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What Are the Critical Features of Successful Tier 2 Weight Management Programmes?

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What Are the Critical Features of Successful Tier 2 Weight Management Programmes? Department of Health Reviews Facility To support national policy development and implementation What are the critical features of successful Tier 2 weight management programmes? A systematic review to identify the programme characteristics, and combinations of characteristics, that are associated with successful weight loss Katy Sutcliffe, Michelle Richardson, GJ Melendez-Torres, October 2016 Claire Stansfield. James Thomas The Department of Health Reviews Facility is a collaboration between the following centres of excellence For further details, please contact: Katy Sutcliffe Evidence for Policy and Practice Information and Co-ordinating Centre (EPPI-Centre) Social Science Research Unit (SSRU) UCL Institute of Education, University College London 18 Woburn Square London WC1H 0NR United Kingdom tel: 0207 612 6239 email: [email protected] http://eppi.ioe.ac.uk/ The authors of this report are: K Sutcliffe,1 M Richardson,1 R Rees,1 H Burchett2, GJ Melendez-Torres,3 C Stansfield,1 J Thomas1 1 EPPI-Centre, Social Science Research Unit, UCL Institute of Education, University College London, London, UK 2 Policy Innovation Research Unit, London School of Hygiene and Tropical Medicine 3 Division of Health Sciences, Warwick Medical School, University of Warwick Acknowledgements The authors would like to thank Alison Tedstone, Jamie Blackshaw and Vicki Coulton from Public Health England for their helpful advice; also Harry Rutter and Susan Jebb for comments and guidance on the review’s scope. Thanks also to Joanna Saunders and Catherine Homer from Rotherham Local Authority, Hayley Mills and Rochelle Scott from Places for People Leisure Rotherham, Mark Roscoe from Birmingham Local Authority and David Elliott from Public Health England West Midlands for their invaluable contributions to the case studies. Funding This is an independent report commissioned and funded by the Policy Research Programme in the Department of Health. The views expressed are not necessarily those of the Department. Conflicts of interest There were no conflicts of interest in the writing of this report. Contributions The opinions expressed in this publication are not necessarily those of the EPPI-Centre or the funders. Responsibility for the views expressed remains solely with the authors. This report should be cited as: Sutcliffe K, Richardson M, Rees R, Burchett H, Melendez-Torres GJ, Stansfield C, Thomas J (2016) What are the critical features of successful Tier 2 weight management programmes for adults? A systematic review to identify the programme characteristics, and combinations of characteristics, that are associated with successful weight loss. London: EPPI-Centre, Social Science Research Unit, UCL Institute of Education, University College London. ISBN: 978-1-907345-91-3 © Copyright Authors of the systematic reviews on the EPPI-Centre website (http://eppi.ioe.ac.uk/) hold the copyright for the text of their reviews. The EPPI-Centre owns the copyright for all material on the website it has developed, including the contents of the databases, manuals, and keywording and data-extraction systems. The centre and authors give permission for users of the site to display and print the contents of the site for their own non-commercial use, providing that the materials are not modified, copyright and other proprietary notices contained in the materials are retained, and the source of the material is cited clearly following the citation details provided. Otherwise users are not permitted to duplicate, reproduce, re-publish, distribute, or store material from this website without express written permission. Contents Contents Tables .................................................................................................................. ii Glossary ............................................................................................................... iv Executive summary: The systematic review and its findings ............................................. 1 Aims ................................................................................................................. 1 Methods ............................................................................................................. 1 Findings ............................................................................................................. 1 Conclusions: What are the critical features of WMPs? ...................................................... 3 1. Introduction ....................................................................................................... 5 1.1 Why is this systematic review being done? .............................................................. 5 1.2 What research has been done before? .................................................................... 5 1.3 What did this systematic review aim to find out? ...................................................... 6 1.4 How was the systematic review conducted? ............................................................ 6 1.5 How is this review different from previous reviews? .................................................. 6 2. Views synthesis: What do service users and providers feel are the critical features of WMPs? 8 2.1 What evidence was examined for the views synthesis? ............................................... 8 2.2 Views synthesis findings: What do service users and providers feel are the critical features of WMPs? ............................................................................................................... 9 3. Synthesis of service evaluations: Do the views of service users and providers help us to understand pathways to successful weight loss via WMPs? .............................................. 34 3.1 What evidence was examined in the synthesis of service evaluations? ........................... 34 3.2 Findings: Synthesis of service evaluations .............................................................. 35 4. Case studies: How do the reviews findings resonate with local authority experiences? ...... 45 4.1 Provider support: Fostering WMP engagement and initiation of healthy behaviours ........... 49 4.2 Self-regulation: Physical activity and graduated exit ................................................ 49 4.3 Meeting service-user needs and preferences: Flexibility in the WMPs and in the service delivery model .................................................................................................... 50 4.4 Which other issues are key to service commissioning? ............................................... 52 5. Discussion ........................................................................................................ 55 5.1 Summary of findings ........................................................................................ 55 5.2 Strengths and limitations .................................................................................. 55 5.3 Implications .................................................................................................. 57 6. Detailed methods .............................................................................................. 59 6.1 Design ......................................................................................................... 59 6.2 User involvement ............................................................................................ 59 6.3 Review questions ............................................................................................ 59 6.4 Methods for the views synthesis: Thematic analysis .................................................. 60 6.5 Methods for the synthesis of service evaluations: Qualitative comparative analysis ........... 62 6.6 Methods for case studies ................................................................................... 66 7. References ...................................................................................................... 68 What are the critical features of successful Tier 2 weight management programmes? i Contents 7.1 Included views reports ..................................................................................... 68 7.2 Included trials reports ...................................................................................... 69 7.3 Other references ............................................................................................ 70 Appendices .......................................................................................................... 73 Appendix 1: Characteristics of studies included in the views synthesis (n=26 studies reported in 31 papers) ......................................................................................................... 73 Appendix 2: Views synthesis findings: Non-weight management programme factors that are perceived to moderate programme success ................................................................. 81 Appendix 3: Characteristics of interventions included in the synthesis of service evaluations (n= 20 interventions in 15 trials) ................................................................................... 88 Appendix 4: Framework developed from views synthesis and used to code intervention characteristics .................................................................................................... 93 Appendix 5: QCA data table: How the interventions matched the WMP features identified in the views synthesis ..................................................................................................
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