Skip to main content

Research Repository

Advanced Search

Engaging patients, clinicians and health funders in weight management: the Counterweight Programme.

McQuigg, Maria; Brown, Jenny E.; Broom, J. Iain; Laws, Rachel A.; Reckless, John P.D.; Noble, Paula A.; Kumar, Sudhesh; McCombie, E. Louise; Lean, Mike E.J.; Lyons, G. Felicity; Mongia, Sarika; Frost, Gary S.; Quinn, Marney F.; Barth, Julian H.; Haynes, Sarah M.; Finer, Nick; Haslam, David W.; Ross, Hazel M.; Hole, David J.; Radziwonik, Steven


Maria McQuigg

Jenny E. Brown

J. Iain Broom

Rachel A. Laws

John P.D. Reckless

Paula A. Noble

Sudhesh Kumar

E. Louise McCombie

Mike E.J. Lean

G. Felicity Lyons

Sarika Mongia

Gary S. Frost

Marney F. Quinn

Julian H. Barth

Sarah M. Haynes

Nick Finer

David W. Haslam

Hazel M. Ross

David J. Hole

Steven Radziwonik


Background. The Counterweight Programme provides an evidence based and effective approach for weight management in routine primary care. Uptake of the programme has been variable for practices and patients. Aim. To explore key barriers and facilitators of practice and patient engagement in the Counterweight Programme and to describe key strategies used to address barriers in the wider implementation of this weight management programme in UK primary care. Methods. All seven weight management advisers participated in a focus group. In-depth interviews were conducted with purposeful samples of GPs (n = 7) and practice nurses (n = 15) from 11 practices out of the 65 participating in the programme. A total of 37 patients participated through a mixture of in-depth interviews (n = 18) and three focus groups. Interviews and focus groups were analysed for key themes that emerged. Results. Engagement of practice staff was influenced by clinicians beliefs and attitudes, factors relating to the way the programme was initiated and implemented, the programme content and organizational/contextual factors. Patient engagement was influenced by practice endorsement of the programme, clear understanding of programme goals, structured proactive follow-up and perception of positive outcomes. Conclusions. Having a clear understanding of programme goals and expectations, enhancing self-efficacy in weight management and providing proactive follow-up is important for engaging both practices and patients. The widespread integration of weight management programmes into routine primary care is likely to require supportive public policy.


MCQUIGG, M., BROWN, J.E., BROOM, J.I., LAWS, R.A., RECKLESS, J.P.D., NOBLE, P.A., KUMAR, S., MCCOMBIE, E.L., LEAN, M.E.J., LYONS, G.F., MONGIA, S., FROST, G.S., QUINN, M.F., BARTH, J.H., HAYNES, S.M., FINER, N., HASLAM, D.W., ROSS, H.M., HOLE, D.J. and RADZIWONIK, S. 2008. Engaging patients, clinicians and health funders in weight management: the Counterweight Programme. Family practice [online], 25(Supplement 1), pages i79-i86. Available from:

Journal Article Type Article
Acceptance Date Oct 2, 2008
Online Publication Date Dec 1, 2008
Publication Date Dec 31, 2008
Deposit Date Dec 7, 2012
Publicly Available Date Dec 7, 2012
Journal Family practice
Print ISSN 0263-2136
Electronic ISSN 1460-2229
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
Volume 25
Issue Supplement 1
Pages i79-i86
Keywords Patient professional engagement; Obesity management
Public URL


You might also like

Downloadable Citations