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However, evidence shows that men who do participate in weight loss programmes tend to lose as much, or more weight than women. The present study aimed to explore men\u2019s experiences and expectations of mainstream weight loss services in the UK, following referral from a medical professional, particular in relation to barriers and motivators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Semi-structured interviews were conducted with 18 men with a BMI over 25\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      including those who had, and had not, attended group-based or one-to-one weight loss services. Interviews were analysed using thematic analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Two themes were identified;\n                      <jats:italic>'Fear as a motivation for change'<\/jats:italic>\n                      (1) and\n                      <jats:italic>'Attitudes towards existing weight loss services'<\/jats:italic>\n                      (2). Within theme two, two subthemes were identified;\n                      <jats:italic>\u2018Female dominated services\u2019<\/jats:italic>\n                      and\n                      <jats:italic>\u2018Incompatibility of existing services for men\u2019.<\/jats:italic>\n                      The findings suggest that fear, as a result of a medical diagnosis or referral is a mechanism for motivating men to engage with weight loss services. This was often augmented by awareness of other people\u2019s experiences of poor health due to their weight. The gender imbalance and attitudes towards existing weight loss services deterred men from engaging with or continuously attending sessions. This imbalance resulted in feelings of self-consciousness, shame and a perceived stigma for men using weight loss services. These experiences highlighted the importance of providing services which align with men\u2019s preferences to promote engagement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A medical diagnosis or referral serves as a strong motivator for men to engage with weight loss services by invoking fear of negative consequences of not losing weight. Men perceived weight loss services to be feminised spaces, in which they felt self-conscious and out of place. As a result, men were deterred from engaging and considered their options were limited. Implications for service design and commissioning are discussed. Involving men in research, service design and evaluation is key to improving their engagement and weight loss.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-020-8252-5","type":"journal-article","created":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T19:08:00Z","timestamp":1582571280000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":51,"title":["Exploring the influences on men\u2019s engagement with weight loss services: a qualitative study"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6495-5576","authenticated-orcid":false,"given":"Megan","family":"Elliott","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Gillison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Barnett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,2,25]]},"reference":[{"key":"8252_CR1","volume-title":"Statistics on obesity, physical activity and diet","author":"NHS Digital","year":"2019","unstructured":"NHS Digital. 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All participants were given a Participant Information Sheet when invited to the study and signed a Consent Form prior to the interview.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"249"}}