{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:38:51Z","timestamp":1792456731718,"version":"4.5.0"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["P50\u2010MD017366"],"award-info":[{"award-number":["P50\u2010MD017366"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100016206","name":"Clinical and Translational Science Institute, University of California, Los Angeles","doi-asserted-by":"publisher","award":["UL1TR001881"],"award-info":[{"award-number":["UL1TR001881"]}],"id":[{"id":"10.13039\/100016206","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Despite the high prevalence of obesity and cardiometabolic diseases in safety\u2010net populations, access to intensive, evidence\u2010based lifestyle interventions and scalable implementation strategies remains limited. This study evaluated the effectiveness, acceptability, and feasibility of an interdisciplinary program in an urban safety\u2010net health system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This single\u2010center, mixed\u2010methods implementation evaluation assessed LA VIDA, a 6\u2010month interdisciplinary weight management program for medically complex individuals. Outcomes included feasibility, patient engagement, self\u2010rated health, quality of life, physical activity, dietary behaviors, and program satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Over 2\u2009years, 95 participants completed the program. They were predominantly female (72.6%) and Latino (78.9%), with a mean age of 50\u2009years, median BMI of 39.2 (IQR: 36.9 to 43.7), and 60% having \u2265\u20093 comorbidities. Median 6\u2010month weight loss was 5.5% (IQR: \u22122.6% to \u22129.9%), with significant improvements in quality of life (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0003), physical health (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), moderate\u2010intensity physical activity (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and dietary behaviors. Participants reported high satisfaction driven by personalized guidance, increased health knowledge, mindfulness, and the supportive group environment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>LA VIDA was feasible and acceptable and improved patient\u2010reported behaviors and outcomes in a safety\u2010net setting. These findings support it as an effective model for integrated obesity care that combines lifestyle, behavioral, and pharmacologic treatment in the safety net.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oby.70306","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T23:40:26Z","timestamp":1792453226000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Interdisciplinary Weight Management in a Safety\u2010Net Health System: A Pilot Implementation Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7771-880X","authenticated-orcid":false,"given":"Courtney","family":"DeCan","sequence":"first","affiliation":[{"name":"Division of Clinical Nutrition, Department of Medicine University of California  Los Angeles California 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3867-5615","authenticated-orcid":false,"given":"Karina","family":"Fing Castro","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine University of California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Cabral","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine University of California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Gallardo","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine University of California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dailyn","family":"Rodriguez Reyes","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine University of California  Los Angeles California 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