@article{1a36f39174144bf7b1824bef6f672b9f,
title = "Experience and expectations of patients on weight loss: The Learning Health System Network Experience",
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 {\textquoteleft}Patients{\textquoteright} Experience with Weight Management{\textquoteright}, 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.",
author = "DeJesus, {R. S.} and Bauer, {K. W.} and Bradley, {D. P.} and I. Haller and Bradley, {S. M.} and Schroeder, {D. R.} and {St. Sauver}, J. and Phelan, {S. M.} and Croghan, {I. T.}",
note = "Funding Information: This research was supported in part by the Patient-Centered Outcomes Research Institute (PCORI) CDRN-1501-26638 (V. Roger, PI) and by the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery. The authors wish to thank the grant principal investigator, Dr. Veronique Roger, for her endless support and advice during the entire study process and the entire LSHNet investigative team for providing help and support to make this endeavour possible. The authors would like to take this time to also thank Lisa Ferguson (University of Michigan), Allise Taran (Essentia Health), Cassandra Rodgers (Allina Health) and Tameka Sama (Arizona State University) for co-facilitating the site process by obtaining site regulatory readiness, identifying patients who met study criteria and mailing the study surveys. An additional thank-you is extended to the Mayo Clinic Department of Medicine Clinical Research Office Coordinator staff, who was instrumental in pilot testing the survey instrument used in this study, and a sincere thanks to the Mayo Clinic Survey Research Center, especially Libby Hammond, without whom this study would not have been possible. Finally, a special thanks to all the survey participants throughout Mayo Clinic, Ohio State University, University of Michigan, Essentia Health Systems and Allina Health Systems who took the time to complete this survey. All authors were involved in writing the manuscript and had final approval of the submitted version. Publisher Copyright: {\textcopyright} 2019 The Authors. Obesity Science & Practice published by World Obesity and The Obesity Society and John Wiley & Sons Ltd.",
year = "2019",
month = oct,
day = "1",
doi = "10.1002/osp4.364",
language = "English (US)",
volume = "5",
pages = "479--486",
journal = "Obesity Science and Practice",
issn = "2055-2238",
publisher = "Wiley-Blackwell",
number = "5",
}