Obesity Science & Practice最新文献

Views Among the General Public on New Anti-Obesity Medications and on the Perception of Obesity as a Failure of Willpower. 公众对新型抗肥胖药物的看法，以及认为肥胖是意志力的失败。

IF 1.9

Obesity Science & Practice Pub Date : 2025-04-22 eCollection Date: 2025-04-01 DOI: 10.1002/osp4.70041

Maya Goldkorn, Barry Schwartz, John Monterosso

{"title":"Views Among the General Public on New Anti-Obesity Medications and on the Perception of Obesity as a Failure of Willpower.","authors":"Maya Goldkorn, Barry Schwartz, John Monterosso","doi":"10.1002/osp4.70041","DOIUrl":"https://doi.org/10.1002/osp4.70041","url":null,"abstract":"Background: The experience of obesity stigma is associated with negative clinical outcomes that include increased mental health problems and additional weight gain. Researchers have treated the public view that obesity is caused by poor willpower as both an element of obesity stigma and as a cause of obesity stigma. Here we test the hypothesis that awareness of new and effective glucagon-like peptide receptor agonist anti-obesity medications (AOMs) will encourage the view that obesity is a biologically-determined medical condition rather than a personal willpower failure and thereby lessen obesity stigma.Materials and methods: Two questionnaire studies, in which participants were randomly assigned to either read about the success of AOMs or to read various alternative material (N = 640 in total), investigated the effect that AOM awareness has on views of obesity.Results: Contrary to the study hypotheses, reading about AOMs did not increase the degree to which participants viewed obesity as a medical condition, nor did it reduce the role willpower failure was believed to play in obesity. Across conditions, participants reporting more personal success in weight loss without medication indicated greater belief that obesity was amenable to self-control, expressed greater obesity stigma, and held less positive attitudes toward the use of AOMs to manage weight.Conclusion: Taken together, these two studies provide no evidence that the success of AOMs will, in the short-term, lead to changes in how people view the etiology of obesity or to a reduction in obesity stigma. Correlational data suggest the possibility that blame and stigma associated with obesity may be robustly informed by participants' understanding of their own experiences managing weight.","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"11 2","pages":"e70041"},"PeriodicalIF":1.9,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12012989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Assessment of the Long-Term Efficacy of an Undergraduate Curriculum-Embedded Weight Bias Intervention in Practicing Registered Nurses. 注册执业护士本科课程嵌入体重偏差干预的长期疗效评估。

IF 1.9

Obesity Science & Practice Pub Date : 2025-04-11 eCollection Date: 2025-04-01 DOI: 10.1002/osp4.70072

Caroline Hallen Moore, Tracy L Oliver, Elizabeth B Dowdell, Justus Randolph, Amanda Davis

{"title":"An Assessment of the Long-Term Efficacy of an Undergraduate Curriculum-Embedded Weight Bias Intervention in Practicing Registered Nurses.","authors":"Caroline Hallen Moore, Tracy L Oliver, Elizabeth B Dowdell, Justus Randolph, Amanda Davis","doi":"10.1002/osp4.70072","DOIUrl":"https://doi.org/10.1002/osp4.70072","url":null,"abstract":"Background: Individuals with obesity often experience weight bias in healthcare, which may negatively impact health outcomes. Weight bias (WB) can be reduced by provider participation in weight bias interventions. This mixed-methods study investigated the sustainability of reduced WB in those who received a weight bias intervention.Method: Registered nurses (RNs) who completed a weight bias intervention during their nursing education and those who did not were recruited to complete an online survey. WB scores and approaches towards caring for patients with obesity were compared.Results: Eighty-four RNs (50 intervention; 34 control) participated. Reduced WB was sustained over 4 and 6 years compared to pre-intervention scores (p < 0.001). No significant WB differences were found between the groups (p = 0.501). Thematic analysis identified three overarching themes: physical care differences, recognition of obesity's causality and controllability, and equal treatment of all patients.Conclusions: Weight bias intervention effects were sustained, but non-intervention nurses had comparable WB scores, indicating multifaceted influences on WB in clinical practice. In order for nurses to provide unbiased care for individuals with obesity, it is important to develop and implement both high-impact educational interventions that support reduced weight bias and organizational and structural supports in the practice environment.","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"11 2","pages":"e70072"},"PeriodicalIF":1.9,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11988204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predicting Pregnancy in Preconception Weight Loss Trials: Is it Possible? 在孕前减肥试验中预测怀孕：可能吗？

IF 1.9

Obesity Science & Practice Pub Date : 2025-04-07 eCollection Date: 2025-04-01 DOI: 10.1002/osp4.70060

Jacqueline F Hayes, Suzanne Phelan, Elissa Jelalian, Aaron B Caughey, Kristin Castorino, Casey Heaney, Angelica Mchugh, Rena R Wing

{"title":"Predicting Pregnancy in Preconception Weight Loss Trials: Is it Possible?","authors":"Jacqueline F Hayes, Suzanne Phelan, Elissa Jelalian, Aaron B Caughey, Kristin Castorino, Casey Heaney, Angelica Mchugh, Rena R Wing","doi":"10.1002/osp4.70060","DOIUrl":"10.1002/osp4.70060","url":null,"abstract":"Introduction: Predicting pregnancy is a challenge in preconception weight loss intervention trials. The current study examined whether self-reported pregnancy likelihood and timing were predictive of conception.Methods: Adults (n = 184; 58% Hispanic; age = 33.4 ± 5.1; BMI = 33.6 ± 6.6) with overweight or obesity, prior gestational diabetes mellitus, and plans to become pregnant participated in a pre-conception behavioral weight loss intervention or control. At baseline, participants reported their estimated likelihood of pregnancy from 1 to 10 (categorized as low [1-3], medium [4-7], and high [8-10] likelihood); they also reported expected timeframe for pregnancy.Results: Over the 4-year trial, 62 (30%) participants became pregnant. Participants who reported a high likelihood of pregnancy were more likely to conceive than those with a lower rating (45.7% vs. 21.1%). The sensitivity and specificity of a high likelihood rating predicting conception were 69%, 95% CI (56.2%, 80.1%), and 58%, 95% CI (48.9%, 67.0%), respectively. Among those who conceived, mean expected time to pregnancy was 21.6 ± 13.2 months while actual mean time was 11.3 ± 9.1 months. Baseline age, ethnicity, parity, BMI, income, and other demographics did not predict conception.Conclusions: Pregnancy likelihood estimates best predicted conception, but sensitivity and specificity were low. Future work may consider additional ways to screen for likelihood of conception in preconception trials.","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"11 2","pages":"e70060"},"PeriodicalIF":1.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11975599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long-Term Experience of Undergoing Metabolic and Bariatric Surgery as an Adolescent. 作为青少年接受代谢和减肥手术的长期经验。

IF 1.9

Obesity Science & Practice Pub Date : 2025-03-29 eCollection Date: 2025-04-01 DOI: 10.1002/osp4.70070

Malin Örn, Kajsa Järvholm, Eva Gronowitz, Jovanna Dahlgren, Torsten Olbers, Lovisa Sjögren, My Engström

{"title":"Long-Term Experience of Undergoing Metabolic and Bariatric Surgery as an Adolescent.","authors":"Malin Örn, Kajsa Järvholm, Eva Gronowitz, Jovanna Dahlgren, Torsten Olbers, Lovisa Sjögren, My Engström","doi":"10.1002/osp4.70070","DOIUrl":"10.1002/osp4.70070","url":null,"abstract":"Despite the well-documented effectiveness of metabolic and bariatric surgery (MBS) in treating severe obesity, significant gaps persist in understanding adolescents' lived experiences and perspectives. Addressing these gaps is essential for enhancing patient-centered care and supporting long-term outcomes.Objective: To explore the long-term patient experiences of adolescents undergoing MBS.Methods: A qualitative content analysis utilizing individual semi-structured interviews with 18 patients conducted a decade after MBS.Results: The analysis identified three key categories: Enhanced daily life with the help of MBS, Support and routines, and Reflections on the decision to undergo MBS as an adolescent. Weight loss following MBS was described as pivotal in improving daily life due to enhanced physical, mental and social health. Participants emphasized the need for enhanced access to primary and specialist healthcare with appropriate knowledge of follow-up care. They also underscored the importance of identifying and treating concomitant neuropsychiatric and mental disorders prior to MBS. Additionally, informants highlighted the importance of psychosocial support to maintain the positive changes established post-surgery.Conclusions: A high level of satisfaction was expressed among those who had undergone MBS as an adolescent. The treatment was considered to help improve daily life and overall well-being and the majority would recommend MBS to others in comparable situations. However, participants highlighted the need for ongoing multidisciplinary support and acknowledged the challenges associated with life after MBS. Notably, a significant proportion of individuals did not attend regular medical follow-ups, emphasizing the importance of structured strategies to ensure adherence to postoperative care.","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"11 2","pages":"e70070"},"PeriodicalIF":1.9,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11953995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating and Understanding Weight Management Experiences Among Adolescent Girls During and After Residential Treatment for Obesity. 评估和了解青春期女孩在肥胖症住院治疗期间和之后的体重管理经验。

IF 1.9

Obesity Science & Practice Pub Date : 2025-03-28 eCollection Date: 2025-04-01 DOI: 10.1002/osp4.70049

Morgan E Braxton, Subin Jang, Ashley M Ruiz, Jim Hershey, Justin R Ryder, Aaron S Kelly, Gabriel Q Shaibi

{"title":"Evaluating and Understanding Weight Management Experiences Among Adolescent Girls During and After Residential Treatment for Obesity.","authors":"Morgan E Braxton, Subin Jang, Ashley M Ruiz, Jim Hershey, Justin R Ryder, Aaron S Kelly, Gabriel Q Shaibi","doi":"10.1002/osp4.70049","DOIUrl":"10.1002/osp4.70049","url":null,"abstract":"Background: Residential programs have been utilized for the treatment of adolescents with severe obesity, yet few have been evaluated.Objective: The objectives were to (1) evaluate the effect of a long-term residential treatment program focused on treating adolescent girls with obesity and (2) explore girls' perceptions of weight management during and after participating in the program.Methods: A mixed-methods approach was used to examine changes in weight outcomes over time among adolescent girls who completed the program (N = 12), and conduct qualitative interviews to explore perceptions of weight management after completion (N = 5).Results: Girls in the program showed a reduction in mean BMI of 16.1 ± 4.2 kg/m2 (-36.3% ± 5.9%) over a mean of 57 weeks. At follow-up, three participants regained weight while two maintained their completion weight. The program shifted girls' health goals from weight loss to improved overall health. Experiences of social connection and disconnection were identified as components that impacted weight management trajectories over time.Conclusion: This program demonstrated clinically meaningful improvements in BMI. The structured nature and the emphasis on therapeutic methods were key components of the program. Social support was identified by participants as being integral to successful weight maintenance over time.","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"11 2","pages":"e70049"},"PeriodicalIF":1.9,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using Metabolic Testing to Personalize Behavioral Obesity Treatment. 使用代谢测试个性化行为肥胖治疗。

IF 1.9

Obesity Science & Practice Pub Date : 2025-03-11 eCollection Date: 2025-04-01 DOI: 10.1002/osp4.70065

Leonard H Epstein, John W Apolzan, Molly Moore, Nicholas V Neuwald, Myles S Faith

{"title":"Using Metabolic Testing to Personalize Behavioral Obesity Treatment.","authors":"Leonard H Epstein, John W Apolzan, Molly Moore, Nicholas V Neuwald, Myles S Faith","doi":"10.1002/osp4.70065","DOIUrl":"10.1002/osp4.70065","url":null,"abstract":"Background: There are large individual differences in weight loss and maintenance. Metabolic testing can provide phenotypical information that can be used to personalize treatment so that people remain in negative energy balance during weight loss and remain in energy balance during maintenance. Behavioral testing can assess the reinforcing value and change in the temporal window related to the personalized diet and exercise program to motivate people to maintain engagement in healthier eating and activity programs.Objective: Provide an expository overview of how metabolic testing can be used to personalize weight control. Ideas about incorporating behavioral economic concepts are also included.Methods: A broad overview of how resting metabolic rate, thermic effect of food and respiratory quotient can be used to improve weight control. Also discussed are behavioral economic principles that can maximize adherence to diet and activity protocols.Results: Research suggests that measuring metabolic rate can be used to set calorie goals for weight loss and maintenance, thermic effect of food to increase energy expenditure, and respiratory quotient to guide macronutrient composition of the diet and maximize fat loss. Developing programs that foster a strong motivation to eat healthier and be active can maximize treatment success.Conclusion: Incorporating metabolic measures can personalize behavioral weight loss programs, and the use of behavioral economic principles can increase the probability of adherence and long-term success in weight control.","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"11 2","pages":"e70065"},"PeriodicalIF":1.9,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Normal-Weight Offspring of Parents With Diet-Induced Obesity Display Altered Gene Expression Profiles. 饮食性肥胖父母的正常体重后代显示基因表达谱改变。

IF 1.9

Obesity Science & Practice Pub Date : 2025-02-17 eCollection Date: 2025-02-01 DOI: 10.1002/osp4.70058

Paul Czechowski, Anne Hoffmann, Sebastian Dommel, Alexander Jais, Matthias Blüher, Nora Klöting

{"title":"Normal-Weight Offspring of Parents With Diet-Induced Obesity Display Altered Gene Expression Profiles.","authors":"Paul Czechowski, Anne Hoffmann, Sebastian Dommel, Alexander Jais, Matthias Blüher, Nora Klöting","doi":"10.1002/osp4.70058","DOIUrl":"10.1002/osp4.70058","url":null,"abstract":"Objective: A Western diet is associated with obesity, and the link between parental and offsprings' obesity is unclear. Among mice, this study examined how parents' Western diets affect their male offspring's obesity risk. This study further explored whether early exposure to obesogenic diets from either parent influences offsprings' long-term weight gain.Methods: Three-week-old C57BL6/NTac mice were assigned to a Western diet (WD) or control diet (CD), given from six to 14 weeks old. Adults from these dietary groups were then mated to create four breeding combinations: CD/CD, CD/WD, WD/CD, and WD/WD. Weight gain trajectories were studied in parents (P) and offspring (F1), along with gene expression in four tissues of male offspring. Non-linear mixed effect modeling and q-mode PCA were used to assess the influence of sex, litter size, and parental diet on gene expression, before describing gene expression in more detail.Results: Offsprings' weight gain was mainly influenced by sex and litter size, with no significant impact from parental diet. At the same time, gene expression differences among offspring, particularly between WD/WD and CD/CD offspring, were linked to genes associated with inflammation, stress response, and other obesity-relevant processes.Conclusions: Obegenesic diet of two parents with obesity, rather than only one, likely alters the risks of metabolic disease in male mice even at normal weights.","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"11 1","pages":"e70058"},"PeriodicalIF":1.9,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Weight Stigma in Gynecological Care Among Cisgender Women. 顺性别妇女妇科护理中的体重耻辱感。

IF 1.9

Obesity Science & Practice Pub Date : 2025-02-13 eCollection Date: 2025-02-01 DOI: 10.1002/osp4.70061

Karen E Wetzel, Mary S Himmelstein

{"title":"Weight Stigma in Gynecological Care Among Cisgender Women.","authors":"Karen E Wetzel, Mary S Himmelstein","doi":"10.1002/osp4.70061","DOIUrl":"10.1002/osp4.70061","url":null,"abstract":"Objective: Healthcare is one of the primary contexts in which people experience weight stigma (social devaluation due to body weight), especially in gynecological care, where people's bodies are exposed. Thus, people may feel especially vulnerable to negative evaluations from healthcare providers due to their weight, given the physical exposure which accompanies a breast exam, abdominal palpitations, and a pap-smear or cervical exam. The existing literature examining weight stigma in obstetrics and gynecology has focused almost exclusively on pregnant or postpartum women. The only research on weight stigma during routine gynecological care is based on qualitative studies with small samples.Methods: Participants (N = 1087; cisgender women) were sampled on Qualtrics, and quotas were set to reflect the most recent US census. The women reported their experiences with gynecological care and then were asked to qualitatively describe what they most recently encountered.Results: Overall, 14% of the women in this sample had experienced weight stigma in reproductive or gynecological care at least once, and about 5% of this sample reported that this occurred frequently. Participants with higher body weights (≥ 30 kg/m2) were more likely to report frequent weight stigma in gynecological care. A few participants reported more serious experiences, such as misdiagnosis, environmental or systemic weight stigma, and provider reluctance to perform a pelvic exam.Conclusions: Women experience weight stigma in routine gynecological care, and future research should continue investigating the effects of these experiences.","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"11 1","pages":"e70061"},"PeriodicalIF":1.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Practical Awareness-Based Strategies for Eating (PASE): A Pilot and Feasibility Randomized Trial. 实用的基于意识的饮食策略（PASE）：一项试点和可行性随机试验。

IF 1.9

Obesity Science & Practice Pub Date : 2025-02-12 eCollection Date: 2025-02-01 DOI: 10.1002/osp4.70052

David Arterburn, Robin Garcia, Dori Rosenberg, Eric Johnson, Kayne Mettert, Janet Ng, Judson Brewer

{"title":"Practical Awareness-Based Strategies for Eating (PASE): A Pilot and Feasibility Randomized Trial.","authors":"David Arterburn, Robin Garcia, Dori Rosenberg, Eric Johnson, Kayne Mettert, Janet Ng, Judson Brewer","doi":"10.1002/osp4.70052","DOIUrl":"10.1002/osp4.70052","url":null,"abstract":"Background: Few prior interventions for obesity have focused on reward-related eating. Researchers developed a mobile health mindfulness-based intervention, Eat Right Now (ERN), for improving reward related eating; ERN has not yet been feasibility tested as a weight loss intervention.Objective: To obtain 6-month pilot and feasibility data in patients using the ERN intervention alone or with asynchronous coaching.Methods: A 6-month, two-arm pilot and feasibility randomized trial was conducted involving 20 adults with a BMI ≥ 25 kg/m2 recruited from Kaiser Permanente Washington. Participants were randomized to ERN alone or ERN plus individualized coaching. Weight loss was assessed via a Wi-Fi-enabled digital scale.Results: Among the 20 randomized participants, 17 (85%) started the intervention and remained enrolled in six months. Among these, 82% (14/17) had weight data captured by a Wi-Fi scale and 70.5% (12/17) completed follow-up questionnaires at the 6-month time point. The coached ERN participants had 4.3% weight loss (95% confidence interval (CI): 2.3%, 6.3%) and uncoached participants had 3.6% weight loss (95% CI: 1.2%, 5.9%). Participants in both approaches reported reductions in reward-related eating.Conclusions: This pilot randomized trial of ERN demonstrates the feasibility and acceptability of the intervention for the majority of both the coached and uncoached groups. Further efforts are needed to ensure high retention and data capture in future studies.","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"11 1","pages":"e70052"},"PeriodicalIF":1.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Centering Weight Management Clinical Decision Support in Primary Care on Patients With Obesity and Practitioners: A Proof-Of-Concept Study. 在肥胖患者和从业人员的初级保健中集中体重管理临床决策支持：概念验证研究。

IF 1.9

Obesity Science & Practice Pub Date : 2025-02-12 eCollection Date: 2025-02-01 DOI: 10.1002/osp4.70056

Kimberly A Gudzune, Jessica L Schwartz, Kelly Olsson, Erik Almazan, Thomas Grader Beck, Jyotsna Ghosh, Wendy L Bennett, Jeanne M Clark

{"title":"Centering Weight Management Clinical Decision Support in Primary Care on Patients With Obesity and Practitioners: A Proof-Of-Concept Study.","authors":"Kimberly A Gudzune, Jessica L Schwartz, Kelly Olsson, Erik Almazan, Thomas Grader Beck, Jyotsna Ghosh, Wendy L Bennett, Jeanne M Clark","doi":"10.1002/osp4.70056","DOIUrl":"10.1002/osp4.70056","url":null,"abstract":"Background: Clinical decision support systems (CDSS) are electronic health record tools that support practitioners' decision-making at the point-of-care. CDSS may aid clinical care but are not often centered on patients or practitioners.Aims: To develop and preliminarily test a CDSS designed to support evidence-based obesity treatment, promote a patient-centered experience, and integrate with clinical workflows.Materials & methods: The CDSS allowed patients to complete a pre-visit questionnaire via the patient portal, which activated multiple elements for the primary care practitioner (PCP). A 3-month proof-of-concept study was conducted among 10 PCPs at 5 clinics to determine usefulness, usability, and acceptability through validated surveys (mean score ≥ 2.5 signified positive outcome; max 5). Using t-tests, pre-post differences in PCPs' frequency of self-reported clinical practices (1-never; 5-always) were examined.Results: Most PCPs were physicians with mean experience of 10.8 years (SD 7.5). Overall, mean scores for usefulness, usability, and acceptability were 3.2 (SD 0.8), 3.5 (SD 0.9), and 3.6 (SD 0.9), respectively. PCPs reported significant increases in three key clinical practices-counseling on behavioral interventions (3.1 vs. 3.9 [p < 0.01]), referring to weight-loss programs (2.8 vs. 3.5 [p < 0.01]), and discussing anti-obesity medications (3.3 vs. 3.8 [p = 0.02]).Conclusion: This weight management CDSS was useful and usable for PCPs and improved obesity-related practice habits. Future studies need to evaluate its impact on patient outcomes.","PeriodicalId":19448,"journal":{"name":"Obesity Science & Practice","volume":"11 1","pages":"e70056"},"PeriodicalIF":1.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11815222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0