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Table 3 Summary of Thematic Framework

From: Recipients’ and providers’ perspectives of obesity and potential barriers to weight management programmes in patients with Rheumatoid Arthritis (RA): a qualitative study

Descriptor Sub-theme Core theme
Impact of weight gain
Uncertainty of symptoms
Effect on mood
Internal struggle
Emotional response The psychosocial impact of living with RA and obesity
Self-motivation
Utilisation of public facilities
Active engagement with RA by patients
Self-determination
The role of food
Coping strategies
Self-blame
External barriers
Internal and external psychosocial challenges
Unpredictability of the course of RA as a long term condition.
Impact on lifestyle
Impact of living with RA Challenges of living with RA and obesity
Frustration of weight
Challenge of weight loss with RA
Problems of obesity alongside RA
Engagement with Health Service.
Working whilst living with RA.
Impact of external factors
Operational expectations
Psychosocial expectation
Expectations of a bespoke weight management programme Considerations about future weight management programmes
Practical requirements of support for weight management programme.
Views on technology in relation to a weight management programme.
Practicalities of designing and running a weight management programme
The role of peer support
Group dynamics
Purpose of weight management group
  Awareness of obesity as a public health issue