{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T14:30:43Z","timestamp":1787581843071,"version":"build-2736575974"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Patient retention underpins the success of weight management services, but they often face high dropout rates. This study aimed to explore patients' experiences of support during their attendance at a weight management service, and how it impacted on engagement, dropout and retention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty\u2010seven patients from an NHS weight management service participated in semi\u2010structured interviews conducted either face\u2010to\u2010face or by telephone. An open\u2010ended question explored participants' perspectives on the need for support during weight management, aiming to understand how support affects retention. Interviews were audio\u2010recorded, transcribed verbatim, and analysed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Peer support and a positive group dynamic in weight loss interventions enhanced engagement by harnessing the value of shared experiences, helping some patients overcome feelings of isolation. Positive patient\u2010clinician interactions, based on understanding and free from judgment, also enhance engagement. However, clinician changes during interventions risks undermining supportive bonds. Support from family and friends provides valuable emotional and motivational support, however, the absence of such networks can exacerbate isolation. Barriers to communicating with clinicians outside of appointments can frustrate patients, in contrast to experiences of commercial weight loss groups where participants have direct access to group leaders for support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The support needs of patients with obesity attending weight management services vary considerably. Drawing on patient experiences can inform strategies to tailor support provision to better meet individual patient needs and enhance patient retention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70159","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T04:55:18Z","timestamp":1764132918000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Understanding How Patient Experiences of Support While Attending a Weight Management Service Impacts Engagement, Dropout and Retention: A Semi\u2010Structured Interview Study"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3013-888X","authenticated-orcid":false,"given":"Jordan","family":"Everitt","sequence":"first","affiliation":[{"name":"Department of Healthcare and Food, School of Sport and Health Sciences Cardiff Metropolitan University Cardiff Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enzo","family":"Battista\u2010Dowds","sequence":"additional","affiliation":[{"name":"Weight Management Service, Nutrition and Dietetics Department Aneurin Bevan University Health Board Newport Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Heggs","sequence":"additional","affiliation":[{"name":"Department of Applied Psychology, School of Sport and Health Sciences Cardiff Metropolitan University Cardiff Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Squire","sequence":"additional","affiliation":[{"name":"Department of Healthcare and Food, School of Sport and Health Sciences Cardiff Metropolitan University Cardiff Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"\u201cHealth Survey for England 2021 \u201d NHS Digital published 2021 https:\/\/www.gov.uk\/government\/statistics\/health-survey-for-england-2021."},{"key":"e_1_2_10_3_1","unstructured":"\u201cWeight Management: Lifestyle Services for Overweight or Obese Adults. Guidance PH53 \u201d National Institute for Health and Care Excellence (NICE) published 2014 https:\/\/www.nice.org.uk\/guidance\/ph53\/resources\/weight-management-lifestyle-services-for-overweight-or-obese-adults-pdf-1996416726469."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12204"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.21203\/rs.3.rs-1128262\/v1"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2011.00915.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S103649"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1602194"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0094207"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCM.0b013e318253f029"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2011.00892.x"},{"key":"e_1_2_10_12_1","volume-title":"Qualitative Opportunities Into User Experiences of Tier 2 and Tier 3 Weight Management Services","author":"Guzelgun N.","year":"2017"},{"key":"e_1_2_10_13_1","volume-title":"A Qualitative Insight Into Obesity Adult Service Users","author":"Withnall S.","year":"2008"},{"issue":"3","key":"e_1_2_10_14_1","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1002\/oby.20526","article-title":"Do Weight Loss and Adherence Cluster Within Behavioral Treatment Groups?","volume":"22","author":"Wing R. 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