Table 1.

Integrating scheme: second order constructs and emerged themes

Responder	Second order construct	Theme
Patient	Lifestyle advice alone is not enough²³–²⁵	Knowledge/education
	Disillusioned with solutions to obesity²³,²⁴	Medicalisation
	Patients place faith in individual-level interventions²³,²⁴	Medicalisation
	Practitioners convey obesity an individual responsibility²²,²⁵	Medicalisation
	Lack of confidence in services²²–²⁵	Uncertainty
	Frustrated by limited options available²²,²⁴	Uncertainty
	Doubt resulting from practitioners’ ambivalence²²,²⁴,²⁵	Uncertainty
	Patients want support²²,²⁵	Communication
	Practitioners appear frustrated²²,²⁴	Communication
	Self-blame²³,²⁵	Blame/stigma
	Practitioners blame patient²²,²⁵	Blame/stigma

Primary care practitioner	Practitioners limited by evidence base²⁶–²⁹	Knowledge/education
	Practitioners do not have sufficient obesity-specific training²⁷,²⁸	Knowledge/education
	Patients lack sufficient knowledge²⁷–²⁹	Knowledge/education
	Obesity is a socioecological issue²³,²⁶,²⁸–³⁰	Medicalisation
	Practitioners only responsible for medical issues²⁶,²⁷,²⁹,³⁰	Medicalisation
	Doubt over patients’ abilities to change²²,²⁸,²⁹	Uncertainty
	Primary care may not be the appropriate place to address obesity²⁶–²⁹	Uncertainty
	Sensitive topic threatens patient–practitioner relationship²⁶,²⁸–³⁰	Communication
	Obesity-related training is required²³,²⁷,²⁸,³⁰	Communication
	Practitioners sometimes use stigmatising language²³,²⁶,²⁸	Blame/stigma
	Patients can be difficult to deal with²³,²⁶–³⁰	Blame/stigma