98 M. Pickford

General Practitioners are on the front line caring forpatients with this health issue along with the mul-titude of health impacts that it brings. On averageAustralians attend their GP 2—7 times a year andpatients report high rates of feeling respected andlistened to by GPs. Despite this and the acknowl-edged positive effect of GP involvement in healthprevention current obesity management strategiesrequire referral outside the GP environment. Thisproject was developed to identify and understandthe evidence around GP delivered interventions forobesity.

Methods: A systematic review with the follow-ing inclusion criteria: RCTs, adults, BMI over 25 anda weight loss program delivered by a Primary Caredoctor in a Primary Care setting. The primary out-come was BMI measured at 2 years with reporting ofadverse outcomes. We used Pubmed, PsycInfo andCochrane Central Register of Controlled Trials.

Results: There is almost no research on strate-gies delivered by General Practitioners — weidentified one International study, and no Australiandata.

Conclusion: We will reflect upon why there is solittle research on GP delivered strategies for obe-sity treatment [1—4].

References

[1] Overweight and obesity. Australian Institute ofHealth and Welfare; 2013. http://www.aihw.gov.au/overweight-and-obesity/.

[2] Healthy communities: Australians’ experiences with pri-mary health care in 2010—11. National Health PerformanceAuthority; 2013.

[3] General Practitioners. Patient experiences in Australia: sum-mary of findings 2012—13. Canberra: Australian Bureau ofStatistics; 2013.

[4] Martin P, et al. A primary care weight management inter-vention for low-income African-American women. Obesity2006;14(8):1412—20.

http://dx.doi.org/10.1016/j.orcp.2014.10.179

108

Running shared medicalappointments for diabesity

Marianne Sumego

Cleveland Clinic, Chicago, IL, UnitedStates

The increasing complexity and costs of med-ical care are challenging the entire healthcarecommunity to develop efficient and high qualitycare models. Shared Medical Appointments (SMAs)provide an innovative solution addressing access

and quality of care in a setting which leveragesrepetition and extended visit length. The model’ssuccess is critical on the elements flowing togethercreating a seamless appointment. Looking backover more than 10 years of experience at the Cleve-land Clinic conducting SMAs, we can share the keyessentials in the development and implementationof SMAs. Our data illustrates how SMA’s can resultin increased access, improved quality of care andan enhanced patient experience. Chronic diseaseconditions like diabesity and the associated impacton healthcare are taking centre stage. SMA’s area care model that combines maximising workflowefficiencies with high quality of care and are oneway to address the changing needs in healthcare. Itcan be an exciting time in healthcare as we forgeahead to advance the care of our patients.

http://dx.doi.org/10.1016/j.orcp.2014.10.180

105

LiveLighter Phase II ‘‘SugaryDrinks’’ mass media campaign

Maurice Swanson 1,∗, Maria Szybiak 1,Trevor Shilton 1, Steve Pratt 2, TerrySlevin 2, Belinda Morley 3, PhilippaNiven 3, Helen Dixon 3, MelanieWakefield 3

1 Heart Foundation, Subiaco, WA,Australia2 Cancer Council WA, Shenton Park,WA, Australia3 Centre for Behavioural Research inCancer, Cancer Council Victoria,Melbourne, VIC, Australia

Background: In 2012, the Department of HealthWA contracted the Heart Foundation in WA todevelop an evidence-based public education cam-paign to address unhealthy weight in adults in WA.This was in response to the increasing prevalenceof obesity and the need to present obesity as aserious public health issue. The 2013-2014 PhaseII campaign, ‘‘Sugary Drinks’’, graphically depictsvisceral fat around vital organs and focuses on thecontribution of sugar-sweetened beverages (SSB) tothe development of toxic fat and ultimately dis-ease.

Method: The campaign has employed similarstrategies to those used by successful social market-ing campaigns designed to reduce the prevalenceof smoking. Paid media advertising that graphi-cally portrays the negative health effects of excessvisceral fat has been complemented by generat-ing unpaid media coverage. A dedicated campaign