{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T09:00:15Z","timestamp":1790845215899,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100004312","name":"Eli Lilly and Company","doi-asserted-by":"publisher","award":["CGA\u201039787"],"award-info":[{"award-number":["CGA\u201039787"]}],"id":[{"id":"10.13039\/100004312","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Science &amp; Practice"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Use of GLP\u20101 receptor agonists is associated with significant weight loss in many individuals. Discontinuation is associated with weight regain. Patients' experience with this is not well characterized. This study describes the patient experience of continuity of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional electronic survey was administered to adults identified from an academic medical center's electronic health records as having at least one GLP\u20101 RA prescription in the preceding 6\u00a0years and a subsequent prescription gap of greater than 90\u00a0days. The 87\u2010item instrument spanned six domains: care settings, comorbidity and treatment context, continuity, discontinuity, dietitian\/lifestyle support, and digital\u2010feature preferences. Primary outcomes were item\u2010level frequencies. Exploratory composites included a 7\u2010item Continuity\u2010of\u2010Care Index (CCI) and a 5\u2010item Discontinuity Index (DIS), each rescaled 0\u2013100; subgroup comparisons used Kruskal\u2013Wallis, Mann\u2010Whitney, and chi\u2010square tests, with multiple\u2010imputation sensitivity analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 4890 invitations, 261 adults completed the survey (5.3%); 143 (54.8%) reported current use of a prescription weight\u2010management medication and 159 (60.9%) reported prior\u2010authorization requirements. Among them, 79 (49.7%) either waited more than 7\u00a0days or were never approved. Continuity strengths included knowing whom to contact about medications (76.2%) and timely team responses (70.7%); the weakest items were cross\u2010clinic coordination (54.1%) and visibility into required next steps (52.2%). The CCI (mean 69.5 [SD 22.7];\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u00a0=\u00a00.90;\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0242) varied by most\u2010visited clinic (Kruskal\u2013Wallis\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), highest at the weight\u2010management clinic (median 82.1) and lower at primary care (60.7). Among current medication users, 32.4% reported a \u2265\u00a014\u2010day medication gap. The most desired digital features were all\u2010in\u2010one tracking of refills, prior authorization, and appointments (89.5%) and real\u2010time prior\u2010authorization status (87.2%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients described obesity\u2010care disruptions primarily as process failures, including prior authorization delay, out\u2010of\u2010pocket cost, pharmacy stock\u2010outs and dispensing delays, and fragmented cross\u2010clinic coordination. They prioritized transparent, workflow\u2010oriented navigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/osp4.70189","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T07:18:37Z","timestamp":1788247117000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient\u2010Reported Continuity of GLP\u20101 Receptor Agonist Therapy"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8232-8840","authenticated-orcid":false,"given":"You","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Biomedical Informatics Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Department of Computer Science Vanderbilt University  Nashville Tennessee USA"},{"name":"Department of Electrical and Computer Engineering Vanderbilt University  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2335-434X","authenticated-orcid":false,"given":"Gracie","family":"Piantek","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7876-0753","authenticated-orcid":false,"given":"Xinmeng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Computer Science Vanderbilt University  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9214-4991","authenticated-orcid":false,"given":"Yubo","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Computer Science Vanderbilt University  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6719-1388","authenticated-orcid":false,"given":"Chao","family":"Yan","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5427-3117","authenticated-orcid":false,"given":"Jason M.","family":"Samuels","sequence":"additional","affiliation":[{"name":"Department of Surgery Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7455-2260","authenticated-orcid":false,"given":"S. Trent","family":"Rosenbloom","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1710-9382","authenticated-orcid":false,"given":"Danxia","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Epidemiology Department of Medicine Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0415-4301","authenticated-orcid":false,"given":"Laurie L.","family":"Novak","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8326-3089","authenticated-orcid":false,"given":"Gitanjali","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Department of Surgery Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Division of Diabetes, Endocrinology &amp; Metabolism Department of Medicine Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Department of Pediatrics Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Vanderbilt Weight Loss Center Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12551"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2213\u20108587(24)00316\u20104"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14113791"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23952"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/dom.14725"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.24945"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.3224"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7425.1219"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102017\u2010021161"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532\u20105415.2003.51186.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102753.2009.01235.x"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010025\u201010012\u2010y"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmp2312816"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.4158\/ep161365.gl"},{"issue":"3","key":"e_1_2_11_16_1","article-title":"Revisiting Direct\u2010to\u2010Consumer and Pharmacy Advertising: 2024 Lessons From the Rise of Anti\u2010Obesity Medicines","volume":"9","author":"Ray A.","year":"2024","journal-title":"Health Management, Policy and Innovation"},{"key":"e_1_2_11_17_1","volume-title":"Prescription Drug Affordability Among Medicare Beneficiaries (Issue Brief No. HP\u20102022\u201003). 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