Experience and expectations of patients on weight loss: <scp>The Learning Health System Network Experience</scp>

DeJesus, Ramona S.; Bauer, Katherine W.; Bradley, David; Haller, Irina V.; Bradley, Steven M; Schroeder, Darrell R.; Sauver, Jennifer L. St.; Phelan, Seán; Croghan, Ivana T.

doi:10.1002/osp4.364

Cited by 12 publications

(9 citation statements)

References 37 publications

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“…As appealing as the results are, there is no guarantee that all individuals achieve real weight loss. According to the literature, factors that may impair individuals’ ability to achieve their goals are limited knowledge about correct food ingestion and how to implement food habits [ 35 ] as well as a lack of consistency throughout the whole weight loss process [ 36 ] and motivation [ 37 ] to follow the orientation, especially avoiding attitudes opposite to the diet recommendations proposed [ 37 , 38 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

From Young to Older, the 4 Phases Method Is Efficient in Promoting Quick Weight, BMI, and Waist Circumference Reductions

Ramuth

Roseira³

et al. 2022

Healthcare

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Background: Investigate the effectiveness of the scientific 4 Phases Method, a methodology developed by EMAGRECENTRO, which is based on a ketogenic approach (total carbohydrate intake <40 g/day; including fibers) associated with health coach assistance, in promoting reductions in body weight, body mass index (BMI), and waist circumference after 5 weeks of methodology application. Methods: Record files from 354 individuals, both sexes, aged between 18 and 67, who took part in the 4 Phases Method were used to develop this study. Age, sex, weight, height, BMI, waist circumference measurement, and the presence of ketone bodies in the urine were evaluated before (baseline) and after 5 weeks of the 4 Phases application. Results: In general, a significant reduction in body weight (−7.8 ± 1.2 kg, p < 0.0001), BMI (−2.8 ± 0.4 kg/m2, p < 0.0001), and waist circumference measurement (−7.6 ± 0.4 cm, p < 0.0001) was found after the application of the 4 Phases Method, regardless of age, gender, and BMI. Conclusions: Taken together, our results demonstrated that the 4 Phases Method was able to promote significant body weight, BMI, and waist circumference reductions in the short term, particularly by associating a ketogenic intake strategy with a regular close follow-up weekly consultation with a health coach assistance.

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Section: Discussionmentioning

confidence: 99%

From Young to Older, the 4 Phases Method Is Efficient in Promoting Quick Weight, BMI, and Waist Circumference Reductions

Ramuth

Roseira³

et al. 2022

Healthcare

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“…Previous research has highlighted a disparity between patients' expectations from weight-loss treatment and provider-directed weight-loss goals [32][33][34]. Individuals with overweight or obesity expect to reach an often unrealistic "goal weight" while providers aim for a more achievable 5-10% initial weight-loss that yields metabolic bene ts and cardiovascular risk reduction.…”

Section: Discussionmentioning

confidence: 99%

A qualitative study to define meaningful change in physical function after weight-loss.

Poon¹,

Marshall²,

Johnson³

et al. 2021

Preprint

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Purpose This study explored perceptions of meaningful weight-loss and the level of change on two patient-reported outcome (PRO) measures, the 36-item Short Form Health Survey® [SF-36v2®] and Impact of Weight on Quality of Life Lite-Clinical Trials © [IWQOL-Lite-CT © ], that individuals living with overweight or obesity consider to be meaningful and indicative of treatment success. Methods Thirty-three qualitative interviews were conducted in the US with adults living with overweight or obesity. Concept elicitation explored perceptions of minimally important/meaningful weight-loss using open-ended questions. Cognitive debriefing was used to understand thresholds for meaningful change on both measures. Results Most participants (n=23/33) expected a 5% total body weight-loss to yield some benefit in physical functioning, while all participants expected a 10% weight-loss to provide a meaningful and noticeable improvement in their physical functioning. Participants indicated that an item-level 1-point score change on each measure would represent a noticeable improvement in physical functioning and indicate treatment success. Conclusions Participants expected moderate weight losses to be noticeable, with ≥10% weight-loss yielding the most consistent results. The findings suggested that both measures provide strong opportunity to demonstrate treatment benefit in relation to physical functioning as a small change on the response scale would represent a noticeable improvement in participants’ daily lives.

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“…The survey was developed to measure aspects of the health care experience and health‐related behaviors of patients with overweight and obesity. 42 , 44 The survey was designed to be low‐burden and took, on average, 11 min to complete. Measured constructs are described below.…”

Section: Methodsmentioning

confidence: 99%

A model of weight‐based stigma in health care and utilization outcomes: Evidence from the learning health systems network

Phelan

Bauer

Bradley

et al. 2021

Obesity Science & Practice

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Objective: Obesity is stigmatized and people with obesity report experiencing stigmatizing situations when seeking health care. The implications of these experiences are not well understood. This study tests an indirect effects model of negative care experiences as an intermediate variable between obesity and care avoidance/ utilization and switching primary care doctors. Methods: A survey was completed by 2380 primary care patients in the Learning Health Systems Network (LHSNet) Clinical Data Research Network with a BMI >25 kg/m 2 . Measures included scales assessing stigmatizing situations, perceived patient-centered communication, perceived respect, having delayed needed care, and having looked for a new primary doctor in the past 12 months.Sequential and serial indirect effects of care experiences and respect in the association between BMI and care utilization outcomes was modeled. Results:The hypothesized model was supported by findings. The associations between BMI and delaying needed care (OR = 1.06, p < 0.001) and attempting to switch primary doctors (OR = 1.02, p = 0.04) was mediated by both stigmatizing situations experienced in a health care context and lower patient-centeredThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Experience and expectations of patients on weight loss: The Learning Health System Network Experience

Cited by 12 publications

References 37 publications

From Young to Older, the 4 Phases Method Is Efficient in Promoting Quick Weight, BMI, and Waist Circumference Reductions

From Young to Older, the 4 Phases Method Is Efficient in Promoting Quick Weight, BMI, and Waist Circumference Reductions

A qualitative study to define meaningful change in physical function after weight-loss.

A model of weight‐based stigma in health care and utilization outcomes: Evidence from the learning health systems network

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