Table 4. Supporting quotes for the 'Perceived challenges, benefits, and methods of implementing the WAItE tool' theme
Sub-themeExample quotes
Using the WAItE tool during a clinical consultation'A lot of people get the impression that a patient is going to think you’re trying to reduce them to a number by getting them to do a questionnaire. And that puts me off using them quite a bit at the end of the day.' (P13, Male, GP)'It makes it a bit more robotic … it can actually take out some of the interpersonal relationship that you have with the patient … actually what you may find if you do it the second way, in open questions, is you get so much information.' (P16, Male, GP)'It’s just much more subtle and its questions, I think, are really good … It’s actually opening a line of questioning for the future rather than just are you worried about your weight, would you like to make a change, which is very difficult to move from there.' (P3, Female, GP)'And it either works as a complete tick-box so you get a number from it, or as an opening to the consultation and discussion. You can use them either way, so if somebody came back with that I’d say “well, I never get tired and I can keep up, but I feel embarrassed shopping for clothes.” That would be the start of your conversation to intervene.' (P5, Male, GP)'We’re not very good at addressing the underlying problems, I think. When we do see children that are overweight we tend to deal with the sore throat or the rash or whatever it is they’ve come in with and forget to deal with it, and I think this [the WAItE] is a useful way of addressing it.' (P12, Female, GP)
Ways to encourage clinicians to use the WAItE tool'If it was something that was set in a guideline that this is the kind of gold standard for using then hopefully it would just become common practice.' (P14, Female, Practice nurse)'If you got a little flag that says … the little template to say “this person is between those ages, you haven’t got a BMI do you want to measure one?” Or it says “this person is within the age group and their BMI is above let’s say 30, here’s a questionnaire that comes straight up on the screen”, and then you can just hit the button so it’s done in 60 seconds.' (P5, Male, GP)'I think the key thing is that there needs to be a what happens at the end of it to be able to refer people on to or something.' (P19, Female, GP)'Giving out a questionnaire in my opinion is fine, but what we don’t want is those two actually then have no follow-up.' (P18, Female, Practice nurse)
Suggestions of future clinical practice using the WAItE tool'I guess the other thing is some forms I know these days are getting put into electronic format, like on apps where you can direct children to an app and get them to complete these things … so I guess that would be another thing that young people quite like.' (P7, Female, GP)'I was also thinking you might actually want to have a poster or something up in the waiting room with some of these questions.' (P2, Female, GP)'Patients, when they check-in, they use an electronic system just to check-in rather than coming to a reception desk … I’m not sure if there’s a way of putting questionnaires on there, is something I’ll have to ask the tech guys, but that might be a way of just doing it when somebody isn’t necessarily attending for a GP appointment.' (P12, Female, GP)
  • WAItE = Weight-specific Adolescent Instrument for Economic-evaluation. BMI = body mass index.