{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:30:16Z","timestamp":1790652616259,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,29]],"date-time":"2023-10-29T00:00:00Z","timestamp":1698537600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002081","name":"Irish Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002081","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100013759","name":"Commonwealth Health Research Board","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013759","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001602","name":"Science Foundation Ireland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001602","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Science &amp;amp; Practice"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Obesity and many of its comorbidities can be improved by nutritional therapy, lifestyle modification, pharmacotherapy, and surgical intervention. Relatively little is known about patients' preferences for the range of obesity treatments. The present study was undertaken to identify factors that may influence these preferences. By evaluating patient\u2010preferred treatment options and factors influencing patients, treatment adherence and efficacy may be improved. Our objective was to identify factors that influence patient preferences and subsequent choice of obesity treatment among those seeking treatment for obesity\u2010related complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participatory action research, using purposeful sampling, was used to recruit 33 patients with obesity complications. Recruitment took place in specialist clinics for non\u2010alcoholic fatty liver disease, diabetes, hypertension, and chronic kidney disease. Sixteen males and 17 females aged 18\u201370\u00a0years with a BMI&gt;35\u00a0kg\/m<jats:sup>2<\/jats:sup> were recruited. Prior to the interview, participants watched a 60\u2010min video explaining nutritional therapies, pharmacotherapies, and surgical therapies in equipoise. Data were collected in one\u2010to\u2010one semi\u2010structured interviews using zoom or the telephone; reflective thematic analysis was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four themes emerged: 1) structural factors, 2) autonomy, 3) interaction with formal care, and 4) the emotional and physical consequences of obesity. 39% of participants preferred nutritional therapy with support from medical professionals. 27% chose bariatric surgery. 24% chose pharmacotherapy alone, while 6% chose pharmacotherapy combined with nutritional therapy, 3% of participants wanted no intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The challenges can be addressed by increasing support for healthcare professionals toward enhancing both their knowledge and the health literacy of patients. Future research should focus on improving access to treatment pathways for patients as well as developing health literacy programs and educational programs for healthcare professionals.<\/jats:p><\/jats:sec>","DOI":"10.1002\/osp4.720","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T03:45:46Z","timestamp":1697773546000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Patient perspectives about treatment preferences for obesity with complications"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7288-5245","authenticated-orcid":false,"given":"Hilary C.","family":"Craig","sequence":"first","affiliation":[{"name":"Diabetes Complications Research Centre UCD Conway Institute of Biomedical and Biomolecular Research School of Medicine University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalal","family":"Alsaeed","sequence":"additional","affiliation":[{"name":"Dasman Diabetes Institute  Dasman Kuwait"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Norris","sequence":"additional","affiliation":[{"name":"Hepatology Department St James's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Holian","sequence":"additional","affiliation":[{"name":"Nephrology Department St Vincent's University Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cormac","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Hypertension Clinic St James's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alix","family":"Feldman","sequence":"additional","affiliation":[{"name":"Global Medical Affairs  Bagsvaerd Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5521-5445","authenticated-orcid":false,"given":"Carel","family":"Le Roux","sequence":"additional","affiliation":[{"name":"Diabetes Complications Research Centre UCD Conway Institute of Biomedical and Biomolecular Research School of Medicine University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281422"},{"issue":"1","key":"e_1_2_9_3_1","article-title":"161: bridging between patients preference and evidence based practice according to guidelines in osteoarthritis management: a qualitative study","volume":"7","author":"Behshid M","year":"2017","journal-title":"BMJ Open"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.7835"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13679\u2010021\u201000441\u20101"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2007.09.011"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.7570\/jomes20124"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13969"},{"key":"e_1_2_9_9_1","first-page":"279","volume-title":"Action Research","author":"Stringer ET","year":"2007"},{"key":"e_1_2_9_10_1","volume-title":"Educational Research: Planning Conducting and Evaluating Quantiative and Qualitative Research","author":"Creswell JW","year":"2012"},{"key":"e_1_2_9_11_1","volume-title":"A Concise Introduction to Mixed Methods Research","author":"Creswell JW","year":"2015"},{"issue":"2","key":"e_1_2_9_12_1","article-title":"An overview of mixed methods research \u2010 revisited","volume":"14","author":"ea DL","year":"2009","journal-title":"J Res Nurs"},{"key":"e_1_2_9_13_1","unstructured":"OrganisationWH.Human Rights and Health Europe: WHO;2017. 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