Enhancing primary healthcare for adults on low incomes with obesity - an intervention development study

Project: Research

Project Description

Obesity is a national health priority that disproportionately affects adults on low incomes. Obesity can be effectively managed in primary healthcare (PHC), yet adults on low incomes are more likely to report that the time general practitioners spend with them is inadequate, and they feel less respected and listened to compared to the general population.

Currently, not enough is known about why adults on low incomes have worse PC experiences or how PHC can be orientated to get better health outcomes for adults on low incomes living with obesity. I will identify best models of PHC practice and uncover priorities for obesity management in PHC. This will then lead to the development and testing of an intervention to make PHC more effective and acceptable for adults on low incomes with obesity.
I will apply the UK Medical Research Council guidelines for the development of complex interventions, generating an evidence base for quality PHC for adults on low incomes with obesity. I will use multiple methods including a realist review, qualitative patient interviews, consultation video-recordings, and health service data analysis, to explore the perspective of adults on low incomes and determine their current access to obesity care. This will generate a model for best practice PHC for adults on low incomes with obesity, a framework for prioritising obesity in PHC, and a pragmatic intervention. I will discover new ways of implementing PHC for adults on low incomes with obesity and add to emerging international data on best practice PHC for adults on low-incomes.

I will use my networks as a clinical researcher to influence PHC clinician training and professional society policy. This research will improve the health of adults on low incomes with obesity by developing a sustainable PHC intervention leading to better healthcare experiences and overall wellbeing.
StatusActive
Effective start/end date1/01/2031/12/24

Funding

  • National Health & Medical Research Council (NHMRC): AUD250,000.00
  • National Health & Medical Research Council (NHMRC): AUD389,750.00

Keywords

  • obesity, primary care, health promotion, poverty