{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T06:13:50Z","timestamp":1789971230538,"version":"4.0.1"},"reference-count":46,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to explore patients' perspectives on GLP\u20101 receptor agonists (GLP\u20101RAs) for weight loss across the continuum of contemplating use to discontinuation, with and without achieving weight loss goals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From June to October 2025, participants completed a 30\u2010item survey and ~30\u2010question semi\u2010structured interview regarding their perceptions of GLP\u20101RAs for weight loss. Interviews were tailored to six GLP\u20101RA groups: (1) considering use; (2) &lt;\u20093\u2009months on therapy; (3) \u2265\u20093\u2009months on therapy without achieving weight loss goal; (4) \u2265\u20093\u2009months on therapy with achieving weight loss goal; (5) discontinued without achieving goal; and (6) discontinued after achieving goal. Qualitative coding and thematic analysis were conducted in Dedoose (9.0.107); quantitative analyses used SAS 9.4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 185 participants consented, and\u00a0141 completed data collection (76%). Descriptive profiles suggested heterogeneity across psychosocial and behavioral domains. Groups 3 and 4 showed stronger profiles (higher perceived competence, intrinsic motivation, and self\u2010monitoring). After false discovery rate adjustment across 78 comparisons, perceived competence was the only statistically significant differentiator: Group 1 was lower (\n                      <jats:italic>z<\/jats:italic>\n                      \u2009=\u2009\u22123.15;\n                      <jats:italic>q<\/jats:italic>\n                      \u2009=\u20090.0347) and Group 4 higher (\n                      <jats:italic>z<\/jats:italic>\n                      \u2009=\u20094.44;\n                      <jats:italic>q<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings underscore the importance of tailoring behavioral support to individuals' stage of engagement in GLP\u20101RA\u2010supported weight loss journeys.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oby.70275","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T09:28:56Z","timestamp":1786354136000},"page":"1759-1771","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Perceived Competence and\n                    <scp>GLP<\/scp>\n                    \u2010\n                    <scp>1RA<\/scp>\n                    Weight Management Engagement: Mixed\u2010Methods Insights From Six Patient Groups"],"prefix":"10.1002","volume":"34","author":[{"given":"Jane A.","family":"McElroy","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine University of Missouri  Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Bertarelli","sequence":"additional","affiliation":[{"name":"University of Missouri School of Medicine  Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe","family":"Maltagliati","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of Missouri  Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of Missouri  Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina","family":"DePietro","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of Missouri  Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.medj.2025.100782"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13960"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.70036"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.70251"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare14020186"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/02813432.2025.2477141"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2024.23332"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2024.2525"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/osp4.772"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/bul0000025"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2010.01.014"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00137.2005"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753\u20104887.2011.00403.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2023.02.018"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2011.559390"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102458\u20108\u2010234"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000035558"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12686"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(17)30703\u20101"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12772"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.88571"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000078924.61453.FB"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/14.6.540"},{"issue":"4","key":"e_1_2_9_25_1","article-title":"The Jackson Heart Study: An Overview","volume":"5","author":"Taylor H. 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