| Impact | Representative quote* |
|---|---|
| Increased "Ask" | "I think I talk about weight more initiated by me I would say now." (nurse 7) "I tried it [asking about weight] twice now because of the sessions because if they come in for something other than that like diabetes for example but they have a weight issue, then yes I do try and ask them." (dietitian 4) "I think that that's something [asking permission to talk about weight] that maybe I'm doing much more diligently than I have in the past because of being involved in, in this group." (mental health worker 3) |
| Agenda shift | "I really promote kind of getting away from the numbers and focusing on health and I never weigh them initially so I'll ask them if that's something they want, like, 'Do you want to focus on numbers?' because some people do, they just want to know the numbers and it's going down but it's not anything, like, I never promote it or I never just automatically do it anymore, whereas before I would, as we're walking to the room at the back, we would stop and do height and weight so that's something I never do anymore and it's completely up to the patient if [he or she] wants that or not." (dietitian 6) "I think it's really good, it's helped me kind of sit back and have a little bit more structure to my appointments and come in with more of an open mind to see what the patient wants from me more as you know me coming in and telling them what they need to change or what they should do." (nurse 4) "I think the biggest thing to remember is to just be patient focused because I think we all have our own motives and our own desires for what we want our patients to do but it needs to be what they want to do." (nurse 11) |
| Increased attentiveness to patients' feelings | "I'm more aware of asking them if they want to change, what are, how are they feeling which I probably never would have before." (nurse 19) "You know how it's going to impact my practice, I guess just increased awareness and sensitivity for people." (mental health worker 5) |
| Fostering rapport | "I think it's just going to have to depend on the patient because some patients are, I don't know, they like a gentler approach than others and you just have to know your patient. ... If they're nervous and uncomfortable, you know I think sometimes they just want to be heard and so just giving them the time and I think nurses have that time." (nurse 11) "Well I think it's just that consistency and, and just always be open and honest and, and allowing for the conversation to keep happening." (nurse 20) |
| Cultural sensitivity | "The cultural one, I think I'll try to figure out what a good way to ask about the food because it's important and I know lots of the ones that I talk to some of them are traditional, some are very Western, like they've adapted and some are kind of in-between but I think I always assume that they're still quite traditional so finding more about what, what role food plays in their household now." (dietitian 6) |
| Changes in goal-setting | "I'm remembering the session when she said, you know, trying to … nurture your body versus nourish [your emotions] so those people that get cravings at night, try to find activity that's not necessarily food focused so like go for a walk or take a bubble bath or whatever. … I find those are what's more helpful that I take out because I apply those to practice definitely." (dietitian 7) "The concept of weight maintenance is new to me because honestly I would have focused on getting down to maybe not an ideal body mass index but at least approaching that and so I think it's a different focus for me since, since the program started." (nurse 9) |
| Patient empowerment | "Yeah, you have to meet them where they're at so it, it's not something that we can do for them. They have to do that exercise piece. They have to, you know, monitor their diet and they have to, if it's the surgery they want they have to take those steps to get into that program and we can just guide them." (nurse 26) |
*Quotes were edited to improve readability.