Objective:
To explore weight control beliefs, attitudes, knowledge, and practices among rural Kansas women, and to characterize the relationship of these women with their primary-care providers around weight control.
Design:
Qualitative research using focus groups.
Setting:
Three separate communities of rural Kansas.
Participants:
Six focus groups among 31 women during fall 2006.
Intervention:
Two focus groups in each community, each of 2-hour duration. A focus group moderator's guide was used to explore the roles of individuals, primary-care practice teams, and communities around weight control.
Analysis:
This study used a qualitative analysis with an iterative process and standard techniques. The analysis team summarized central findings, descriptive topic areas, and general themes.
Results:
There were 5 broad themes that emerged from these focus groups. These themes are lack of support from primary-care providers; primary-care offices as community resources; lack of resources for promoting dietary change, but adequate resources for physical activity; the importance of group support and inclusiveness; and a need for more intensive interventions for weight control.
Conclusions And Implications:
Rural populations have an above-average prevalence of obesity and related comorbidities. Rural communities need better approaches for addressing the obesity epidemic.
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