A feasibility study of a remote group-based behavioural change support for adults living with severe obesity
Obesity and other hyperalimentation
Within this study we will include three types of participant: 1. 60 patients who choose to attend the PROGROUP-online programme 2. 20 patients who choose not to attend the online programme 3. Staff who deliver or manage PROGROUP-online 1. Patients in PROGROUP-Online will complete a questionnaire upon consent, will attend 5 months of the programme* delivered by local healthcare staff, will complete short feedback at each online session, will complete a short questionnaire at 3 months, and will complete a final 6-month questionnaire, and all will be offered the opportunity to participate in a qualitative interview about their choice and experience. A subset of up to 20 patients will participate in a photovoice exercise to photograph and describe their thoughts about foods and settings. 2. Patients who choose not to attend the programme will complete one questionnaire at consent and one 6 months later. They will be offered the opportunity to participate in a qualitative interview about their choice and experience. 3. Healthcare staff who deliver or manage the PROGROUP-online programme will be offered a qualitative interview to discuss their experiences. *The programme offers 12 online group sessions, each of 1-2 hours, plus three one-to-one (30-minute) appointments with the healthcare staff.
1. Newly referred patients meeting standard criteria for specialist weight management referral (BMI >40 kg/m2, or >35 kg/m2 with comorbidity, and adjusted for ethnicity) will be invited to participate in the study. 2. Patients must satisfy all of the following criteria to be enrolled in the study: 2.1. Registered with the participating NHS site 2.2. Aged >=18 years 2.3. Willing to have weight measured on two occasions (at consent and 6 months) 2.4. Considered suitable for group-based care 2.5. Have the capacity to consent
1. Aged under 18 years 2. Currently engaged in any other weight management trial 3. Unwilling or unable to attend the intervention/UC appointments 4. Intending to relocate outside the geographical region during the trial period 5. Participants who have significant difficulties in adequate understanding of English or a sensory impairment, such that they are unable to sufficiently understand/access the trial documentation or engage in intervention/UC appointments, in the absence of a local provision of translated materials or communication aids.