Barriers and enabling factors in weight management of patients with nonalcoholic fatty liver disease: A qualitative study using the COM‐B model of behaviour
Abstract Background Nonalcoholic fatty liver disease (NAFLD) is a global public health problem. Lifestyle modifications aimed at promoting weight loss and weight maintenance remain the current first‐line treatments for NAFLD. Objective We aim to identify barriers and enabling factors in weight manag...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-02-01
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| Series: | Health Expectations |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/hex.13665 |
| _version_ | 1797946611843727360 |
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| author | Yunpeng Gu Run Zhou Tingting Kong Wei Zhang Yutong Chen Chunmei Wang Junping Shi Yanli Hu |
| author_facet | Yunpeng Gu Run Zhou Tingting Kong Wei Zhang Yutong Chen Chunmei Wang Junping Shi Yanli Hu |
| author_sort | Yunpeng Gu |
| collection | DOAJ |
| description | Abstract Background Nonalcoholic fatty liver disease (NAFLD) is a global public health problem. Lifestyle modifications aimed at promoting weight loss and weight maintenance remain the current first‐line treatments for NAFLD. Objective We aim to identify barriers and enabling factors in weight management among patients with NAFLD using the capability, opportunity, motivation, behaviour (COM‐B) model of behaviour. Design This study adopted a qualitative design using semistructured interviews analysed with content analysis and the COM‐B framework. Setting and Participants Interviews were conducted with 27 patients with NAFLD who experienced successful or unsuccessful weight reduction. Results Our study included 27 participants: 15 participants with successful weight loss (successful weight loss refers to a decrease in body weight ≥7% of the initial body weight for patients with NAFLD) and 12 participants with unsuccessful weight loss. Thirty‐five themes (19 barriers and 16 facilitators) were mapped onto the COM‐B model as barriers and facilitators to weight management among patients with NAFLD. The key barriers were lack of time and energy, lack of awareness of weight, lack of attention to NAFLD, treating food as a reward or compensation and social entertainment. The key facilitators were having basic weight loss knowledge and skills, strong motivation, attention to NAFLD, unsuccessful weight loss experiences and positive feedback from phased success. Conclusion In addition to identifying factors consistent with existing studies, this study identified factors that influence weight management in NAFLD patients, such as basic weight loss skills and rational thinking before weight loss, which were not previously reported. This has clinical implications for clinical healthcare providers and health management services for the improvement of education and support regarding lifestyle improvement and weight management in patients with NAFLD. Patient or Public Contribution We recruited potential participants from the Bariatric Clinic, Hepatology Clinic and Physical Examination Center of hospitals between March 2021 and October 2021. Twenty‐seven patients with NAFLD who had successful or unsuccessful weight loss experiences participated in the study and responded to questions on weight management. |
| first_indexed | 2024-04-10T21:13:48Z |
| format | Article |
| id | doaj.art-0a591009083547309a2c73eabf6ea0d9 |
| institution | Directory Open Access Journal |
| issn | 1369-6513 1369-7625 |
| language | English |
| last_indexed | 2024-04-10T21:13:48Z |
| publishDate | 2023-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj.art-0a591009083547309a2c73eabf6ea0d92023-01-20T13:33:07ZengWileyHealth Expectations1369-65131369-76252023-02-0126135536510.1111/hex.13665Barriers and enabling factors in weight management of patients with nonalcoholic fatty liver disease: A qualitative study using the COM‐B model of behaviourYunpeng Gu0Run Zhou1Tingting Kong2Wei Zhang3Yutong Chen4Chunmei Wang5Junping Shi6Yanli Hu7School of Public Health, Division of Health Sciences Hangzhou Normal University Zhejiang Hangzhou ChinaSchool of Nursing, Division of Health Sciences Hangzhou Normal University Zhejiang Hangzhou ChinaSchool of Nursing, Division of Health Sciences Hangzhou Normal University Zhejiang Hangzhou ChinaSchool of Public Health, Division of Health Sciences Hangzhou Normal University Zhejiang Hangzhou ChinaSchool of Nursing, Division of Health Sciences Hangzhou Normal University Zhejiang Hangzhou ChinaThe Department of Metabolic Diseases Center the Affiliated Hospital of Hangzhou Normal University Zhejiang Hangzhou ChinaThe Department of Hepatology The Affiliated Hospital of Hangzhou Normal University Hangzhou Zhejiang ChinaSchool of Nursing, Division of Medicine Jinan University Guangdong Guangzhou ChinaAbstract Background Nonalcoholic fatty liver disease (NAFLD) is a global public health problem. Lifestyle modifications aimed at promoting weight loss and weight maintenance remain the current first‐line treatments for NAFLD. Objective We aim to identify barriers and enabling factors in weight management among patients with NAFLD using the capability, opportunity, motivation, behaviour (COM‐B) model of behaviour. Design This study adopted a qualitative design using semistructured interviews analysed with content analysis and the COM‐B framework. Setting and Participants Interviews were conducted with 27 patients with NAFLD who experienced successful or unsuccessful weight reduction. Results Our study included 27 participants: 15 participants with successful weight loss (successful weight loss refers to a decrease in body weight ≥7% of the initial body weight for patients with NAFLD) and 12 participants with unsuccessful weight loss. Thirty‐five themes (19 barriers and 16 facilitators) were mapped onto the COM‐B model as barriers and facilitators to weight management among patients with NAFLD. The key barriers were lack of time and energy, lack of awareness of weight, lack of attention to NAFLD, treating food as a reward or compensation and social entertainment. The key facilitators were having basic weight loss knowledge and skills, strong motivation, attention to NAFLD, unsuccessful weight loss experiences and positive feedback from phased success. Conclusion In addition to identifying factors consistent with existing studies, this study identified factors that influence weight management in NAFLD patients, such as basic weight loss skills and rational thinking before weight loss, which were not previously reported. This has clinical implications for clinical healthcare providers and health management services for the improvement of education and support regarding lifestyle improvement and weight management in patients with NAFLD. Patient or Public Contribution We recruited potential participants from the Bariatric Clinic, Hepatology Clinic and Physical Examination Center of hospitals between March 2021 and October 2021. Twenty‐seven patients with NAFLD who had successful or unsuccessful weight loss experiences participated in the study and responded to questions on weight management.https://doi.org/10.1111/hex.13665COM‐B modelhealth carenonalcoholic fatty liver diseasequalitative studyweight management |
| spellingShingle | Yunpeng Gu Run Zhou Tingting Kong Wei Zhang Yutong Chen Chunmei Wang Junping Shi Yanli Hu Barriers and enabling factors in weight management of patients with nonalcoholic fatty liver disease: A qualitative study using the COM‐B model of behaviour Health Expectations COM‐B model health care nonalcoholic fatty liver disease qualitative study weight management |
| title | Barriers and enabling factors in weight management of patients with nonalcoholic fatty liver disease: A qualitative study using the COM‐B model of behaviour |
| title_full | Barriers and enabling factors in weight management of patients with nonalcoholic fatty liver disease: A qualitative study using the COM‐B model of behaviour |
| title_fullStr | Barriers and enabling factors in weight management of patients with nonalcoholic fatty liver disease: A qualitative study using the COM‐B model of behaviour |
| title_full_unstemmed | Barriers and enabling factors in weight management of patients with nonalcoholic fatty liver disease: A qualitative study using the COM‐B model of behaviour |
| title_short | Barriers and enabling factors in weight management of patients with nonalcoholic fatty liver disease: A qualitative study using the COM‐B model of behaviour |
| title_sort | barriers and enabling factors in weight management of patients with nonalcoholic fatty liver disease a qualitative study using the com b model of behaviour |
| topic | COM‐B model health care nonalcoholic fatty liver disease qualitative study weight management |
| url | https://doi.org/10.1111/hex.13665 |
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