Experiences of overweight and obese patients with diabetes and practice nurses during implementation of a brief weight management intervention in general practice settings serving Culturally and Linguistically Diverse disadvantaged populations
Sumathi Govindasamy A * , Kristen Beek A , Ken Yates B , Rohan Jayasuriya A , Rebecca Reynolds A , John B. F. de Wit C D and Mark Harris A E
+ Author Affiliations
- Author Affiliations
A University of New South, School of Population Health, Samuels Building, F25, Samuel Terry Avenue, Kensington, NSW 2033, Australia.
B Western Sydney University, School of Social Sciences, 100 Macquarie Street, Liverpool, NSW 2170, Australia.
C UNSW Sydney, Centre for Social Research in Health, Level 2, Goodsell Building, Kensington, NSW 2052, Australia.
D Utrecht University, Department of Interdisciplinary Social Science, PO Box 80140, 3508 TC Utrecht, the Netherlands.
E University of New South Wales, Centre for Primary Health Care and Equity, 3rd Floor AGSM Building, Sydney, NSW 2052, Australia.
* Correspondence to: suegovindasamy@gmail.com
Australian Journal of Primary Health 29(4) 358-364 https://doi.org/10.1071/PY22013
Submitted: 31 January 2022 Accepted: 14 November 2022 Published: 12 December 2022
© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)
Abstract
Background: To explore the perspectives of overweight and obese patients with diabetes from culturally and linguistically diverse, and disadvantaged backgrounds, as well as practice nurses (PNs) during implementation of a brief PN-supported self-regulation nutrition strategy for weight management in general practice settings serving disadvantaged populations.
Methods: During intervention implementation, semi-structured interviews were conducted with 12 patients and four nurses in two general practices located in metropolitan suburbs in Sydney, Australia.
Results: Patients and PNs found challenges related to cultural expectations and the requirement of patients to set and adhere to dietary change goals and behaviours. Although patients expressed high levels of satisfaction with PNs, the suitability of the intervention to this group was questioned by PNs. Obstacles were also encountered in delivering the intervention in a busy general practice setting.
Conclusions: This pilot study provided initial evidence of the acceptability of a self-regulation nutrition intervention for weight management for overweight and obese patients with type 2 diabetes that was delivered by PNs. Cultural expectations of provider–patient roles, the type of intervention and flexibility in the workplace are important future considerations.
Keywords: community health: nursing, culturally and linguistically diverse, diabetes, disease management, general practice, practise nurses, primary health care, self-regulation, weight management.
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