{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T19:00:07Z","timestamp":1785438007255,"version":"3.56.0"},"reference-count":9,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["5T32DK128770"],"award-info":[{"award-number":["5T32DK128770"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA168524"],"award-info":[{"award-number":["P30CA168524"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2026,8]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n Patients with obesity report experiencing weight stigma resulting in poor self\u2010esteem. Based on baseline self\u2010esteem, this paper explores recommendations for group versus individual visits for lifestyle components of comprehensive obesity treatment in primary care.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Participants (\n n<\/jats:italic>\n \u2009=\u20091220) were rural primary care patients in a 24\u2010month cluster randomized controlled trial that demonstrated superior weight loss with group versus individual treatment. Baseline weight\u2010related self\u2010esteem scores (0\u2013100), as measured by the Impact of Weight on Quality of Life\u2010Lite (IWQOL\u2010L), were used. A Bayesian normal dynamic linear model with a changepoint parameter estimates the relationship between self\u2010esteem and weight loss across group versus individual treatment at the 24\u2010month primary endpoint.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The posterior probability that patients receiving\n group<\/jats:italic>\n lost more weight than those receiving\n individual<\/jats:italic>\n visits remained \u20090.999 for patients with self\u2010esteem scores greater than 60. Those with the highest self\u2010esteem (scores 80\u2013100) receiving\n group<\/jats:italic>\n visits lost 6.7\u2009kg (95% CI, \u22128.15 to \u22125.20) at 24\u2009months compared to 3.9\u2009kg (95% CI, \u22125.45 to \u22122.39) for those receiving\n individual<\/jats:italic>\n visits.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n People may benefit more from\n group<\/jats:italic>\n than\n individual<\/jats:italic>\n intervention if their self\u2010esteem is above an IWQOL\u2010L score of 60 when starting an intensive behavioral intervention for weight loss.\n <\/jats:p>\n \n Trial Registration:<\/jats:bold>\n ClinicalTrials.gov<\/jats:ext-link>\n identifier: NCT02456636.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/oby.70257","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T03:13:05Z","timestamp":1783566785000},"page":"1541-1544","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Weight\u2010Related Self\u2010Esteem, Group Behavioral Therapy, and Weight Loss"],"prefix":"10.1002","volume":"34","author":[{"given":"Joshua","family":"Bernal","sequence":"first","affiliation":[{"name":"Department of Biostatistics & Data Science University of Kansas Medical Center Kansas Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo A.","family":"Wick","sequence":"additional","affiliation":[{"name":"Department of Biostatistics & Data Science University of Kansas Medical Center Kansas Kansas USA"},{"name":"University of Kansas Cancer Center Kansas Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7589-8247","authenticated-orcid":false,"given":"Byron","family":"Gajewski","sequence":"additional","affiliation":[{"name":"Department of Biostatistics & Data Science University of Kansas Medical Center Kansas Kansas USA"},{"name":"University of Kansas Cancer Center Kansas Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. Allen","family":"Greiner","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Community Health University of Kansas Medical Center Kansas Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0927-8919","authenticated-orcid":false,"given":"Jianzheng","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Biostatistics & Data Science University of Kansas Medical Center Kansas Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christie","family":"Befort","sequence":"additional","affiliation":[{"name":"University of Kansas Cancer Center Kansas Kansas USA"},{"name":"Department of Population Health University of Kansas Medical Center Kansas Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2015.32"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22029"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000106"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23266"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423619000227"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13606"},{"issue":"12","key":"e_1_2_8_8_1","first-page":"60","article-title":"Group Medical Visits for Addressing Weight and Blood Pressure in an Underserved Population","volume":"9","author":"Algotar A.","year":"2022","journal-title":"Medicines (Basel)"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.25855"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2025.24288"}],"container-title":["Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/oby.70257","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/oby.70257","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/oby.70257","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:30:00Z","timestamp":1785436200000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/oby.70257"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,8]]},"references-count":9,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/oby.70257"],"URL":"https:\/\/doi.org\/10.1002\/oby.70257","archive":["Portico"],"relation":{},"ISSN":["1930-7381","1930-739X"],"issn-type":[{"value":"1930-7381","type":"print"},{"value":"1930-739X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,8]]},"assertion":[{"value":"2026-01-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}