How do patients choose between obesity medications: A thematic analysis

Alvin Mondoh , Hilary Craig , Michael Crotty , Francisca Contreras , Carel W. le Roux
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Abstract

Introduction

The rising prevalence of obesity is of particular concern due to its association with a range of serious complications, including type 2 diabetes mellitus, cardiovascular diseases, and certain types of cancer. Obesity medications can control the disease but it is unclear how patients choose which medication to use.

Methods

A qualitative thematic analysis was conducted to investigate how patients select between obesity medications. Fifteen treatment naive adults with a body mass index ≥27 kg/m2 with at least one weight-related complications were recruited.

Results

The 5 major themes depicting how patients make selections included 1) Effectiveness of medication, 2) Information to make decisions, 3) Safety of medications, 4) Practicality and 5) Individual Strategies and Community Supports in Obesity Management. Safety concerns of side effects and long-term risks were perceived major barriers to initiating or adhering to pharmacotherapy.

Conclusion

In a situation where the medications are described as being free and readily available, patient preferences for obesity medications are shaped by treatment efficacy, safety, information provided by healthcare providers. To enhance adherence and improve patient outcomes, healthcare providers should focus on delivering clear, comprehensive information and fostering strong support systems for patients.

Abstract Image

患者如何选择减肥药:专题分析
由于肥胖与一系列严重的并发症(包括2型糖尿病、心血管疾病和某些类型的癌症)有关,肥胖的流行率不断上升值得特别关注。减肥药物可以控制这种疾病,但目前尚不清楚患者如何选择使用哪种药物。方法采用定性专题分析的方法,调查患者对减肥药的选择情况。招募了15名体重指数≥27 kg/m2且至少有一种体重相关并发症的未接受治疗的成年人。结果描述患者如何选择的5个主要主题包括1)药物有效性,2)信息决策,3)药物安全性,4)实用性和5)肥胖管理中的个人策略和社区支持。副作用和长期风险的安全问题被认为是开始或坚持药物治疗的主要障碍。结论在药物被描述为免费和容易获得的情况下,患者对肥胖药物的偏好受治疗疗效、安全性和医疗保健提供者提供的信息的影响。为了加强依从性和改善患者的治疗结果,医疗保健提供者应专注于提供清晰、全面的信息,并为患者建立强有力的支持系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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