TABLE 4.

Suggestions for policy and practice based on participant experiences

Participant Experiences	Implication
Differing levels of recognition of weight status as a risk factor	Clearer information is needed regarding how weight is related to health and how weight loss can be beneficial
Negative behavioural and emotional reaction to risk messages	Health messages need to be framed in a constructive and accessible way following best practice. 42 , 43 Providing information on how to be safe and how to reduce risk. Supporting participants by providing guidance, skills, and tools to motivate change 44
Motivated by knowledge of risk
Facility Access	Providing guidance on how to use the local environment to support weight loss.
Level of control over the environment	Developing strategies with participants to increase perception of control over the environment and how to navigate social situations
Need for support	Fostering emotional and instrumental support for those taking part in weight loss programmes from those in their social network.
Protecting other's health	Educating people on how their lifestyle decisions can impact others health.
Negative consequences of uncertainty	Providing clear and explicit information and guidance on what is currently happening could happen and is happening next. Building resilience and developing coping strategies for uncertain times and situations.
Time	Encouraging participants to consider how much time they have for making changes. Making goals, skill development, and changes achievable in the time and with the resources they have. Delivering information and suggesting ways to reduce time demand in participants lives (e.g., meal planning, shopping lists)