Barriers to progression through Australian obesity management pathways; Survey data from the ACTION-IO study

Abstract

Background and objective Our previous work uncovered a nine-year delay, from when Australian people with obesity (PwO) first began struggling with excess weight and first discussed weight with a healthcare professional (HCP). In this study we explore barriers to having an obesity consultation, making and discussing the diagnosis of obesity and arranging a management plan, including a follow-up appointment. Methods Australian PwO (n = 1000) and HCPs (n = 200; 50% general practitioners [GPs]), completed the Awareness, Care & Treatment In Obesity Management – An International Observation (ACTION-IO) online survey. Results Of Australian PwO, 53% had discussed weight with an HCP in the past five years, 25% were informed of their obesity diagnosis and 15% had weight-related follow-up appointments scheduled. Fewer GPs than other specialists reported recording obesity diagnoses, but GPs scheduled more follow-up appointments. Receiving formal obesity training was reported by 22% of GPs and 44% of other specialists. Discussion Barriers to obesity care in Australia include unrealistic expectations from both PwO and HCPs, lack of evidencebased strategies and insufficient training. Further exploration of barriers is required.