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

R. S. DeJesus, K. W. Bauer, D. P. Bradley, I. Haller, S. M. Bradley, D. R. Schroeder, J. St. Sauver, S. M. Phelan, I. T. Croghan

Research output: Contribution to journalArticle

Abstract

Objective: Weight perception and degree of confidence in achieving healthy lifestyle can be determinants of engagement in obesity interventions. This study explored patients' perceived need for weight loss and the degree of self-confidence in ability to lose weight and sought to identify factors associated with patients' self-confidence in ability to lose weight. Methods: The authors analysed data from a survey mailed to primary care patients within five sites of the Learning Health Systems Network that explored participants' prior experience with weight management. Results: Among the 2,263 participants who completed the survey section on ‘Patients’ Experience with Weight Management’, perceived need to lose 51 lb or more was statistically significant among those with class III obesity compared with other body mass index (BMI) groups (p value < 0.001). Reported desire to lose weight was also significantly higher among those with the highest BMI than those who were overweight (p value < 0.001). However, this same group had the lowest belief in ability to lose weight (p value < 0.001). In a multiple regression analysis, female gender, higher BMI and need to lose >10 lb were each independently associated with less belief in being able to lose weight. Conclusions: Patients had varying perceptions on weight loss; those with category III obesity had the highest desire to lose weight but had the least confidence in ability to lose weight. Higher BMI, female gender and need to lose >10 lb were associated with decreased self-confidence in ability to lose weight.

Original languageEnglish (US)
Pages (from-to)479-486
Number of pages8
JournalObesity Science and Practice
Volume5
Issue number5
DOIs
StatePublished - Oct 1 2019

Keywords

  • Patient expectations
  • primary care
  • weight loss

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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    DeJesus, R. S., Bauer, K. W., Bradley, D. P., Haller, I., Bradley, S. M., Schroeder, D. R., St. Sauver, J., Phelan, S. M., & Croghan, I. T. (2019). Experience and expectations of patients on weight loss: The Learning Health System Network Experience. Obesity Science and Practice, 5(5), 479-486. https://doi.org/10.1002/osp4.364