Table 1.

Interview extracts pertaining to embeddedness

Summary	Healthcare provider quotes
I don't really see weight management visits as such	‘I don't have patients that come to see me just for obesity or just necessarily for diabetes or just for one thing. You know they'll come in, yes they're one of my diabetic patients but you know we're talking about their cholesterol today or their blood pressure and their weight another day’ (Nurse 4)	‘I see them mostly for diabetes or dyslipidemia or hypertension, mostly diabetes. I mean and weight management is involved in that but that's not my focus is not let's lose weight.’ (Dietitian 5)
It can be inappropriate to bring it up	‘… for example the lady that I saw this week could have been like a good like 10, 20 pounds that she could lose, then it was her first visit so am I going to approach that on her first visit for smoking cessation when she's already struggling with that? I find that's one mountain, if you throw everything in the same visit, they're going to be like who's that crazy lady, I'm not going back.’ (Nurse 6)	‘I see a lot of people that have weight issues but when they're coming to see me as a behavioral health consultant, that's not their expectation is for me to start talking about their weight right. They're, they're talking about their sleep disturbance or you know their racing thoughts or their hypomanic episodes or their bad employer or you know.’ (Mental health worker 3)
Time can be a challenge	‘It depends … on how much time I have so if this is a patient I had never seen before and I've been booked 10 or 15 min with them and they have a number of issues but what they're there for is their cough, I probably won't bring it up.’ (Nurse 7)	‘I don't want to be that person that says oh you need to lose a little bit of weight, I don't want to be the person that it comes across like that … timing is important cause you don't want to ruin the relationship. You want to build a relationship right. I really feel like that's important and then empower them when they're ready.’ (Nurse 1)
Instead I can focus on issues related to weight indirectly	‘… because I don't deal with a lot of weight management and you know I've been working with one lady who is going through the bariatric program but my work is not kind of in, we don't deal a lot with weight right. We're working on assertiveness training, we're working on managing her mood, those types of things which it all kind of impacts and I certainly support you know her, increasing her physical activity, you know we address some of those types of things, not necessarily on the weight.’ (Mental health worker 5)	‘I do give them the information of well you know five to ten percent weight loss may help with blood sugar control but we just focus on things that they can actually do to help those ‘cause I believe that if you know if they work on portion control, that's going to help with their blood sugars and their weight right so I don't necessarily need to bring that up and you know make that the center of attention that oh you know what, let's, let's work on portion control so you can lose weight. I just focus on let's just work on portion control. These are the, these are considered the healthy portions.’ (Nurse 12)
There are many places to start the conversation	‘I often do because they're all kind of linked, those chronic diseases right so if they are in fact overweight but they're coming in for let's say blood sugar management, then I will let them know that the, the literature shows us that even modest weight loss can help you manage your blood sugars, is that something you want to talk about so I definitely do but it's really dependent on whether they're ready to go there.’ (Dietitian 4)	‘I'll have, people that are just recently diagnosed with diabetes or maybe even pre‐diabetics where their blood sugars are a little bit of out of range and they need some education so I'll go through that teaching with the glucometers, lifestyle changes. I do some of the weight management, seeing people that need that, kind of coaching and, and information. I find a lot of people don't have the education behind even the right food to eat and things like that, they don't, they don't have any baseline knowledge on, on any of this.’(Nurse 11)