Evaluating a psychology clinic in a community weight management service

Abstract

Living with obesity and being physically inactive increases the risk of several cardiovascular conditions, including hypertension. This study aimed to evaluate a psychology clinic, which was established in a tier 2 community adult weight management service in a real-world setting. The psychology clinic was delivered by an assistant psychologist, working jointly with community dieticians, and included approaches informed by acceptance and commitment therapy, cognitive behavioural therapy and mindfulness. Quantitative data were collected regarding patients' weight, body mass index, and anxiety and depression scores in their first and last session, as well as attendance and drop-out rates. Data were analysed using descriptive statistics and a one-sample t-test, with P<0.05 indicating significance. Qualitative feedback was collected by the assistant psychologist. A total of 31 patients were accepted for an initial assessment, of whom 27 were offered follow up and 17 completed the intervention. Patients' average weights and anxiety scores decreased significantly, but their average body masses indices and depression scores saw no significant difference. Qualitative feedback indicated that the clinic helped patients to increase their physical activity levels, improve their wellbeing, reduce emotional eating behaviours and develop strategies to cope with difficult emotions more effectively. Psychological input can add value to weight management services, emphasising the importance of a multidisciplinary team when addressing modifiable cardiovascular risk factors, with a holistic approach to heart health and weight management interventions.