Experiences of providers in delivering nutrition-focused lifestyle interventions for adults with obesity or metabolic syndrome in primary healthcare settings: A qualitative systematic review protocol

Abstract

Objective: The objective of this review is to synthesize the best available evidence regarding primary healthcare provider experiences of delivering nutrition-focused lifestyle modification interventions for adult patients with obesity or metabolic syndrome. Introduction: There is considerable evidence available regarding the clinical effectiveness of lifestyle modification interventions for diverse patient populations. Primary healthcare providers are well-placed to deliver such interventions as a component of patient-centered care. Perceived lack of appropriate training or skills, confusion about congruence with role and lack of confidence in broaching weight or lifestyle conversations with patients prevents providers from delivering lifestyle interventions in a consistent and effective way. Inclusion criteria: This review will consider qualitative studies that explore the experiences of primary healthcare providers, including nurses, general practitioners and allied health professionals, in delivering nutrition-focused lifestyle interventions, to adults with obesity or metabolic syndrome. Provider experiences can include willingness and approach to discussing weight or lifestyle concerns with patients, clinician self-efficacy, perceived effectiveness and client acceptability of dietary interventions, and beliefs about congruence with clinician role. Methods: The search strategy will aim to find both published and unpublished studies from databases including PubMed, CINAHL, Web of Science and Scopus. Studies published in all languages will be considered and those published prior to 2000 will be excluded to reflect current practice in primary health care. Data extracted will include specific details about the populations, context, culture, geographical location, study methods and the phenomena of interest. Systematic review registration number: PROSPERO CRD42019135389.