{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:49:19Z","timestamp":1792093759083,"version":"4.4.0"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T00:00:00Z","timestamp":1733270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR200173"],"award-info":[{"award-number":["NIHR200173"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>In 2021, the UK Government announced additional funding in England for Adult Weight Management Services (AWMS); it was specified that the extra funding must be used to commission or extend existing tier 2 services. The Office for Health Improvement and Disparities encouraged commissioners to prioritise services for higher\u2010risk groups such as those with learning disabilities, severe mental illness, people from minority ethnic groups, those living in deprived areas and men. To better understand the findings from previous survey work and to explore the implementation of targeted services in greater depth, we undertook a multiple case study comprising eight tier 2 adult weight management service providers and 35 individual stakeholder interviewees. Using the Consolidated Framework for Implementation Research as an interview guide and in data analysis, we determined key enablers and barriers to successful service provision and programme implementation. Good practice for successful AWMS provision for higher\u2010risk groups includes, having an existing programme in place that can be adapted, ensuring adequate time for programme development\/implementation, having good existing networks\/partnerships, collaborative working and putting the target group at the heart of any intervention. The findings from this work provide practical recommendations for policy and practice when targeting tier 2 services for higher\u2010risk groups.<\/jats:p>","DOI":"10.1111\/cob.12723","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T12:00:14Z","timestamp":1733313614000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Tier 2 adult weight management services in the <scp>UK<\/scp>: A case study evaluation of local authority provision of targeted services for higher\u2010risk groups in England"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1044-6201","authenticated-orcid":false,"given":"Lorraine","family":"McSweeney","sequence":"first","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Rothwell","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle upon Tyne UK"},{"name":"NIHR Applied Research Collaboration, North East and North Cumbria  Gosforth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Adamson","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Barrett","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle upon Tyne UK"},{"name":"NIHR Applied Research Collaboration, North East and North Cumbria  Gosforth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Mathews","sequence":"additional","affiliation":[{"name":"Department of Health and Social Care Office for Health Improvement and Disparities  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Lloyd","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle upon Tyne UK"},{"name":"Public Health South Tees, Middlesbrough Council and Redcar &amp; Cleveland Borough Council  Middlesbrough UK"},{"name":"School of Health and Life Sciences Teesside University  Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7237-9038","authenticated-orcid":false,"given":"Mackenzie","family":"Fong","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute Newcastle University  Newcastle upon Tyne UK"},{"name":"NIHR Applied Research Collaboration, North East and North Cumbria  Gosforth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,4]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Tackling obesity: empowering adults and children to live healthier lives (Crown Copyright).2020."},{"key":"e_1_2_10_3_1","unstructured":"NHS Digital Weight Management Programme \u2010 FAQs (NHS).2021."},{"key":"e_1_2_10_4_1","unstructured":"Adult weight management services grant determination 2021 to 2022 (GOV.UK).2021."},{"key":"e_1_2_10_5_1","unstructured":"Supporting adult weight management services grant to local authorities for adult tier 2 behavioural weight management services (GOV.UK).2021."},{"key":"e_1_2_10_6_1","unstructured":"TedstoneA McManusJ.Investing in weight management services.2021https:\/\/ukhsa.blog.gov.uk\/2021\/03\/25\/investing-in-weight-management-services\/"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2019.305221"},{"key":"e_1_2_10_8_1","unstructured":"Adult tier 2 weight management services provisional data for quarter 1 and quarter 2 2021 to 2022 (experimental statistics).2022."},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.o984"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12629"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12220"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1381079"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102288\u201011\u2010100"},{"key":"e_1_2_10_14_1","volume-title":"Qualitative Research in Health Care","author":"Pope C","year":"2019"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010021\u201001181\u20105"},{"key":"e_1_2_10_16_1","volume-title":"Case Study Research: Design and Methods","author":"Yin R","year":"2014"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-2081(00)80008-X"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102288\u201013\u2010117"},{"key":"e_1_2_10_19_1","unstructured":"Weight Management: lifestyle services for overweight or obese adults.2014."},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.13196"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102788.2011.01530.x"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2022.2161610"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010023\u201010501\u2010y"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548500701203441"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40271\u2010023\u201000644\u20109"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmaa121"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102018\u2010025423"}],"container-title":["Clinical Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cob.12723","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T05:45:00Z","timestamp":1741931100000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cob.12723"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,4]]},"references-count":26,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/cob.12723"],"URL":"https:\/\/doi.org\/10.1111\/cob.12723","archive":["Portico"],"relation":{},"ISSN":["1758-8103","1758-8111"],"issn-type":[{"value":"1758-8103","type":"print"},{"value":"1758-8111","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,4]]},"assertion":[{"value":"2024-07-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12723"}}