Participant experiences during the NHS Low Calorie Diet Programme pilot. Findings from an online survey

Authors

  • Duncan Radley Obesity Institute, School of Sport, Leeds Beckett University, Headingley Campus, Leeds, LS6 3QW
  • Kevin J Drew Obesity Institute, School of Health, Leeds Beckett University, City Campus, Leeds, LS6 3QW
  • Catherine Homer Sport and Physical Activity Research Centre, Sheffield Hallam University, Olympic Legacy Park, 2 Old Hall Road, Sheffield, S9 3TU
  • Tamara Brown Obesity Institute, School of Health, Leeds Beckett University, City Campus, Leeds, LS6 3QW
  • Karina Kinsella Obesity Institute, School of Health, Leeds Beckett University, City Campus, Leeds, LS6 3QW
  • Chirag Bakhai Larkside Practice, Churchfield Medical Centre, 322 Crawley Green Road, Luton, Bedfordshire
  • Louisa Ells Obesity Institute, School of Health, Leeds Beckett University, City Campus, Leeds, LS6 3QW

DOI:

https://doi.org/10.15277/bjd.2024.431

Keywords:

type 2 diabetes, obesity, Low Calorie Diet, Re:Mission study, survey

Abstract

Background: In 2020, NHS England commissioned independent commercial service providers to deliver a Low Calorie Diet Programme pilot, offering Total Diet Replacement alongside behavioural support.

Methods: This paper presents participant experiences of the programme using both quantitative and qualitative data derived from four cross-sectional surveys, and examines differences by sociodemographics, delivery model and provider.

Results: The majority of participants reported a positive experience with the referral process, with a small proportion feeling that insufficient information was provided and that they did not feel respected or listened to by their healthcare professional. Participants’ relationship with their coach was generally positive throughout each phase of the programme, and highlights the importance of coach-participant relationships. The relationship with the coach via digital delivery was less favourable compared to other delivery models, as was the perceived adequacy of support provided.

Conclusions: The experience of the referral from general practice and the relationship with the coach are key elements of the participant experience. They demonstrate the importance of, and need for, person-centred care.

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Published

2024-04-16

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