.

EF conceptualised and designed the protocol with input from DMcG and MB. EF drafted the initial manuscript. EF and MB defined the concepts and search items with input from DmcG, CleR and JN. MB and EF designed and executed the search strategy. DMcG, CleR, JN and EH provided critical insights and reviewed and revised the protocol. All authors have approved and contributed to the final written manuscript.

This project has received funding from the Innovative Medicines Initiative 2 Joint Undertaking (JU) under grant agreement No 875534. The JU receives support from the European Union’s Horizon 2020 research and innovation programme and EFPIA and T1D Exchange, JDRF and Obesity Action Coalition. The funding body had no role in the design of the study and will not have a role in collection, analysis and interpretation of data or in writing the manuscript.

Availability of data and materials

Declarations.

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Contributor Information

Emma Farrell, Email: [email protected] .

Marta Bustillo, Email: [email protected] .

Carel W. le Roux, Email: [email protected] .

Joe Nadglowski, Email: gro.noitcaytisebo@ikswolgdanj .

Eva Hollmann, Email: [email protected] .

Deirdre McGillicuddy, Email: [email protected] .

The lived experience of people with obesity: study protocol for a systematic review and synthesis of qualitative studies

Affiliations.

  • 1 School of Education, University College Dublin, Belfield, Dublin 4, Ireland. [email protected].
  • 2 University College Dublin Library, Dublin, Ireland.
  • 3 Diabetes Complications Research Centre, University College Dublin, Dublin, Ireland.
  • 4 Obesity Action Coalition, Tampa, USA.
  • 5 School of Education, University College Dublin, Belfield, Dublin 4, Ireland.
  • PMID: 34148548
  • PMCID: PMC8215772
  • DOI: 10.1186/s13643-021-01706-5

Background: Obesity is a prevalent, complex, progressive and relapsing chronic disease characterised by abnormal or excessive body fat that impairs health and quality of life. It affects more than 650 million adults worldwide and is associated with a range of health complications. Qualitative research plays a key role in understanding patient experiences and the factors that facilitate or hinder the effectiveness of health interventions. This review aims to systematically locate, assess and synthesise qualitative studies in order to develop a more comprehensive understanding of the lived experience of people with obesity.

Methods: This is a protocol for a qualitative evidence synthesis of the lived experience of people with obesity. A defined search strategy will be employed in conducting a comprehensive literature search of the following databases: PubMed, Embase, PsycInfo, PsycArticles and Dimensions (from 2011 onwards). Qualitative studies focusing on the lived experience of adults with obesity (BMI >30) will be included. Two reviewers will independently screen all citations, abstracts and full-text articles and abstract data. The quality of included studies will be appraised using the critical appraisal skills programme (CASP) criteria. Thematic synthesis will be conducted on all of the included studies. Confidence in the review findings will be assessed using GRADE CERQual.

Discussion: The findings from this synthesis will be used to inform the EU Innovative Medicines Initiative (IMI)-funded SOPHIA (Stratification of Obesity Phenotypes to Optimize Future Obesity Therapy) study. The objective of SOPHIA is to optimise future obesity treatment and stimulate a new narrative, understanding and vocabulary around obesity as a set of complex and chronic diseases. The findings will also be useful to health care providers and policy makers who seek to understand the experience of those with obesity.

Systematic review registration: PROSPERO CRD42020214560 .

Keywords: Lived experience; Obesity; Obesity treatment; Patient experience; Qualitative.

Publication types

  • Research Support, Non-U.S. Gov't
  • Delivery of Health Care
  • Health Personnel*
  • Qualitative Research
  • Quality of Life*
  • Review Literature as Topic
  • Systematic Reviews as Topic
  • Open access
  • Published: 21 June 2021

The lived experience of people with obesity: study protocol for a systematic review and synthesis of qualitative studies

  • Emma Farrell   ORCID: orcid.org/0000-0002-7780-9428 1 ,
  • Marta Bustillo 2 ,
  • Carel W. le Roux 3 ,
  • Joe Nadglowski 4 ,
  • Eva Hollmann 1 &
  • Deirdre McGillicuddy 1  

Systematic Reviews volume  10 , Article number:  181 ( 2021 ) Cite this article

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Obesity is a prevalent, complex, progressive and relapsing chronic disease characterised by abnormal or excessive body fat that impairs health and quality of life. It affects more than 650 million adults worldwide and is associated with a range of health complications. Qualitative research plays a key role in understanding patient experiences and the factors that facilitate or hinder the effectiveness of health interventions. This review aims to systematically locate, assess and synthesise qualitative studies in order to develop a more comprehensive understanding of the lived experience of people with obesity.

This is a protocol for a qualitative evidence synthesis of the lived experience of people with obesity. A defined search strategy will be employed in conducting a comprehensive literature search of the following databases: PubMed, Embase, PsycInfo, PsycArticles and Dimensions (from 2011 onwards). Qualitative studies focusing on the lived experience of adults with obesity (BMI >30) will be included. Two reviewers will independently screen all citations, abstracts and full-text articles and abstract data. The quality of included studies will be appraised using the critical appraisal skills programme (CASP) criteria. Thematic synthesis will be conducted on all of the included studies. Confidence in the review findings will be assessed using GRADE CERQual.

The findings from this synthesis will be used to inform the EU Innovative Medicines Initiative (IMI)-funded SOPHIA (Stratification of Obesity Phenotypes to Optimize Future Obesity Therapy) study. The objective of SOPHIA is to optimise future obesity treatment and stimulate a new narrative, understanding and vocabulary around obesity as a set of complex and chronic diseases. The findings will also be useful to health care providers and policy makers who seek to understand the experience of those with obesity.

Systematic review registration

PROSPERO CRD42020214560 .

Peer Review reports

Obesity is a complex chronic disease in which abnormal or excess body fat (adiposity) impairs health and quality of life, increases the risk of long-term medical complications and reduces lifespan [ 1 ]. Operationally defined in epidemiological and population studies as a body mass index (BMI) greater than or equal to 30, obesity affects more than 650 million adults worldwide [ 2 ]. Its prevalence has almost tripled between 1975 and 2016, and, globally, there are now more people with obesity than people classified as underweight [ 2 ].

Obesity is caused by the complex interplay of multiple genetic, metabolic, behavioural and environmental factors, with the latter thought to be the proximate factor which enabled the substantial rise in the prevalence of obesity in recent decades [ 3 , 4 ]. This increased prevalence has resulted in obesity becoming a major public health issue with a resulting growth in health care and economic costs [ 5 , 6 ]. At a population level, health complications from excess body fat increase as BMI increases [ 7 ]. At the individual level, health complications occur due to a variety of factors such as distribution of adiposity, environment, genetic, biologic and socioeconomic factors [ 8 ]. These health complications include type 2 diabetes [ 9 ], gallbladder disease [ 10 ] and non-alcoholic fatty liver disease [ 11 ]. Excess body fat can also place an individual at increased cardiometabolic and cancer risk [ 12 , 13 , 14 ] with an estimated 20% of all cancers attributed to obesity [ 15 ].

Although first recognised as a disease by the American Medical Association in 2013 [ 16 ], the dominant cultural narrative continues to present obesity as a failure of willpower. People with obesity are positioned as personally responsible for their weight. This, combined with the moralisation of health behaviours and the widespread association between thinness, self-control and success, has resulted in those who fail to live up to this cultural ideal being subject to weight bias, stigma and discrimination [ 17 , 18 , 19 ]. Weight bias, stigma and discrimination have been found to contribute, independent of weight or BMI, to increased morbidity or mortality [ 20 ].

Thomas et al. [ 21 ] highlighted, more than a decade ago, the need to rethink how we approach obesity so as not to perpetuate damaging stereotypes at a societal level. Obesity research then, as now, largely focused on measurable outcomes and quantifiable terms such as body mass index [ 22 , 23 ]. Qualitative research approaches play a key role in understanding patient experiences, how factors facilitate or hinder the effectiveness of interventions and how the processes of interventions are perceived and implemented by users [ 24 ]. Studies adopting qualitative approaches have been shown to deliver a greater depth of understanding of complex and socially mediated diseases such as obesity [ 25 ]. In spite of an increasing recognition of the integral role of patient experience in health research [ 25 , 26 ], the voices of patients remain largely underrepresented in obesity research [ 27 , 28 ].

Systematic reviews and syntheses of qualitative studies are recognised as a useful contribution to evidence and policy development [ 29 ]. To the best of the authors’ knowledge, this will be the first systematic review and synthesis of qualitative studies focusing on the lived experience of people with obesity. While systematic reviews have been carried out on patient experiences of treatments such as behavioural management [ 30 ] and bariatric surgery [ 31 ], this review and synthesis will be the first to focus on the experience of living with obesity rather than patient experiences of particular treatments or interventions. This focus represents a growing awareness that ‘patients have a specific expertise and knowledge derived from lived experience’ and that understanding lived experience can help ‘make healthcare both effective and more efficient’ [ 32 ].

This paper outlines a protocol for the systematic review of qualitative studies based on the lived experience of people with obesity. The findings of this review will be synthesised in order to develop an overview of the lived experience of patients with obesity. It will look, in particular, at patient concerns around the risks of obesity and their aspirations for response to obesity treatment.

The review protocol has been registered within the PROSPERO database (registration number: CRD42020214560) and is being reported in accordance with the reporting guidance provided in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) statement [ 33 , 34 ] (see checklist in Additional file  1 ).

Information sources and search strategy

The primary source of literature will be a structured search of the following electronic databases (from January 2011 onwards—to encompass the increase in research focused on patient experience observed over the last 10 years): PubMed, Embase, PsycInfo, PsycArticles and Dimensions. There is no methodological agreement as to how many search terms or databases out to be searched as part of a ‘good’ qualitative synthesis (Toye et al. [ 35 ]). However, the breadth and depth of the search terms, the inclusion of clinical and personal language and the variety within the selected databases, which cover areas such as medicine, nursing, psychology and sociology, will position this qualitative synthesis as comprehensive. Grey literature will not be included in this study as its purpose is to conduct a comprehensive review of peer-reviewed primary research. The study’s patient advisory board will be consulted at each stage of the review process, and content experts and authors who are prolific in the field will be contacted. The literature searches will be designed and conducted by the review team which includes an experienced university librarian (MB) following the methodological guidance of chapter two of the JBI Manual for Evidence Synthesis [ 36 ]. The search will include a broad range of terms and keywords related to obesity and qualitative research. A full draft search strategy for PubMed is provided in Additional file  2 .

Eligibility criteria

Studies based on primary data generated with adults with obesity (operationally defined as BMI >30) and focusing on their lived experience will be eligible for inclusion in this synthesis (Table  1 ). The context can include any country and all three levels of care provision (primary, secondary and tertiary). Only peer-reviewed, English language, articles will be included. Studies adopting a qualitative design, such as phenomenology, grounded theory or ethnography, and employing qualitative methods of data collection and analysis, such as interviews, focus groups, life histories and thematic analysis, will be included. Publications with a specific focus, for example, patient’s experience of bariatric surgery, will be included, as well as studies adopting a more general view of the experience of obesity.

Screening and study selection process

Search results will be imported to Endnote X9, and duplicate entries will be removed. Covidence [ 38 ] will be used to screen references with two reviewers (EF and EH) removing entries that are clearly unrelated to the research question. Titles and abstracts will then be independently screened by two reviewers (EF and EH) according to the inclusion criteria (Table  1 ). Any disagreements will be resolved through a third reviewer (DMcG). This layer of screening will determine which publications will be eligible for independent full-text review by two reviewers (EF and EH) with disagreements again being resolved by a third reviewer (DMcG).

Data extraction

Data will be extracted independently by two researchers (EF and EH) and combined in table format using the following headings: author, year, title, country, research aims, participant characteristics, method of data collection, method of data analysis, author conclusions and qualitative themes. In the case of insufficient or unclear information in a potentially eligible article, the authors will be contacted by email to obtain or confirm data, and a timeframe of 3 weeks to reply will be offered before article exclusion.

Quality appraisal of included studies

This qualitative synthesis will facilitate the development of a conceptual understanding of obesity and will be used to inform the development of policy and practice. As such, it is important that the studies included are themselves of suitable quality. The methodological quality of all included studies will be assessed using the critical appraisal skills programme (CASP) checklist, and studies that are deemed of insufficient quality will be excluded. The CASP checklist for qualitative research comprises ten questions that cover three main issues: Are the results of the study under review valid? What are the results? Will the results help locally? Two reviewers (EF and EH) will independently evaluate each study using the checklist with a third and fourth reviewer (DMcG and MB) available for consultation in the event of disagreement.

Data synthesis

The data generated through the systematic review outlined above will be synthesised using thematic synthesis as described by Thomas and Harden [ 39 ]. Thematic synthesis enables researchers to stay ‘close’ to the data of primary studies, synthesise them in a transparent way and produce new concepts and hypotheses. This inductive approach is useful for drawing inference based on common themes from studies with different designs and perspectives. Thematic synthesis is made up of a three-step process. Step one consists of line by line coding of the findings of primary studies. The second step involves organising these ‘free codes’ into related areas to construct ‘descriptive’ themes. In step three, the descriptive themes that emerged will be iteratively examined and compared to ‘go beyond’ the descriptive themes and the content of the initial studies. This step will generate analytical themes that will provide new insights related to the topic under review.

Data will be coded using NVivo 12. In order to increase the confirmability of the analysis, studies will be reviewed independently by two reviewers (EF and EH) following the three-step process outlined above. This process will be overseen by a third reviewer (DMcG). In order to increase the credibility of the findings, an overview of the results will be brought to a panel of patient representatives for discussion. Direct quotations from participants in the primary studies will be italicised and indented to distinguish them from author interpretations.

Assessment of confidence in the review findings

Confidence in the evidence generated as a result of this qualitative synthesis will be assessed using the Grading of Recommendations Assessment, Development and Evaluation Confidence in Evidence from Reviews of Qualitative Research (GRADE CERQual) [ 40 ] approach. Four components contribute to the assessment of confidence in the evidence: methodological limitations, relevance, coherence and adequacy of data. The methodological limitations of included studies will be examined using the CASP tool. Relevance assesses the degree to which the evidence from the primary studies applies to the synthesis question while coherence assesses how well the findings are supported by the primary studies. Adequacy of data assesses how much data supports a finding and how rich this data is. Confidence in the evidence will be independently assessed by two reviewers (EF and EH), graded as high, moderate or low, and discussed collectively amongst the research team.

Reflexivity

For the purposes of transparency and reflexivity, it will be important to consider the findings of the qualitative synthesis and how these are reached, in the context of researchers’ worldviews and experiences (Larkin et al, 2019). Authors have backgrounds in health science (EF and EH), education (DMcG and EF), nursing (EH), sociology (DMcG), philosophy (EF) and information science (MB). Prior to conducting the qualitative synthesis, the authors will examine and discuss their preconceptions and beliefs surrounding the subject under study and consider the relevance of these preconceptions during each stage of analysis.

Dissemination of findings

Findings from the qualitative synthesis will be disseminated through publications in peer-reviewed journals, a comprehensive and in-depth project report and presentation at peer-reviewed academic conferences (such as EASO) within the field of obesity research. It is also envisaged that the qualitative synthesis will contribute to the shared value analysis to be undertaken with key stakeholders (including patients, clinicians, payers, policy makers, regulators and industry) within the broader study which seeks to create a new narrative around obesity diagnosis and treatment by foregrounding patient experiences and voice(s). This synthesis will be disseminated to the 29 project partners through oral presentations at management board meetings and at the general assembly. It will also be presented as an educational resource for clinicians to contribute to an improved understanding of patient experience of living with obesity.

Obesity is a complex chronic disease which increases the risk of long-term medical complications and a reduced quality of life. It affects a significant proportion of the world’s population and is a major public health concern. Obesity is the result of a complex interplay of multiple factors including genetic, metabolic, behavioural and environmental factors. In spite of this complexity, obesity is often construed in simple terms as a failure of willpower. People with obesity are subject to weight bias, stigma and discrimination which in themselves result in increased risk of mobility or mortality. Research in the area of obesity has tended towards measurable outcomes and quantitative variables that fail to capture the complexity associated with the experience of obesity. A need to rethink how we approach obesity has been identified—one that represents the voices and experiences of people living with obesity. This paper outlines a protocol for the systematic review of available literature on the lived experience of people with obesity and the synthesis of these findings in order to develop an understanding of patient experiences, their concerns regarding the risks associated with obesity and their aspirations for response to obesity treatment. Its main strengths will be the breadth of its search remit—focusing on the experiences of people with obesity rather than their experience of a particular treatment or intervention. It will also involve people living with obesity and its findings disseminated amongst the 29 international partners SOPHIA research consortium, in peer reviewed journals and at academic conferences. Just as the study’s broad remit is its strength, it is also a potential challenge as it is anticipated that searchers will generate many thousands of results owing to the breadth of the search terms. However, to the best of the authors’ knowledge, this will be the first systematic review and synthesis of its kind, and its findings will contribute to shaping the optimisation of future obesity understanding and treatment.

Availability of data and materials

Not applicable.

Abbreviations

Body mass index

Critical appraisal skills programme

Grading of Recommendations Assessment, Development and Evaluation Confidence in Evidence from Reviews of Qualitative Research

Innovative Medicines Initiative

Medical Subject Headings

Population, phenomenon of interest, context, study type

Stratification of Obesity Phenotypes to Optimize Future Obesity Therapy

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Acknowledgements

Any amendments made to this protocol when conducting the study will be outlined in PROSPERO and reported in the final manuscript.

This project has received funding from the Innovative Medicines Initiative 2 Joint Undertaking (JU) under grant agreement No 875534. The JU receives support from the European Union’s Horizon 2020 research and innovation programme and EFPIA and T1D Exchange, JDRF and Obesity Action Coalition. The funding body had no role in the design of the study and will not have a role in collection, analysis and interpretation of data or in writing the manuscript.

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EF conceptualised and designed the protocol with input from DMcG and MB. EF drafted the initial manuscript. EF and MB defined the concepts and search items with input from DmcG, CleR and JN. MB and EF designed and executed the search strategy. DMcG, CleR, JN and EH provided critical insights and reviewed and revised the protocol. All authors have approved and contributed to the final written manuscript.

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Supplementary Information

Additional file 1:..

PRISMA-P (Preferred Reporting Items for Systematic review and Meta-Analysis Protocols) 2015 checklist: recommended items to address in a systematic review protocol*.

Additional file 2: Table 1

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Farrell, E., Bustillo, M., le Roux, C.W. et al. The lived experience of people with obesity: study protocol for a systematic review and synthesis of qualitative studies. Syst Rev 10 , 181 (2021). https://doi.org/10.1186/s13643-021-01706-5

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Effectiveness of weight management interventions for adults delivered in primary care: systematic review and meta-analysis of randomised controlled trials

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  • Peer review
  • Claire D Madigan , senior research associate 1 ,
  • Henrietta E Graham , doctoral candidate 1 ,
  • Elizabeth Sturgiss , NHMRC investigator 2 ,
  • Victoria E Kettle , research associate 1 ,
  • Kajal Gokal , senior research associate 1 ,
  • Greg Biddle , research associate 1 ,
  • Gemma M J Taylor , reader 3 ,
  • Amanda J Daley , professor of behavioural medicine 1
  • 1 Centre for Lifestyle Medicine and Behaviour (CLiMB), The School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
  • 2 School of Primary and Allied Health Care, Monash University, Melbourne, Australia
  • 3 Department of Psychology, Addiction and Mental Health Group, University of Bath, Bath, UK
  • Correspondence to: C D Madigan c.madigan{at}lboro.ac.uk (or @claire_wm and @lboroclimb on Twitter)
  • Accepted 26 April 2022

Objective To examine the effectiveness of behavioural weight management interventions for adults with obesity delivered in primary care.

Design Systematic review and meta-analysis of randomised controlled trials.

Eligibility criteria for selection of studies Randomised controlled trials of behavioural weight management interventions for adults with a body mass index ≥25 delivered in primary care compared with no treatment, attention control, or minimal intervention and weight change at ≥12 months follow-up.

Data sources Trials from a previous systematic review were extracted and the search completed using the Cochrane Central Register of Controlled Trials, Medline, PubMed, and PsychINFO from 1 January 2018 to 19 August 2021.

Data extraction and synthesis Two reviewers independently identified eligible studies, extracted data, and assessed risk of bias using the Cochrane risk of bias tool. Meta-analyses were conducted with random effects models, and a pooled mean difference for both weight (kg) and waist circumference (cm) were calculated.

Main outcome measures Primary outcome was weight change from baseline to 12 months. Secondary outcome was weight change from baseline to ≥24 months. Change in waist circumference was assessed at 12 months.

Results 34 trials were included: 14 were additional, from a previous review. 27 trials (n=8000) were included in the primary outcome of weight change at 12 month follow-up. The mean difference between the intervention and comparator groups at 12 months was −2.3 kg (95% confidence interval −3.0 to −1.6 kg, I 2 =88%, P<0.001), favouring the intervention group. At ≥24 months (13 trials, n=5011) the mean difference in weight change was −1.8 kg (−2.8 to −0.8 kg, I 2 =88%, P<0.001) favouring the intervention. The mean difference in waist circumference (18 trials, n=5288) was −2.5 cm (−3.2 to −1.8 cm, I 2 =69%, P<0.001) in favour of the intervention at 12 months.

Conclusions Behavioural weight management interventions for adults with obesity delivered in primary care are effective for weight loss and could be offered to members of the public.

Systematic review registration PROSPERO CRD42021275529.

Introduction

Obesity is associated with an increased risk of diseases such as cancer, type 2 diabetes, and heart disease, leading to early mortality. 1 2 3 More recently, obesity is a risk factor for worse outcomes with covid-19. 4 5 Because of this increased risk, health agencies and governments worldwide are focused on finding effective ways to help people lose weight. 6

Primary care is an ideal setting for delivering weight management services, and international guidelines recommend that doctors should opportunistically screen and encourage patients to lose weight. 7 8 On average, most people consult a primary care doctor four times yearly, providing opportunities for weight management interventions. 9 10 A systematic review of randomised controlled trials by LeBlanc et al identified behavioural interventions that could potentially be delivered in primary care, or involved referral of patients by primary care professionals, were effective for weight loss at 12-18 months follow-up (−2.4 kg, 95% confidence interval −2.9 to−1.9 kg). 11 However, this review included trials with interventions that the review authors considered directly transferrable to primary care, but not all interventions involved primary care practitioners. The review included interventions that were entirely delivered by university research employees, meaning implementation of these interventions might differ if offered in primary care, as has been the case in other implementation research of weight management interventions, where effects were smaller. 12 As many similar trials have been published after this review, an updated review would be useful to guide health policy.

We examined the effectiveness of weight loss interventions delivered in primary care on measures of body composition (weight and waist circumference). We also identified characteristics of effective weight management programmes for policy makers to consider.

This systematic review was registered on PROSPERO and is reported according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) statement. 13 14

Eligibility criteria

We considered studies to be eligible for inclusion if they were randomised controlled trials, comprised adult participants (≥18 years), and evaluated behavioural weight management interventions delivered in primary care that focused on weight loss. A primary care setting was broadly defined as the first point of contact with the healthcare system, providing accessible, continued, comprehensive, and coordinated care, focused on long term health. 15 Delivery in primary care was defined as the majority of the intervention being delivered by medical and non-medical clinicians within the primary care setting. Table 1 lists the inclusion and exclusion criteria.

Study inclusion and exclusion criteria

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We extracted studies from the systematic review by LeBlanc et al that met our inclusion criteria. 11 We also searched the exclusions in this review because the researchers excluded interventions specifically for diabetes management, low quality trials, and only included studies from an Organisation for Economic Co-operation and Development country, limiting the scope of the findings.

We searched for studies in the Cochrane Central Register of Controlled Trials, Medline, PubMed, and PsychINFO from 1 January 2018 to 19 August 2021 (see supplementary file 1). Reference lists of previous reviews 16 17 18 19 20 21 and included trials were hand searched.

Data extraction

Results were uploaded to Covidence, 22 a software platform used for screening, and duplicates removed. Two independent reviewers screened study titles, abstracts, and full texts. Disagreements were discussed and resolved by a third reviewer. All decisions were recorded in Covidence, and reviewers were blinded to each other’s decisions. Covidence calculates proportionate agreement as a measure of inter-rater reliability, and data are reported separately by title or abstract screening and full text screening. One reviewer extracted data on study characteristics (see supplementary table 1) and two authors independently extracted data on weight outcomes. We contacted the authors of four included trials (from the updated search) for further information. 23 24 25 26

Outcomes, summary measures, and synthesis of results

The primary outcome was weight change from baseline to 12 months. Secondary outcomes were weight change from baseline to ≥24 months and from baseline to last follow-up (to include as many trials as possible), and waist circumference from baseline to 12 months. Supplementary file 2 details the prespecified subgroup analysis that we were unable to complete. The prespecified subgroup analyses that could be completed were type of healthcare professional who delivered the intervention, country, intensity of the intervention, and risk of bias rating.

Healthcare professional delivering intervention —From the data we were able to compare subgroups by type of healthcare professional: nurses, 24 26 27 28 general practitioners, 23 29 30 31 and non-medical practitioners (eg, health coaches). 32 33 34 35 36 37 38 39 Some of the interventions delivered by non-medical practitioners were supported, but not predominantly delivered, by GPs. Other interventions were delivered by a combination of several different practitioners—for example, it was not possible to determine whether a nurse or dietitian delivered the intervention. In the subgroup analysis of practitioner delivery, we refer to this group as “other.”

Country —We explored the effectiveness of interventions by country. Only countries with three or more trials were included in subgroup analyses (United Kingdom, United States, and Spain).

Intensity of interventions —As the median number of contacts was 12, we categorised intervention groups according to whether ≤11 or ≥12 contacts were required.

Risk of bias rating —Studies were classified as being at low, unclear, and high risk of bias. Risk of bias was explored as a potential influence on the results.

Meta-analyses

Meta-analyses were conducted using Review Manager 5.4. 40 As we expected the treatment effects to differ because of the diversity of intervention components and comparator conditions, we used random effects models. A pooled mean difference was calculated for each analysis, and variance in heterogeneity between studies was compared using the I 2 and τ 2 statistics. We generated funnel plots to evaluate small study effects. If more than two intervention groups existed, we divided the number of participants in the comparator group by the number of intervention groups and analysed each individually. Nine trials were cluster randomised controlled trials. The trials had adjusted their results for clustering, or adjustment had been made in the previous systematic review by LeBlanc et al. 11 One trial did not report change in weight by group. 26 We calculated the mean weight change and standard deviation using a standard formula, which imputes a correlation for the baseline and follow-up weights. 41 42 In a non-prespecified analysis, we conducted univariate and multivariable metaregression (in Stata) using a random effects model to examine the association between number of sessions and type of interventionalist on study effect estimates.

Risk of bias

Two authors independently assessed the risk of bias using the Cochrane risk of bias tool v2. 43 For incomplete outcome data we defined a high risk of bias as ≥20% attrition. Disagreements were resolved by discussion or consultation with a third author.

Patient and public involvement

The study idea was discussed with patients and members of the public. They were not, however, included in discussions about the design or conduct of the study.

The search identified 11 609 unique study titles or abstracts after duplicates were removed ( fig 1 ). After screening, 97 full text articles were assessed for eligibility. The proportionate agreement ranged from 0.94 to 1.0 for screening of titles or abstracts and was 0.84 for full text screening. Fourteen new trials met the inclusion criteria. Twenty one studies from the review by LeBlanc et al met our eligibility criteria and one study from another systematic review was considered eligible and included. 44 Some studies had follow-up studies (ie, two publications) that were found in both the second and the first search; hence the total number of trials was 34 and not 36. Of the 34 trials, 27 (n=8000 participants) were included in the primary outcome meta-analysis of weight change from baseline to 12 months, 13 (n=5011) in the secondary outcome from baseline to ≥24 months, and 30 (n=8938) in the secondary outcome for weight change from baseline to last follow-up. Baseline weight was accounted for in 18 of these trials, but in 14 24 26 29 30 31 32 44 45 46 47 48 49 50 51 it was unclear or the trials did not consider baseline weight. Eighteen trials (n=5288) were included in the analysis of change in waist circumference at 12 months.

Fig 1

Studies included in systematic review of effectiveness of behavioural weight management interventions in primary care. *Studies were merged in Covidence if they were from same trial

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Study characteristics

Included trials (see supplementary table 1) were individual randomised controlled trials (n=25) 24 25 26 27 28 29 32 33 34 35 38 39 41 44 45 46 47 50 51 52 53 54 55 56 59 or cluster randomised controlled trials (n=9). 23 30 31 36 37 48 49 57 58 Most were conducted in the US (n=14), 29 30 31 32 33 34 35 36 37 45 48 51 54 55 UK (n=7), 27 28 38 41 47 57 58 and Spain (n=4). 25 44 46 49 The median number of participants was 276 (range 50-864).

Four trials included only women (average 65.9% of women). 31 48 51 59 The mean BMI at baseline was 35.2 (SD 4.2) and mean age was 48 (SD 9.7) years. The interventions lasted between one session (with participants subsequently following the programme unassisted for three months) and several sessions over three years (median 12 months). The follow-up period ranged from 12 months to three years (median 12 months). Most trials excluded participants who had lost weight in the past six months and were taking drugs that affected weight.

Meta-analysis

Overall, 27 trials were included in the primary meta-analysis of weight change from baseline to 12 months. Three trials could not be included in the primary analysis as data on weight were only available at two and three years and not 12 months follow-up, but we included these trials in the secondary analyses of last follow-up and ≥24 months follow-up. 26 44 50 Four trials could not be included in the meta-analysis as they did not present data in a way that could be synthesised (ie, measures of dispersion). 25 52 53 58 The mean difference was −2.3 kg (95% confidence interval −3.0 to −1.6 kg, I 2 =88%, τ 2 =3.38; P<0.001) in favour of the intervention group ( fig 2 ). We found no evidence of publication bias (see supplementary fig 1). Absolute weight change was −3.7 (SD 6.1) kg in the intervention group and −1.4 (SD 5.5) kg in the comparator group.

Fig 2

Mean difference in weight at 12 months by weight management programme in primary care (intervention) or no treatment, different content, or minimal intervention (control). SD=standard deviation

Supplementary file 2 provides a summary of the main subgroup analyses.

Weight change

The mean difference in weight change at the last follow-up was −1.9 kg (95% confidence interval −2.5 to −1.3 kg, I 2 =81%, τ 2 =2.15; P<0.001). Absolute weight change was −3.2 (SD 6.4) kg in the intervention group and −1.2 (SD 6.0) kg in the comparator group (see supplementary figs 2 and 3).

At the 24 month follow-up the mean difference in weight change was −1.8 kg (−2.8 to −0.8 kg, I 2 =88%, τ 2 =3.13; P<0.001) (see supplementary fig 4). As the weight change data did not differ between the last follow-up and ≥24 months, we used the weight data from the last follow-up in subgroup analyses.

In subgroup analyses of type of interventionalist, differences were significant (P=0.005) between non-medical practitioners, GPs, nurses, and other people who delivered interventions (see supplementary fig 2).

Participants who had ≥12 contacts during interventions lost significantly more weight than those with fewer contacts (see supplementary fig 6). The association remained after adjustment for type of interventionalist.

Waist circumference

The mean difference in waist circumference was −2.5 cm (95% confidence interval −3.2 to −1.8 cm, I 2 =69%, τ 2 =1.73; P<0.001) in favour of the intervention at 12 months ( fig 3 ). Absolute changes were −3.7 cm (SD 7.8 cm) in the intervention group and −1.3 cm (SD 7.3) in the comparator group.

Fig 3

Mean difference in waist circumference at 12 months. SD=standard deviation

Risk of bias was considered to be low in nine trials, 24 33 34 35 39 41 47 55 56 unclear in 12 trials, 25 27 28 29 32 45 46 50 51 52 54 59 and high in 13 trials 23 26 30 31 36 37 38 44 48 49 53 57 58 ( fig 4 ). No significant (P=0.65) differences were found in subgroup analyses according to level of risk of bias from baseline to 12 months (see supplementary fig 7).

Fig 4

Risk of bias in included studies

Worldwide, governments are trying to find the most effective services to help people lose weight to improve the health of populations. We found weight management interventions delivered by primary care practitioners result in effective weight loss and reduction in waist circumference and these interventions should be considered part of the services offered to help people manage their weight. A greater number of contacts between patients and healthcare professionals led to more weight loss, and interventions should be designed to include at least 12 contacts (face-to-face or by telephone, or both). Evidence suggests that interventions delivered by non-medical practitioners were as effective as those delivered by GPs (both showed statistically significant weight loss). It is also possible that more contacts were made with non-medical interventionalists, which might partially explain this result, although the metaregression analysis suggested the effect remained after adjustment for type of interventionalist. Because most comparator groups had fewer contacts than intervention groups, it is not known whether the effects of the interventions are related to contact with interventionalists or to the content of the intervention itself.

Although we did not determine the costs of the programme, it is likely that interventions delivered by non-medical practitioners would be cheaper than GP and nurse led programmes. 41 Most of the interventions delivered by non-medical practitioners involved endorsement and supervision from GPs (ie, a recommendation or checking in to see how patients were progressing), and these should be considered when implementing these types of weight management interventions in primary care settings. Our findings suggest that a combination of practitioners would be most effective because GPs might not have the time for 12 consultations to support weight management.

Although the 2.3 kg greater weight loss in the intervention group may seem modest, just 2-5% in weight loss is associated with improvements in systolic blood pressure and glucose and triglyceride levels. 60 The confidence intervals suggest a potential range of weight loss and that these interventions might not provide as much benefit to those with a higher BMI. Patients might not find an average weight loss of 3.7 kg attractive, as many would prefer to lose more weight; explaining to patients the benefits of small weight losses to health would be important.

Strengths and limitations of this review

Our conclusions are based on a large sample of about 8000 participants, and 12 of these trials were published since 2018. It was occasionally difficult to distinguish who delivered the interventions and how they were implemented. We therefore made some assumptions at the screening stage about whether the interventionalists were primary care practitioners or if most of the interventions were delivered in primary care. These discussions were resolved by consensus. All included trials measured weight, and we excluded those that used self-reported data. Dropout rates are important in weight management interventions as those who do less well are less likely to be followed-up. We found that participants in trials with an attrition rate of 20% or more lost less weight and we are confident that those with high attrition rates have not inflated the results. Trials were mainly conducted in socially economic developed countries, so our findings might not be applicable to all countries. The meta-analyses showed statistically significant heterogeneity, and our prespecified subgroups analysis explained some, but not all, of the variance.

Comparison with other studies

The mean difference of −2.3 kg in favour of the intervention group at 12 months is similar to the findings in the review by LeBlanc et al, who reported a reduction of −2.4 kg in participants who received a weight management intervention in a range of settings, including primary care, universities, and the community. 11 61 This is important because the review by LeBlanc et al included interventions that were not exclusively conducted in primary care or by primary care practitioners. Trials conducted in university or hospital settings are not typically representative of primary care populations and are often more intensive than trials conducted in primary care as a result of less constraints on time. Thus, our review provides encouraging findings for the implementation of weight management interventions delivered in primary care. The findings are of a similar magnitude to those found in a trial by Ahern et al that tested primary care referral to a commercial programme, with a difference of −2.7 kg (95% confidence interval −3.9 to −1.5 kg) reported at 12 month follow-up. 62 The trial by Ahern et al also found a difference in waist circumference of −4.1 cm (95% confidence interval −5.5 to −2.3 cm) in favour of the intervention group at 12 months. Our finding was smaller at −2.5 cm (95% confidence interval −3.2 to −1.8 cm). Some evidence suggests clinical benefits from a reduction of 3 cm in waist circumference, particularly in decreased glucose levels, and the intervention groups showed a 3.7 cm absolute change in waist circumference. 63

Policy implications and conclusions

Weight management interventions delivered in primary care are effective and should be part of services offered to members of the public to help them manage weight. As about 39% of the world’s population is living with obesity, helping people to manage their weight is an enormous task. 64 Primary care offers good reach into the community as the first point of contact in the healthcare system and the remit to provide whole person care across the life course. 65 When developing weight management interventions, it is important to reflect on resource availability within primary care settings to ensure patients’ needs can be met within existing healthcare systems. 66

We did not examine the equity of interventions, but primary care interventions may offer an additional service and potentially help those who would not attend a programme delivered outside of primary care. Interventions should consist of 12 or more contacts, and these findings are based on a mixture of telephone and face-to-face sessions. Previous evidence suggests that GPs find it difficult to raise the issue of weight with patients and are pessimistic about the success of weight loss interventions. 67 Therefore, interventions should be implemented with appropriate training for primary care practitioners so that they feel confident about helping patients to manage their weight. 68

Unanswered questions and future research

A range of effective interventions are available in primary care settings to help people manage their weight, but we found substantial heterogeneity. It was beyond the scope of this systematic review to examine the specific components of the interventions that may be associated with greater weight loss, but this could be investigated by future research. We do not know whether these interventions are universally suitable and will decrease or increase health inequalities. As the data are most likely collected in trials, an individual patient meta-analysis is now needed to explore characteristics or factors that might explain the variance. Most of the interventions excluded people prescribed drugs that affect weight gain, such as antipsychotics, glucocorticoids, and some antidepressants. This population might benefit from help with managing their weight owing to the side effects of these drug classes on weight gain, although we do not know whether the weight management interventions we investigated would be effective in this population. 69

What is already known on this topic

Referral by primary care to behavioural weight management programmes is effective, but the effectiveness of weight management interventions delivered by primary care is not known

Systematic reviews have provided evidence for weight management interventions, but the latest review of primary care delivered interventions was published in 2014

Factors such as intensity and delivery mechanisms have not been investigated and could influence the effectiveness of weight management interventions delivered by primary care

What this study adds

Weight management interventions delivered by primary care are effective and can help patients to better manage their weight

At least 12 contacts (telephone or face to face) are needed to deliver weight management programmes in primary care

Some evidence suggests that weight loss after weight management interventions delivered by non-medical practitioners in primary care (often endorsed and supervised by doctors) is similar to that delivered by clinician led programmes

Ethics statements

Ethical approval.

Not required.

Data availability statement

Additional data are available in the supplementary files.

Contributors: CDM and AJD conceived the study, with support from ES. CDM conducted the search with support from HEG. CDM, AJD, ES, HEG, KG, GB, and VEK completed the screening and full text identification. CDM and VEK completed the risk of bias assessment. CDM extracted data for the primary outcome and study characteristics. HEJ, GB, and KG extracted primary outcome data. CDM completed the analysis in RevMan, and GMJT completed the metaregression analysis in Stata. CDM drafted the paper with AJD. All authors provided comments on the paper. CDM acts as guarantor. The corresponding author attests that all listed authors meet authorship criteria and that no others meeting the criteria have been omitted.

Funding: AJD is supported by a National Institute for Health and Care Research (NIHR) research professorship award. This research was supported by the NIHR Leicester Biomedical Research Centre. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR, or the Department of Health and Social Care. ES’s salary is supported by an investigator grant (National Health and Medical Research Council, Australia). GT is supported by a Cancer Research UK fellowship. The funders had no role in considering the study design or in the collection, analysis, interpretation of data, writing of the report, or decision to submit the article for publication.

Competing interests: All authors have completed the ICMJE uniform disclosure form at www.icmje.org/disclosure-of-interest/ and declare: This research was supported by the National Institute for Health and Care Research Leicester Biomedical Research Centre; no financial relationships with any organisations that might have an interest in the submitted work in the previous three years, no other relationships or activities that could appear to have influenced the submitted work.

The lead author (CDM) affirms that the manuscript is an honest, accurate, and transparent account of the study being reported, and that no important aspects of the study have been omitted.

Dissemination to participants and related patient and public communities: We plan to disseminate these research findings to a wider community through press releases, featuring on the Centre for Lifestyle Medicine and Behaviour website ( www.lboro.ac.uk/research/climb/ ) via our policy networks, through social media platforms, and presentation at conferences.

Provenance and peer review: Not commissioned; externally peer reviewed.

This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ .

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Research Method

Home » 500+ Qualitative Research Titles and Topics

500+ Qualitative Research Titles and Topics

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Qualitative Research Topics

Qualitative research is a methodological approach that involves gathering and analyzing non-numerical data to understand and interpret social phenomena. Unlike quantitative research , which emphasizes the collection of numerical data through surveys and experiments, qualitative research is concerned with exploring the subjective experiences, perspectives, and meanings of individuals and groups. As such, qualitative research topics can be diverse and encompass a wide range of social issues and phenomena. From exploring the impact of culture on identity formation to examining the experiences of marginalized communities, qualitative research offers a rich and nuanced perspective on complex social issues. In this post, we will explore some of the most compelling qualitative research topics and provide some tips on how to conduct effective qualitative research.

Qualitative Research Titles

Qualitative research titles often reflect the study’s focus on understanding the depth and complexity of human behavior, experiences, or social phenomena. Here are some examples across various fields:

  • “Understanding the Impact of Project-Based Learning on Student Engagement in High School Classrooms: A Qualitative Study”
  • “Navigating the Transition: Experiences of International Students in American Universities”
  • “The Role of Parental Involvement in Early Childhood Education: Perspectives from Teachers and Parents”
  • “Exploring the Effects of Teacher Feedback on Student Motivation and Self-Efficacy in Middle Schools”
  • “Digital Literacy in the Classroom: Teacher Strategies for Integrating Technology in Elementary Education”
  • “Culturally Responsive Teaching Practices: A Case Study in Diverse Urban Schools”
  • “The Influence of Extracurricular Activities on Academic Achievement: Student Perspectives”
  • “Barriers to Implementing Inclusive Education in Public Schools: A Qualitative Inquiry”
  • “Teacher Professional Development and Its Impact on Classroom Practice: A Qualitative Exploration”
  • “Student-Centered Learning Environments: A Qualitative Study of Classroom Dynamics and Outcomes”
  • “The Experience of First-Year Teachers: Challenges, Support Systems, and Professional Growth”
  • “Exploring the Role of School Leadership in Fostering a Positive School Culture”
  • “Peer Relationships and Learning Outcomes in Cooperative Learning Settings: A Qualitative Analysis”
  • “The Impact of Social Media on Student Learning and Engagement: Teacher and Student Perspectives”
  • “Understanding Special Education Needs: Parent and Teacher Perceptions of Support Services in Schools

Health Science

  • “Living with Chronic Pain: Patient Narratives and Coping Strategies in Managing Daily Life”
  • “Healthcare Professionals’ Perspectives on the Challenges of Rural Healthcare Delivery”
  • “Exploring the Mental Health Impacts of COVID-19 on Frontline Healthcare Workers: A Qualitative Study”
  • “Patient and Family Experiences of Palliative Care: Understanding Needs and Preferences”
  • “The Role of Community Health Workers in Improving Access to Maternal Healthcare in Rural Areas”
  • “Barriers to Mental Health Services Among Ethnic Minorities: A Qualitative Exploration”
  • “Understanding Patient Satisfaction in Telemedicine Services: A Qualitative Study of User Experiences”
  • “The Impact of Cultural Competence Training on Healthcare Provider-Patient Communication”
  • “Navigating the Transition to Adult Healthcare Services: Experiences of Adolescents with Chronic Conditions”
  • “Exploring the Use of Alternative Medicine Among Patients with Chronic Diseases: A Qualitative Inquiry”
  • “The Role of Social Support in the Rehabilitation Process of Stroke Survivors”
  • “Healthcare Decision-Making Among Elderly Patients: A Qualitative Study of Preferences and Influences”
  • “Nurse Perceptions of Patient Safety Culture in Hospital Settings: A Qualitative Analysis”
  • “Experiences of Women with Postpartum Depression: Barriers to Seeking Help”
  • “The Impact of Nutrition Education on Eating Behaviors Among College Students: A Qualitative Approach”
  • “Understanding Resilience in Survivors of Childhood Trauma: A Narrative Inquiry”
  • “The Role of Mindfulness in Managing Work-Related Stress Among Corporate Employees: A Qualitative Study”
  • “Coping Mechanisms Among Parents of Children with Autism Spectrum Disorder”
  • “Exploring the Psychological Impact of Social Isolation in the Elderly: A Phenomenological Study”
  • “Identity Formation in Adolescence: The Influence of Social Media and Peer Groups”
  • “The Experience of Forgiveness in Interpersonal Relationships: A Qualitative Exploration”
  • “Perceptions of Happiness and Well-Being Among University Students: A Cultural Perspective”
  • “The Impact of Art Therapy on Anxiety and Depression in Adult Cancer Patients”
  • “Narratives of Recovery: A Qualitative Study on the Journey Through Addiction Rehabilitation”
  • “Exploring the Psychological Effects of Long-Term Unemployment: A Grounded Theory Approach”
  • “Attachment Styles and Their Influence on Adult Romantic Relationships: A Qualitative Analysis”
  • “The Role of Personal Values in Career Decision-Making Among Young Adults”
  • “Understanding the Stigma of Mental Illness in Rural Communities: A Qualitative Inquiry”
  • “Exploring the Use of Digital Mental Health Interventions Among Adolescents: A Qualitative Study”
  • “The Psychological Impact of Climate Change on Young Adults: An Exploration of Anxiety and Action”
  • “Navigating Identity: The Role of Social Media in Shaping Youth Culture and Self-Perception”
  • “Community Resilience in the Face of Urban Gentrification: A Case Study of Neighborhood Change”
  • “The Dynamics of Intergenerational Relationships in Immigrant Families: A Qualitative Analysis”
  • “Social Capital and Economic Mobility in Low-Income Neighborhoods: An Ethnographic Approach”
  • “Gender Roles and Career Aspirations Among Young Adults in Conservative Societies”
  • “The Stigma of Mental Health in the Workplace: Employee Narratives and Organizational Culture”
  • “Exploring the Intersection of Race, Class, and Education in Urban School Systems”
  • “The Impact of Digital Divide on Access to Healthcare Information in Rural Communities”
  • “Social Movements and Political Engagement Among Millennials: A Qualitative Study”
  • “Cultural Adaptation and Identity Among Second-Generation Immigrants: A Phenomenological Inquiry”
  • “The Role of Religious Institutions in Providing Community Support and Social Services”
  • “Negotiating Public Space: Experiences of LGBTQ+ Individuals in Urban Environments”
  • “The Sociology of Food: Exploring Eating Habits and Food Practices Across Cultures”
  • “Work-Life Balance Challenges Among Dual-Career Couples: A Qualitative Exploration”
  • “The Influence of Peer Networks on Substance Use Among Adolescents: A Community Study”

Business and Management

  • “Navigating Organizational Change: Employee Perceptions and Adaptation Strategies in Mergers and Acquisitions”
  • “Corporate Social Responsibility: Consumer Perceptions and Brand Loyalty in the Retail Sector”
  • “Leadership Styles and Organizational Culture: A Comparative Study of Tech Startups”
  • “Workplace Diversity and Inclusion: Best Practices and Challenges in Multinational Corporations”
  • “Consumer Trust in E-commerce: A Qualitative Study of Online Shopping Behaviors”
  • “The Gig Economy and Worker Satisfaction: Exploring the Experiences of Freelance Professionals”
  • “Entrepreneurial Resilience: Success Stories and Lessons Learned from Failed Startups”
  • “Employee Engagement and Productivity in Remote Work Settings: A Post-Pandemic Analysis”
  • “Brand Storytelling: How Narrative Strategies Influence Consumer Engagement”
  • “Sustainable Business Practices: Stakeholder Perspectives in the Fashion Industry”
  • “Cross-Cultural Communication Challenges in Global Teams: Strategies for Effective Collaboration”
  • “Innovative Workspaces: The Impact of Office Design on Creativity and Collaboration”
  • “Consumer Perceptions of Artificial Intelligence in Customer Service: A Qualitative Exploration”
  • “The Role of Mentoring in Career Development: Insights from Women in Leadership Positions”
  • “Agile Management Practices: Adoption and Impact in Traditional Industries”

Environmental Studies

  • “Community-Based Conservation Efforts in Tropical Rainforests: A Qualitative Study of Local Perspectives and Practices”
  • “Urban Sustainability Initiatives: Exploring Resident Participation and Impact in Green City Projects”
  • “Perceptions of Climate Change Among Indigenous Populations: Insights from Traditional Ecological Knowledge”
  • “Environmental Justice and Industrial Pollution: A Case Study of Community Advocacy and Response”
  • “The Role of Eco-Tourism in Promoting Conservation Awareness: Perspectives from Tour Operators and Visitors”
  • “Sustainable Agriculture Practices Among Smallholder Farmers: Challenges and Opportunities”
  • “Youth Engagement in Climate Action Movements: Motivations, Perceptions, and Outcomes”
  • “Corporate Environmental Responsibility: A Qualitative Analysis of Stakeholder Expectations and Company Practices”
  • “The Impact of Plastic Pollution on Marine Ecosystems: Community Awareness and Behavioral Change”
  • “Renewable Energy Adoption in Rural Communities: Barriers, Facilitators, and Social Implications”
  • “Water Scarcity and Community Adaptation Strategies in Arid Regions: A Grounded Theory Approach”
  • “Urban Green Spaces: Public Perceptions and Use Patterns in Megacities”
  • “Environmental Education in Schools: Teachers’ Perspectives on Integrating Sustainability into Curricula”
  • “The Influence of Environmental Activism on Policy Change: Case Studies of Grassroots Campaigns”
  • “Cultural Practices and Natural Resource Management: A Qualitative Study of Indigenous Stewardship Models”

Anthropology

  • “Kinship and Social Organization in Matrilineal Societies: An Ethnographic Study”
  • “Rituals and Beliefs Surrounding Death and Mourning in Diverse Cultures: A Comparative Analysis”
  • “The Impact of Globalization on Indigenous Languages and Cultural Identity”
  • “Food Sovereignty and Traditional Agricultural Practices Among Indigenous Communities”
  • “Navigating Modernity: The Integration of Traditional Healing Practices in Contemporary Healthcare Systems”
  • “Gender Roles and Equality in Hunter-Gatherer Societies: An Anthropological Perspective”
  • “Sacred Spaces and Religious Practices: An Ethnographic Study of Pilgrimage Sites”
  • “Youth Subcultures and Resistance: An Exploration of Identity and Expression in Urban Environments”
  • “Cultural Constructions of Disability and Inclusion: A Cross-Cultural Analysis”
  • “Interethnic Marriages and Cultural Syncretism: Case Studies from Multicultural Societies”
  • “The Role of Folklore and Storytelling in Preserving Cultural Heritage”
  • “Economic Anthropology of Gift-Giving and Reciprocity in Tribal Communities”
  • “Digital Anthropology: The Role of Social Media in Shaping Political Movements”
  • “Migration and Diaspora: Maintaining Cultural Identity in Transnational Communities”
  • “Cultural Adaptations to Climate Change Among Coastal Fishing Communities”

Communication Studies

  • “The Dynamics of Family Communication in the Digital Age: A Qualitative Inquiry”
  • “Narratives of Identity and Belonging in Diaspora Communities Through Social Media”
  • “Organizational Communication and Employee Engagement: A Case Study in the Non-Profit Sector”
  • “Cultural Influences on Communication Styles in Multinational Teams: An Ethnographic Approach”
  • “Media Representation of Women in Politics: A Content Analysis and Audience Perception Study”
  • “The Role of Communication in Building Sustainable Community Development Projects”
  • “Interpersonal Communication in Online Dating: Strategies, Challenges, and Outcomes”
  • “Public Health Messaging During Pandemics: A Qualitative Study of Community Responses”
  • “The Impact of Mobile Technology on Parent-Child Communication in the Digital Era”
  • “Crisis Communication Strategies in the Hospitality Industry: A Case Study of Reputation Management”
  • “Narrative Analysis of Personal Stories Shared on Mental Health Blogs”
  • “The Influence of Podcasts on Political Engagement Among Young Adults”
  • “Visual Communication and Brand Identity: A Qualitative Study of Consumer Interpretations”
  • “Communication Barriers in Cross-Cultural Healthcare Settings: Patient and Provider Perspectives”
  • “The Role of Internal Communication in Managing Organizational Change: Employee Experiences”

Information Technology

  • “User Experience Design in Augmented Reality Applications: A Qualitative Study of Best Practices”
  • “The Human Factor in Cybersecurity: Understanding Employee Behaviors and Attitudes Towards Phishing”
  • “Adoption of Cloud Computing in Small and Medium Enterprises: Challenges and Success Factors”
  • “Blockchain Technology in Supply Chain Management: A Qualitative Exploration of Potential Impacts”
  • “The Role of Artificial Intelligence in Personalizing User Experiences on E-commerce Platforms”
  • “Digital Transformation in Traditional Industries: A Case Study of Technology Adoption Challenges”
  • “Ethical Considerations in the Development of Smart Home Technologies: A Stakeholder Analysis”
  • “The Impact of Social Media Algorithms on News Consumption and Public Opinion”
  • “Collaborative Software Development: Practices and Challenges in Open Source Projects”
  • “Understanding the Digital Divide: Access to Information Technology in Rural Communities”
  • “Data Privacy Concerns and User Trust in Internet of Things (IoT) Devices”
  • “The Effectiveness of Gamification in Educational Software: A Qualitative Study of Engagement and Motivation”
  • “Virtual Teams and Remote Work: Communication Strategies and Tools for Effectiveness”
  • “User-Centered Design in Mobile Health Applications: Evaluating Usability and Accessibility”
  • “The Influence of Technology on Work-Life Balance: Perspectives from IT Professionals”

Tourism and Hospitality

  • “Exploring the Authenticity of Cultural Heritage Tourism in Indigenous Communities”
  • “Sustainable Tourism Practices: Perceptions and Implementations in Small Island Destinations”
  • “The Impact of Social Media Influencers on Destination Choice Among Millennials”
  • “Gastronomy Tourism: Exploring the Culinary Experiences of International Visitors in Rural Regions”
  • “Eco-Tourism and Conservation: Stakeholder Perspectives on Balancing Tourism and Environmental Protection”
  • “The Role of Hospitality in Enhancing the Cultural Exchange Experience of Exchange Students”
  • “Dark Tourism: Visitor Motivations and Experiences at Historical Conflict Sites”
  • “Customer Satisfaction in Luxury Hotels: A Qualitative Study of Service Excellence and Personalization”
  • “Adventure Tourism: Understanding the Risk Perception and Safety Measures Among Thrill-Seekers”
  • “The Influence of Local Communities on Tourist Experiences in Ecotourism Sites”
  • “Event Tourism: Economic Impacts and Community Perspectives on Large-Scale Music Festivals”
  • “Heritage Tourism and Identity: Exploring the Connections Between Historic Sites and National Identity”
  • “Tourist Perceptions of Sustainable Accommodation Practices: A Study of Green Hotels”
  • “The Role of Language in Shaping the Tourist Experience in Multilingual Destinations”
  • “Health and Wellness Tourism: Motivations and Experiences of Visitors to Spa and Retreat Centers”

Qualitative Research Topics

Qualitative Research Topics are as follows:

  • Understanding the lived experiences of first-generation college students
  • Exploring the impact of social media on self-esteem among adolescents
  • Investigating the effects of mindfulness meditation on stress reduction
  • Analyzing the perceptions of employees regarding organizational culture
  • Examining the impact of parental involvement on academic achievement of elementary school students
  • Investigating the role of music therapy in managing symptoms of depression
  • Understanding the experience of women in male-dominated industries
  • Exploring the factors that contribute to successful leadership in non-profit organizations
  • Analyzing the effects of peer pressure on substance abuse among adolescents
  • Investigating the experiences of individuals with disabilities in the workplace
  • Understanding the factors that contribute to burnout among healthcare professionals
  • Examining the impact of social support on mental health outcomes
  • Analyzing the perceptions of parents regarding sex education in schools
  • Investigating the experiences of immigrant families in the education system
  • Understanding the impact of trauma on mental health outcomes
  • Exploring the effectiveness of animal-assisted therapy for individuals with anxiety
  • Analyzing the factors that contribute to successful intergenerational relationships
  • Investigating the experiences of LGBTQ+ individuals in the workplace
  • Understanding the impact of online gaming on social skills development among adolescents
  • Examining the perceptions of teachers regarding technology integration in the classroom
  • Analyzing the experiences of women in leadership positions
  • Investigating the factors that contribute to successful marriage and long-term relationships
  • Understanding the impact of social media on political participation
  • Exploring the experiences of individuals with mental health disorders in the criminal justice system
  • Analyzing the factors that contribute to successful community-based programs for youth development
  • Investigating the experiences of veterans in accessing mental health services
  • Understanding the impact of the COVID-19 pandemic on mental health outcomes
  • Examining the perceptions of parents regarding childhood obesity prevention
  • Analyzing the factors that contribute to successful multicultural education programs
  • Investigating the experiences of individuals with chronic illnesses in the workplace
  • Understanding the impact of poverty on academic achievement
  • Exploring the experiences of individuals with autism spectrum disorder in the workplace
  • Analyzing the factors that contribute to successful employee retention strategies
  • Investigating the experiences of caregivers of individuals with Alzheimer’s disease
  • Understanding the impact of parent-child communication on adolescent sexual behavior
  • Examining the perceptions of college students regarding mental health services on campus
  • Analyzing the factors that contribute to successful team building in the workplace
  • Investigating the experiences of individuals with eating disorders in treatment programs
  • Understanding the impact of mentorship on career success
  • Exploring the experiences of individuals with physical disabilities in the workplace
  • Analyzing the factors that contribute to successful community-based programs for mental health
  • Investigating the experiences of individuals with substance use disorders in treatment programs
  • Understanding the impact of social media on romantic relationships
  • Examining the perceptions of parents regarding child discipline strategies
  • Analyzing the factors that contribute to successful cross-cultural communication in the workplace
  • Investigating the experiences of individuals with anxiety disorders in treatment programs
  • Understanding the impact of cultural differences on healthcare delivery
  • Exploring the experiences of individuals with hearing loss in the workplace
  • Analyzing the factors that contribute to successful parent-teacher communication
  • Investigating the experiences of individuals with depression in treatment programs
  • Understanding the impact of childhood trauma on adult mental health outcomes
  • Examining the perceptions of college students regarding alcohol and drug use on campus
  • Analyzing the factors that contribute to successful mentor-mentee relationships
  • Investigating the experiences of individuals with intellectual disabilities in the workplace
  • Understanding the impact of work-family balance on employee satisfaction and well-being
  • Exploring the experiences of individuals with autism spectrum disorder in vocational rehabilitation programs
  • Analyzing the factors that contribute to successful project management in the construction industry
  • Investigating the experiences of individuals with substance use disorders in peer support groups
  • Understanding the impact of mindfulness meditation on stress reduction and mental health
  • Examining the perceptions of parents regarding childhood nutrition
  • Analyzing the factors that contribute to successful environmental sustainability initiatives in organizations
  • Investigating the experiences of individuals with bipolar disorder in treatment programs
  • Understanding the impact of job stress on employee burnout and turnover
  • Exploring the experiences of individuals with physical disabilities in recreational activities
  • Analyzing the factors that contribute to successful strategic planning in nonprofit organizations
  • Investigating the experiences of individuals with hoarding disorder in treatment programs
  • Understanding the impact of culture on leadership styles and effectiveness
  • Examining the perceptions of college students regarding sexual health education on campus
  • Analyzing the factors that contribute to successful supply chain management in the retail industry
  • Investigating the experiences of individuals with personality disorders in treatment programs
  • Understanding the impact of multiculturalism on group dynamics in the workplace
  • Exploring the experiences of individuals with chronic pain in mindfulness-based pain management programs
  • Analyzing the factors that contribute to successful employee engagement strategies in organizations
  • Investigating the experiences of individuals with internet addiction disorder in treatment programs
  • Understanding the impact of social comparison on body dissatisfaction and self-esteem
  • Examining the perceptions of parents regarding childhood sleep habits
  • Analyzing the factors that contribute to successful diversity and inclusion initiatives in organizations
  • Investigating the experiences of individuals with schizophrenia in treatment programs
  • Understanding the impact of job crafting on employee motivation and job satisfaction
  • Exploring the experiences of individuals with vision impairments in navigating public spaces
  • Analyzing the factors that contribute to successful customer relationship management strategies in the service industry
  • Investigating the experiences of individuals with dissociative amnesia in treatment programs
  • Understanding the impact of cultural intelligence on intercultural communication and collaboration
  • Examining the perceptions of college students regarding campus diversity and inclusion efforts
  • Analyzing the factors that contribute to successful supply chain sustainability initiatives in organizations
  • Investigating the experiences of individuals with obsessive-compulsive disorder in treatment programs
  • Understanding the impact of transformational leadership on organizational performance and employee well-being
  • Exploring the experiences of individuals with mobility impairments in public transportation
  • Analyzing the factors that contribute to successful talent management strategies in organizations
  • Investigating the experiences of individuals with substance use disorders in harm reduction programs
  • Understanding the impact of gratitude practices on well-being and resilience
  • Examining the perceptions of parents regarding childhood mental health and well-being
  • Analyzing the factors that contribute to successful corporate social responsibility initiatives in organizations
  • Investigating the experiences of individuals with borderline personality disorder in treatment programs
  • Understanding the impact of emotional labor on job stress and burnout
  • Exploring the experiences of individuals with hearing impairments in healthcare settings
  • Analyzing the factors that contribute to successful customer experience strategies in the hospitality industry
  • Investigating the experiences of individuals with gender dysphoria in gender-affirming healthcare
  • Understanding the impact of cultural differences on cross-cultural negotiation in the global marketplace
  • Examining the perceptions of college students regarding academic stress and mental health
  • Analyzing the factors that contribute to successful supply chain agility in organizations
  • Understanding the impact of music therapy on mental health and well-being
  • Exploring the experiences of individuals with dyslexia in educational settings
  • Analyzing the factors that contribute to successful leadership in nonprofit organizations
  • Investigating the experiences of individuals with chronic illnesses in online support groups
  • Understanding the impact of exercise on mental health and well-being
  • Examining the perceptions of parents regarding childhood screen time
  • Analyzing the factors that contribute to successful change management strategies in organizations
  • Understanding the impact of cultural differences on international business negotiations
  • Exploring the experiences of individuals with hearing impairments in the workplace
  • Analyzing the factors that contribute to successful team building in corporate settings
  • Understanding the impact of technology on communication in romantic relationships
  • Analyzing the factors that contribute to successful community engagement strategies for local governments
  • Investigating the experiences of individuals with attention deficit hyperactivity disorder (ADHD) in treatment programs
  • Understanding the impact of financial stress on mental health and well-being
  • Analyzing the factors that contribute to successful mentorship programs in organizations
  • Investigating the experiences of individuals with gambling addictions in treatment programs
  • Understanding the impact of social media on body image and self-esteem
  • Examining the perceptions of parents regarding childhood education
  • Analyzing the factors that contribute to successful virtual team management strategies
  • Investigating the experiences of individuals with dissociative identity disorder in treatment programs
  • Understanding the impact of cultural differences on cross-cultural communication in healthcare settings
  • Exploring the experiences of individuals with chronic pain in cognitive-behavioral therapy programs
  • Analyzing the factors that contribute to successful community-building strategies in urban neighborhoods
  • Investigating the experiences of individuals with alcohol use disorders in treatment programs
  • Understanding the impact of personality traits on romantic relationships
  • Examining the perceptions of college students regarding mental health stigma on campus
  • Analyzing the factors that contribute to successful fundraising strategies for political campaigns
  • Investigating the experiences of individuals with traumatic brain injuries in rehabilitation programs
  • Understanding the impact of social support on mental health and well-being among the elderly
  • Exploring the experiences of individuals with chronic illnesses in medical treatment decision-making processes
  • Analyzing the factors that contribute to successful innovation strategies in organizations
  • Investigating the experiences of individuals with dissociative disorders in treatment programs
  • Understanding the impact of cultural differences on cross-cultural communication in education settings
  • Examining the perceptions of parents regarding childhood physical activity
  • Analyzing the factors that contribute to successful conflict resolution in family relationships
  • Investigating the experiences of individuals with opioid use disorders in treatment programs
  • Understanding the impact of emotional intelligence on leadership effectiveness
  • Exploring the experiences of individuals with learning disabilities in the workplace
  • Analyzing the factors that contribute to successful change management in educational institutions
  • Investigating the experiences of individuals with eating disorders in recovery support groups
  • Understanding the impact of self-compassion on mental health and well-being
  • Examining the perceptions of college students regarding campus safety and security measures
  • Analyzing the factors that contribute to successful marketing strategies for nonprofit organizations
  • Investigating the experiences of individuals with postpartum depression in treatment programs
  • Understanding the impact of ageism in the workplace
  • Exploring the experiences of individuals with dyslexia in the education system
  • Investigating the experiences of individuals with anxiety disorders in cognitive-behavioral therapy programs
  • Understanding the impact of socioeconomic status on access to healthcare
  • Examining the perceptions of parents regarding childhood screen time usage
  • Analyzing the factors that contribute to successful supply chain management strategies
  • Understanding the impact of parenting styles on child development
  • Exploring the experiences of individuals with addiction in harm reduction programs
  • Analyzing the factors that contribute to successful crisis management strategies in organizations
  • Investigating the experiences of individuals with trauma in trauma-focused therapy programs
  • Examining the perceptions of healthcare providers regarding patient-centered care
  • Analyzing the factors that contribute to successful product development strategies
  • Investigating the experiences of individuals with autism spectrum disorder in employment programs
  • Understanding the impact of cultural competence on healthcare outcomes
  • Exploring the experiences of individuals with chronic illnesses in healthcare navigation
  • Analyzing the factors that contribute to successful community engagement strategies for non-profit organizations
  • Investigating the experiences of individuals with physical disabilities in the workplace
  • Understanding the impact of childhood trauma on adult mental health
  • Analyzing the factors that contribute to successful supply chain sustainability strategies
  • Investigating the experiences of individuals with personality disorders in dialectical behavior therapy programs
  • Understanding the impact of gender identity on mental health treatment seeking behaviors
  • Exploring the experiences of individuals with schizophrenia in community-based treatment programs
  • Analyzing the factors that contribute to successful project team management strategies
  • Investigating the experiences of individuals with obsessive-compulsive disorder in exposure and response prevention therapy programs
  • Understanding the impact of cultural competence on academic achievement and success
  • Examining the perceptions of college students regarding academic integrity
  • Analyzing the factors that contribute to successful social media marketing strategies
  • Investigating the experiences of individuals with bipolar disorder in community-based treatment programs
  • Understanding the impact of mindfulness on academic achievement and success
  • Exploring the experiences of individuals with substance use disorders in medication-assisted treatment programs
  • Investigating the experiences of individuals with anxiety disorders in exposure therapy programs
  • Understanding the impact of healthcare disparities on health outcomes
  • Analyzing the factors that contribute to successful supply chain optimization strategies
  • Investigating the experiences of individuals with borderline personality disorder in schema therapy programs
  • Understanding the impact of culture on perceptions of mental health stigma
  • Exploring the experiences of individuals with trauma in art therapy programs
  • Analyzing the factors that contribute to successful digital marketing strategies
  • Investigating the experiences of individuals with eating disorders in online support groups
  • Understanding the impact of workplace bullying on job satisfaction and performance
  • Examining the perceptions of college students regarding mental health resources on campus
  • Analyzing the factors that contribute to successful supply chain risk management strategies
  • Investigating the experiences of individuals with chronic pain in mindfulness-based pain management programs
  • Understanding the impact of cognitive-behavioral therapy on social anxiety disorder
  • Understanding the impact of COVID-19 on mental health and well-being
  • Exploring the experiences of individuals with eating disorders in treatment programs
  • Analyzing the factors that contribute to successful leadership in business organizations
  • Investigating the experiences of individuals with chronic pain in cognitive-behavioral therapy programs
  • Understanding the impact of cultural differences on intercultural communication
  • Examining the perceptions of teachers regarding inclusive education for students with disabilities
  • Investigating the experiences of individuals with depression in therapy programs
  • Understanding the impact of workplace culture on employee retention and turnover
  • Exploring the experiences of individuals with traumatic brain injuries in rehabilitation programs
  • Analyzing the factors that contribute to successful crisis communication strategies in organizations
  • Investigating the experiences of individuals with anxiety disorders in mindfulness-based interventions
  • Investigating the experiences of individuals with chronic illnesses in healthcare settings
  • Understanding the impact of technology on work-life balance
  • Exploring the experiences of individuals with learning disabilities in academic settings
  • Analyzing the factors that contribute to successful entrepreneurship in small businesses
  • Understanding the impact of gender identity on mental health and well-being
  • Examining the perceptions of individuals with disabilities regarding accessibility in public spaces
  • Understanding the impact of religion on coping strategies for stress and anxiety
  • Exploring the experiences of individuals with chronic illnesses in complementary and alternative medicine treatments
  • Analyzing the factors that contribute to successful customer retention strategies in business organizations
  • Investigating the experiences of individuals with postpartum depression in therapy programs
  • Understanding the impact of ageism on older adults in healthcare settings
  • Examining the perceptions of students regarding online learning during the COVID-19 pandemic
  • Analyzing the factors that contribute to successful team building in virtual work environments
  • Investigating the experiences of individuals with gambling disorders in treatment programs
  • Exploring the experiences of individuals with chronic illnesses in peer support groups
  • Analyzing the factors that contribute to successful social media marketing strategies for businesses
  • Investigating the experiences of individuals with ADHD in treatment programs
  • Understanding the impact of sleep on cognitive and emotional functioning
  • Examining the perceptions of individuals with chronic illnesses regarding healthcare access and affordability
  • Investigating the experiences of individuals with borderline personality disorder in dialectical behavior therapy programs
  • Understanding the impact of social support on caregiver well-being
  • Exploring the experiences of individuals with chronic illnesses in disability activism
  • Analyzing the factors that contribute to successful cultural competency training programs in healthcare settings
  • Understanding the impact of personality disorders on interpersonal relationships
  • Examining the perceptions of healthcare providers regarding the use of telehealth services
  • Investigating the experiences of individuals with dissociative disorders in therapy programs
  • Understanding the impact of gender bias in hiring practices
  • Exploring the experiences of individuals with visual impairments in the workplace
  • Analyzing the factors that contribute to successful diversity and inclusion programs in the workplace
  • Understanding the impact of online dating on romantic relationships
  • Examining the perceptions of parents regarding childhood vaccination
  • Analyzing the factors that contribute to successful communication in healthcare settings
  • Understanding the impact of cultural stereotypes on academic achievement
  • Exploring the experiences of individuals with substance use disorders in sober living programs
  • Analyzing the factors that contribute to successful classroom management strategies
  • Understanding the impact of social support on addiction recovery
  • Examining the perceptions of college students regarding mental health stigma
  • Analyzing the factors that contribute to successful conflict resolution in the workplace
  • Understanding the impact of race and ethnicity on healthcare access and outcomes
  • Exploring the experiences of individuals with post-traumatic stress disorder in treatment programs
  • Analyzing the factors that contribute to successful project management strategies
  • Understanding the impact of teacher-student relationships on academic achievement
  • Analyzing the factors that contribute to successful customer service strategies
  • Investigating the experiences of individuals with social anxiety disorder in treatment programs
  • Understanding the impact of workplace stress on job satisfaction and performance
  • Exploring the experiences of individuals with disabilities in sports and recreation
  • Analyzing the factors that contribute to successful marketing strategies for small businesses
  • Investigating the experiences of individuals with phobias in treatment programs
  • Understanding the impact of culture on attitudes towards mental health and illness
  • Examining the perceptions of college students regarding sexual assault prevention
  • Analyzing the factors that contribute to successful time management strategies
  • Investigating the experiences of individuals with addiction in recovery support groups
  • Understanding the impact of mindfulness on emotional regulation and well-being
  • Exploring the experiences of individuals with chronic pain in treatment programs
  • Analyzing the factors that contribute to successful conflict resolution in romantic relationships
  • Investigating the experiences of individuals with autism spectrum disorder in social skills training programs
  • Understanding the impact of parent-child communication on adolescent substance use
  • Examining the perceptions of parents regarding childhood mental health services
  • Analyzing the factors that contribute to successful fundraising strategies for non-profit organizations
  • Investigating the experiences of individuals with chronic illnesses in support groups
  • Understanding the impact of personality traits on career success and satisfaction
  • Exploring the experiences of individuals with disabilities in accessing public transportation
  • Analyzing the factors that contribute to successful team building in sports teams
  • Investigating the experiences of individuals with chronic pain in alternative medicine treatments
  • Understanding the impact of stigma on mental health treatment seeking behaviors
  • Examining the perceptions of college students regarding diversity and inclusion on campus.

About the author

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Muhammad Hassan

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  1. (PDF) A qualitative study exploring why adults with intellectual

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  2. Outlining and evaluating biological explanations of obesity Free Essay

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  3. Qualitative Themes associated with obesity management.

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  4. (PDF) A synthesis of qualitative research on overweight and obese

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  6. 😀 Research papers on obesity. Child Obesity Research Paper Childhood

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VIDEO

  1. GRADE 11- PRACTICAL RESEARCH 1: Writing a Qualitative Research Title

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  3. QUALITATIVE RESEARCH TITLES FOR STEM STUDENTS #researchtitle #qualitativeresearch #stem

  4. Obesity Institute Presents: “Systems approaches to improving population health” by Dr James Nobles

  5. QUALITATIVE RESEARCH TITLE IDEAS RELATED TO SLOW LEARNER #genius_ai #fyp #study #researchtips

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COMMENTS

  1. The lived experience of people with obesity: study protocol for a

    The search will include a broad range of terms and keywords related to obesity and qualitative research. ... (EF and EH) and combined in table format using the following headings: author, year, title, country, research aims, participant characteristics, method of data collection, method of data analysis, author conclusions and qualitative ...

  2. Obesity and Overweight: Probing Causes, Consequences, and Novel

    Despite public health efforts, these disorders are on the rise, and their consequences are burgeoning. 1 The Centers for Disease Control and Prevention report that during 2017 to 2018, the prevalence of obesity in the United States was 42.4%, which was increased from the prevalence of 30.5% during 1999 to 2002. 2 Among those afflicted with ...

  3. The lived experience of patients with obesity: A systematic review and

    Obesity has been subject to extensive research with the risks associated with the disease, and its response to various interventions, typically measured and described in quantitative terms. 2, 3 However, as Thomas 12 highlighted more than a decade ago, in order to avoid perpetuating damaging social stereotypes, we need to rethink our approach ...

  4. PDF Qualitative studies of obesity: A review of methodology

    Review Summary. As far as possible a comprehensive and systematic ap- proach has been taken in this review of the methodology employed in qualitative studies of adults' experiences of obesity. However, the diverse range and variable quality of studies has necessitated a more exploratory and open review method.

  5. Adolescents With Overweight or Obesity: A Qualitative Study of

    The prevalence of overweight and obesity in pediatric population is rising worldwide (World Health Organization, 2016).In Norway, 13% to 17% of children are currently considered to be overweight or obese (Norwegian Institute of Public Health, 2016).Adolescence is a critical period for the onset of overweight, obesity, and obesity-associated morbidity later in life (Arteburn, 2007).

  6. The lived experience of people with obesity: study protocol for a

    Background: Obesity is a prevalent, complex, progressive and relapsing chronic disease characterised by abnormal or excessive body fat that impairs health and quality of life. It affects more than 650 million adults worldwide and is associated with a range of health complications. Qualitative research plays a key role in understanding patient experiences and the factors that facilitate or ...

  7. Diet, obesity and being overweight: a qualitative research study

    LAY perceptions of being overweight or obese were examined in qualitative one-to-one interviews and group discussions conducted with people who were overweight, obese or slimmers. ... Diet, obesity and being overweight: a qualitative research study. Rhiannon Barker, MSc, and Brian Cooke, MB, MFPHM View all authors and ... Rothwell R. Obesity ...

  8. Qualitative studies among obese children and adolescents: a systematic

    Qualitative approaches are of great value in understanding this complexity. This meta-synthesis of 45 qualitative studies deals specifically with the issue of obesity in children and adolescents from different perspectives - those of obese children and adolescents, of parents, and of health professionals providing support to the family.

  9. Qualitative study on the key elements of obesity counseling ...

    2.1 Qualitative study design. This research will employ a qualitative design to explore the experiences of KMDs in counseling for weight loss. We chose the qualitative descriptive approach because it provides broad and rich information and straightforward descriptions of the participants' perspectives on counseling for weight loss.

  10. Obesity: a 100 year perspective

    In 1982, the first meeting of NAASO was held at Vassar College in the fall of 1982 with the title "Types of Obesity: Animal Models and Clinical Applications". ... A History of Obesity Research ...

  11. Are we overlooking the qualitative 'look' of obesity?

    A search of bibliographic databases including PubMed and Scopus with obesity and qualitative research as key words yields hundreds of publications per year over the past several years, so a low ...

  12. PDF Are we overlooking the qualitative 'look' of obesity&

    Scopus with obesity and qualitative research as key words yields ... Title: Are we overlooking the qualitative 'look' of obesity&quest; Author: A Perez Subject:

  13. The lived experience of people with obesity: study protocol for a

    Obesity is a prevalent, complex, progressive and relapsing chronic disease characterised by abnormal or excessive body fat that impairs health and quality of life. It affects more than 650 million adults worldwide and is associated with a range of health complications. Qualitative research plays a key role in understanding patient experiences and the factors that facilitate or hinder the ...

  14. Full article: Public Understanding of Childhood Obesity: Qualitative

    Background. In the United Kingdom (UK), 1 in 10 children aged 4 to 5 and 2 in 10 children aged 10 to 11 were classified as obese in 2018/2019 (NHS, Citation 2019).Childhood obesity is associated with an increased risk for depression during childhood and the development of physical illnesses, such as type 2 diabetes or coronary heart disease, in adulthood (Llewellyn et al., Citation 2016 ...

  15. Effectiveness of weight management interventions for adults delivered

    Introduction. Obesity is associated with an increased risk of diseases such as cancer, type 2 diabetes, and heart disease, leading to early mortality.1 2 3 More recently, obesity is a risk factor for worse outcomes with covid-19.4 5 Because of this increased risk, health agencies and governments worldwide are focused on finding effective ways to help people lose weight.6

  16. Qualitative studies of obesity: A review of methodology

    This study reviews the methodology employed by qualitative studies in which study participants were obese and data collection involved face-to-face interviews. METHODS: Database searches ...

  17. Systematic prevention of overweight and obesity in adults: a

    The prevalence rates of obesity and overweight are rapidly increasing, and the 'obesity epidemic' is globally recognized (1-3). Obesity has become one of the major risks to health as it is associated with a wide spectrum of chronic diseases. Lifestyle changes in dietary intake and physical activity contribute to the present situation (3).

  18. Obesities

    This study aims to investigate the prevalence of weight control attempts along with their strategies and motivations. This study used a retrospective observational qualitative method, and adults who had body mass index (BMI) of at least 25 kg/m2 were included. The qualitative data were analyzed using a descriptive phenomenological approach. The summaries and emergence of major concepts ...

  19. Childhood Obesity: An Evidence-Based Approach to Family-Centered Advice

    Society in general and primary care providers in particular are often highly biased toward people with obesity. 24 A study with obese children aged 9 to 11 years found implicit bias to be around 5%. 25 Rather than ignoring or denying bias, primary care providers must instead develop the self-awareness to recognize and manage it, realize that it ...

  20. Women's perspectives on mHealth behavior change interventions for the

    Studies were eligible if they focused on women's perspectives on mHealth interventions for either GDM or overweight/obesity management in pregnancy or the postpartum period. All qualitative research methods were eligible, including mixed methods where appropriate data could be identified and extracted from the qualitative research arm.

  21. 500+ Qualitative Research Titles and Topics

    Qualitative Research Titles. Qualitative research titles often reflect the study's focus on understanding the depth and complexity of human behavior, experiences, or social phenomena. Here are some examples across various fields: ... Examining the perceptions of parents regarding childhood obesity prevention;

  22. UCSF Obesity Trial → Futuros Fuertes 2.0

    Official Title. Futuros Fuertes 2.0 A Primary Care Based Intervention to Prevent Obesity Among Low-income Latino Children. Keywords. Obesity, Childhood, ... In my research, I use both qualitative and quantitative methodologies to develop and test clinical interventions and to better understand the factors that contribute to disparities in ...