Views of patients with obesity on person-centred care: A Q-methodology study

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Abstract

Introduction To better accommodate patients with obesity, the adoption of a person-centred approach to healthcare seems to be imperative. Eight dimensions are important for person-centred care (PCC): respect for patients' preferences, physical comfort, the coordination of care, emotional support, access to care, the continuity of care, the provision of information and education, and the involvement of family and friends. The aim of this study was to explore the views of patients with obesity on the relative importance of the dimensions of PCC. Methods Q methodology was used to study the viewpoints of 21 patients with obesity on PCC. Respondents were asked to rank 31 statements about the eight dimensions of PCC by level of personal significance. Using by-person factor analysis, distinct viewpoints were identified. Respondents' comments made while ranking were used to verify and refine the interpretation of the viewpoints. Results Five distinct viewpoints were identified: (1) 'someone who listens in an unbiased manner', (2) 'everything should run smoothly', (3) 'interpersonal communication is key', (4) 'I want my independence', and (5) 'support for myself and my loved ones'. Viewpoint 1 was supported by the largest number of respondents and explained the most variance in the data, followed by viewpoint 3 and the other viewpoints, respectively. Conclusion Our findings highlight the need for tailored care in obesity treatment and shed light on aspects of care and support that are most important for patients with obesity. Patient Contribution Our sample consisted of patients. Patients were also involved in the development of the statement set through pilot testing.

Original languageEnglish
Pages (from-to)3017-3026
Number of pages10
JournalHealth Expectations
Volume25
Issue number6
Early online date30 Sept 2022
DOIs
Publication statusPublished - Dec 2022

Bibliographical note

Funding Information:
First, we would like to thank all the individuals who participated in our study. We are also grateful to everyone who contributed to the recruitment of patients for our study, including Mila Welling, Willy Theel, Mostafa Mohseni, Rosalie Kiewiet-Kemper, and Joke van der Linden. This study was funded by the Erasmus School of Health Policy and Management. This study was approved by the Medical Ethics Committee of Erasmus Medical Centre (MEC-2021-0282).

Funding Information:
First, we would like to thank all the individuals who participated in our study. We are also grateful to everyone who contributed to the recruitment of patients for our study, including Mila Welling, Willy Theel, Mostafa Mohseni, Rosalie Kiewiet‐Kemper, and Joke van der Linden. This study was funded by the Erasmus School of Health Policy and Management. This study was approved by the Medical Ethics Committee of Erasmus Medical Centre (MEC‐2021‐0282).

Publisher Copyright:
© 2022 The Authors. Health Expectations published by John Wiley & Sons Ltd.

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