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A Qualitative Assessment of Weight Control among Rural Kansas Women
- Ely, Andrea C., Befort, Christie, Banitt, Angela, Gibson, Cheryl, Sullivan, Debra
- Journal of nutrition education and behavior 2009 v.41 no.3 pp. 207-211
- obesity, women, rural areas, weight control programs, weight control, health services, general practitioners, health beliefs, patient education, focus groups, physical activity, disease prevalence, interpersonal relationships, lifestyle, nutrition education, attitudes and opinions, Kansas
- Objective: To explore weight control beliefs, attitudes, knowledge, and practices among rural Kansas women, and to characterize the relationship of these women with their primary-care providers around weight control. Design: Qualitative research using focus groups. Setting: Three separate communities of rural Kansas. Participants: Six focus groups among 31 women during fall 2006. Intervention: Two focus groups in each community, each of 2-hour duration. A focus group moderator's guide was used to explore the roles of individuals, primary-care practice teams, and communities around weight control. Analysis: This study used a qualitative analysis with an iterative process and standard techniques. The analysis team summarized central findings, descriptive topic areas, and general themes. Results: There were 5 broad themes that emerged from these focus groups. These themes are lack of support from primary-care providers; primary-care offices as community resources; lack of resources for promoting dietary change, but adequate resources for physical activity; the importance of group support and inclusiveness; and a need for more intensive interventions for weight control. Conclusions and Implications: Rural populations have an above-average prevalence of obesity and related comorbidities. Rural communities need better approaches for addressing the obesity epidemic.