{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T10:40:11Z","timestamp":1792492811330,"version":"4.5.0"},"reference-count":44,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000975","name":"Kidney Health Australia","doi-asserted-by":"publisher","award":["KHA2021HM"],"award-info":[{"award-number":["KHA2021HM"]}],"id":[{"id":"10.13039\/501100000975","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jandonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Academy of Nutrition and Dietetics"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.jand.2026.156409","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T15:13:41Z","timestamp":1783091621000},"page":"156409","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Insights Into the Experiences of People Living With Chronic Kidney Disease and Obesity Participating in a Randomized Controlled Weight Loss Trial: A Qualitative Study"],"prefix":"10.1016","volume":"126","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0427-0932","authenticated-orcid":false,"given":"Marguerite","family":"Conley","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Scholes-Robertson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soraya","family":"Cunningham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7356-653X","authenticated-orcid":false,"given":"Hannah L.","family":"Mayr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Hepburn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Mudge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6393-4319","authenticated-orcid":false,"given":"Justin","family":"Holland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tammy","family":"Tonges","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2314-6654","authenticated-orcid":false,"given":"Andrea K.","family":"Viecelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9617-546X","authenticated-orcid":false,"given":"Helen L.","family":"MacLaughlin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"11","key":"10.1016\/j.jand.2026.156409_bib1","doi-asserted-by":"crossref","first-page":"1803","DOI":"10.1093\/ndt\/gfz174","article-title":"A single number for advocacy and communication-worldwide more than 850 million individuals have kidney diseases","volume":"34","author":"Jager","year":"2019","journal-title":"Nephrol Dial Transplant"},{"issue":"5","key":"10.1016\/j.jand.2026.156409_bib2","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1016\/j.kint.2018.12.019","article-title":"Higher body mass index is associated with incident diabetes and chronic kidney disease independent of genetic confounding","volume":"95","author":"Xu","year":"2019","journal-title":"Kidney Int"},{"issue":"1","key":"10.1016\/j.jand.2026.156409_bib3","doi-asserted-by":"crossref","first-page":"21","DOI":"10.7326\/0003-4819-144-1-200601030-00006","article-title":"Body mass index and risk for end-stage renal disease","volume":"144","author":"Hsu","year":"2006","journal-title":"Ann Intern Med"},{"issue":"2","key":"10.1016\/j.jand.2026.156409_bib4","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1681\/ASN.2007050610","article-title":"Obesity impacts access to kidney transplantation","volume":"19","author":"Segev","year":"2008","journal-title":"J Am Soc Nephrol"},{"issue":"10","key":"10.1016\/j.jand.2026.156409_bib5","doi-asserted-by":"crossref","first-page":"2093","DOI":"10.1111\/j.1600-6143.2011.03686.x","article-title":"Systematic Review: Kidney transplantation compared with dialysis in clinically relevant outcomes","volume":"11","author":"Tonelli","year":"2011","journal-title":"Am J Transplant"},{"issue":"10","key":"10.1016\/j.jand.2026.156409_bib6","doi-asserted-by":"crossref","first-page":"4405","DOI":"10.1007\/s12325-023-02608-9","article-title":"Global economic burden associated with chronic kidney disease: a pragmatic review of medical costs for the inside CKD research programme","volume":"40","author":"Jha","year":"2023","journal-title":"Adv Ther"},{"issue":"10225","key":"10.1016\/j.jand.2026.156409_bib7","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1016\/S0140-6736(20)30045-3","article-title":"Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017","volume":"395","author":"Bikbov","year":"2020","journal-title":"Lancet"},{"issue":"2","key":"10.1016\/j.jand.2026.156409_bib8","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0212184","article-title":"Quality of life and its predictors among patients with chronic kidney disease: A hospital-based cross sectional study","volume":"14","author":"Kefale","year":"2019","journal-title":"PLoS One"},{"issue":"5","key":"10.1016\/j.jand.2026.156409_bib9","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1093\/ndt\/gfw065","article-title":"Determining the research priorities for patients with chronic kidney disease not on dialysis","volume":"32","author":"Hemmelgarn","year":"2017","journal-title":"Nephrol Dial Transplant"},{"issue":"10120","key":"10.1016\/j.jand.2026.156409_bib10","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1016\/S0140-6736(17)33102-1","article-title":"Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial","volume":"391","author":"Lean","year":"2018","journal-title":"Lancet"},{"issue":"9","key":"10.1016\/j.jand.2026.156409_bib11","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1016\/S2213-8587(24)00194-3","article-title":"Early findings from the NHS type 2 diabetes path to remission programme: a prospective evaluation of real-world implementation","volume":"12","author":"Valabhji","year":"2024","journal-title":"Lancet Diabetes Endocrinol"},{"issue":"4","key":"10.1016\/j.jand.2026.156409_bib12","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1111\/nep.13680","article-title":"A practical guide for the use of very low calorie diets in adults with chronic kidney disease","volume":"25","author":"Lambert","year":"2020","journal-title":"Nephrology (Carlton)"},{"issue":"7","key":"10.1016\/j.jand.2026.156409_bib14","doi-asserted-by":"crossref","first-page":"2153","DOI":"10.1016\/j.ekir.2025.04.021","article-title":"Low energy diets for obesity and CKD (SLOW-CKD randomized feasibility study)","volume":"10","author":"Conley","year":"2025","journal-title":"Kidney Int Rep"},{"issue":"1","key":"10.1016\/j.jand.2026.156409_bib15","doi-asserted-by":"crossref","DOI":"10.1111\/dme.14689","article-title":"Participant experiences in the Diabetes Remission Clinical Trial (DiRECT)","volume":"39","author":"Rehackova","year":"2022","journal-title":"Diabet Med"},{"issue":"10","key":"10.1016\/j.jand.2026.156409_bib16","doi-asserted-by":"crossref","first-page":"1412","DOI":"10.1111\/obr.12715","article-title":"Experiences of using very low energy diets for weight loss by people with overweight or obesity: a review of qualitative research","volume":"19","author":"Harper","year":"2018","journal-title":"Obes Rev"},{"issue":"1","key":"10.1016\/j.jand.2026.156409_bib17","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.jada.2008.10.018","article-title":"An introduction to qualitative research for food and nutrition professionals","volume":"109","author":"Harris","year":"2009","journal-title":"J Am Diet Assoc"},{"issue":"1","key":"10.1016\/j.jand.2026.156409_bib18","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1001\/jama.2024.21972","article-title":"ethical principles for medical research involving human participants","volume":"333","year":"2025","journal-title":"JAMA"},{"issue":"6","key":"10.1016\/j.jand.2026.156409_bib19","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int J Qual Health Care"},{"key":"10.1016\/j.jand.2026.156409_bib20","article-title":"Employing a qualitative description approach in health care research","volume":"4","author":"Bradshaw","year":"2017","journal-title":"Glob Qual Nurse Res"},{"key":"10.1016\/j.jand.2026.156409_bib21","doi-asserted-by":"crossref","unstructured":"Conley M, Mayr HL, Hoch M, et al. Acceptability, adherence, safety and experiences of low energy diets in people with obesity and chronic kidney disease: a mixed methods study. J Ren Nutr. 34(2):141-153. doi:10.1053\/j.jrn.2023.09.004.","DOI":"10.1053\/j.jrn.2023.09.004"},{"issue":"1","key":"10.1016\/j.jand.2026.156409_bib22","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s12160-013-9486-6","article-title":"The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions","volume":"46","author":"Michie","year":"2013","journal-title":"Ann Behav Med"},{"issue":"2","key":"10.1016\/j.jand.2026.156409_bib25","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"key":"10.1016\/j.jand.2026.156409_bib26","series-title":"Thematic Analysis: A Practical Guide","author":"Braun","year":"2021"},{"issue":"3","key":"10.1016\/j.jand.2026.156409_bib27","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1080\/14780887.2020.1769238","article-title":"One size fits all? What counts as quality practice in (reflexive) thematic analysis?","volume":"18","author":"Braun","year":"2021","journal-title":"Qual Res Psychol"},{"issue":"13","key":"10.1016\/j.jand.2026.156409_bib28","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1177\/1049732315617444","article-title":"Sample size in qualitative interview studies: guided by information power","volume":"26","author":"Malterud","year":"2016","journal-title":"Qual Health Res"},{"issue":"1","key":"10.1016\/j.jand.2026.156409_bib29","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1080\/13814788.2017.1375092","article-title":"Series: Practical guidance to qualitative research. Part 4: trustworthiness and publishing","volume":"24","author":"Korstjens","year":"2018","journal-title":"Eur J Gen Pract"},{"key":"10.1016\/j.jand.2026.156409_bib30","series-title":"Naturalistic Inquiry","author":"Lincoln","year":"1985"},{"issue":"1","key":"10.1016\/j.jand.2026.156409_bib31","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1186\/s12916-019-1446-y","article-title":"Determinants and extent of weight recording in UK primary care: an analysis of 5 million adults\u2019 electronic health records from 2000 to 2017","volume":"17","author":"Nicholson","year":"2019","journal-title":"BMC Med"},{"issue":"5","key":"10.1016\/j.jand.2026.156409_bib32","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/j.orcp.2018.07.003","article-title":"Who discusses reaching a healthy weight with a general practitioner? Findings from the 2014-15 Australian National Health Survey","volume":"12","author":"Kilpatrick","year":"2018","journal-title":"Obes Res Clin Pract"},{"issue":"4s","key":"10.1016\/j.jand.2026.156409_bib33","first-page":"S117","article-title":"Clinical practice guideline for the evaluation and management of chronic kidney disease","volume":"105","year":"2024","journal-title":"Kidney Int"},{"key":"10.1016\/j.jand.2026.156409_bib35","author":"Kirk"},{"issue":"31","key":"10.1016\/j.jand.2026.156409_bib36","doi-asserted-by":"crossref","first-page":"E875","DOI":"10.1503\/cmaj.191707","article-title":"Obesity in adults: a clinical practice guideline","volume":"192","author":"Wharton","year":"2020","journal-title":"Can Med Assoc J"},{"issue":"1","key":"10.1016\/j.jand.2026.156409_bib37","first-page":"27","article-title":"Clinical review: modified 5 As: minimal intervention for obesity counseling in primary care","volume":"59","author":"Vallis","year":"2013","journal-title":"Can Fam Physician"},{"key":"10.1016\/j.jand.2026.156409_bib38","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1186\/1745-6215-14-166","article-title":"A reinvestigation of recruitment to randomised, controlled, multicenter trials: a review of trials funded by two UK funding agencies","volume":"14","author":"Sully","year":"2013","journal-title":"Trials"},{"issue":"1","key":"10.1016\/j.jand.2026.156409_bib39","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1186\/s12885-024-12464-7","article-title":"Participants\u2019 perspectives of being recruited into a randomised trial of a weight loss intervention before colorectal cancer surgery: a qualitative interview study","volume":"24","author":"Talbot","year":"2024","journal-title":"BMC Cancer"},{"issue":"1","key":"10.1016\/j.jand.2026.156409_bib40","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/s12916-019-1476-5","article-title":"The research burden of randomized controlled trial participation: a systematic thematic synthesis of qualitative evidence","volume":"18","author":"Naidoo","year":"2020","journal-title":"BMC Med"},{"issue":"9","key":"10.1016\/j.jand.2026.156409_bib41","doi-asserted-by":"crossref","first-page":"136","DOI":"10.3390\/bs10090136","article-title":"Attitudes and approaches to use of meal replacement products among healthcare professionals in management of excess weight","volume":"10","author":"Maston","year":"2020","journal-title":"Behav Sci (Basel)"},{"issue":"6","key":"10.1016\/j.jand.2026.156409_bib42","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0253127","article-title":"Dietary adherence and program attrition during a severely energy-restricted diet among people with complex class III obesity: a qualitative exploration","volume":"16","author":"Maston","year":"2021","journal-title":"PLoS One"},{"issue":"6","key":"10.1016\/j.jand.2026.156409_bib43","doi-asserted-by":"crossref","DOI":"10.1111\/dme.15301","article-title":"A qualitative study of the perceptions and experiences of participants and healthcare professionals in the DiRECT-Australia type 2 diabetes remission service","volume":"41","author":"Chimoriya","year":"2024","journal-title":"Diabet Med"},{"issue":"12","key":"10.1016\/j.jand.2026.156409_bib44","doi-asserted-by":"crossref","first-page":"1853","DOI":"10.3390\/nu16121853","article-title":"Experiences and acceptability of a weight loss intervention for diabetes (Diabetes Remission Clinical Trial-DiRECT) in Aotearoa New Zealand: a qualitative study within a pilot randomised controlled trial","volume":"16","author":"Campbell","year":"2024","journal-title":"Nutrients"},{"issue":"1","key":"10.1016\/j.jand.2026.156409_bib45","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1186\/s12882-022-02790-y","article-title":"Diet in the management of non-dialysis dependent chronic kidney disease: perceptions and practices of health professionals","volume":"23","author":"Notaras","year":"2022","journal-title":"BMC Nephrol"},{"issue":"3","key":"10.1016\/j.jand.2026.156409_bib46","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1016\/j.jand.2022.11.014","article-title":"Medical nutrition therapy interventions provided by dietitians for adult overweight and obesity management: an Academy of Nutrition and Dietetics evidence-based practice guideline","volume":"123","author":"Morgan-Bathke","year":"2023","journal-title":"J Acad Nutr Diet"},{"key":"10.1016\/j.jand.2026.156409_bib47","doi-asserted-by":"crossref","first-page":"101","DOI":"10.11606\/s1518-8787.2022056004164","article-title":"Social desirability bias in qualitative health research","volume":"56","author":"Bispo J\u00fanior","year":"2022","journal-title":"Rev Saude Publica"},{"issue":"6","key":"10.1016\/j.jand.2026.156409_bib48","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1177\/02692163241234800","article-title":"Supporting best practice in reflexive thematic analysis reporting in Palliative Medicine: a review of published research and introduction to the Reflexive Thematic Analysis Reporting Guidelines (RTARG)","volume":"38","author":"Braun","year":"2024","journal-title":"Palliat Med"}],"container-title":["Journal of the Academy of Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212267226001243?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212267226001243?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T10:03:08Z","timestamp":1792490588000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2212267226001243"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":44,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["S2212267226001243"],"URL":"https:\/\/doi.org\/10.1016\/j.jand.2026.156409","relation":{},"ISSN":["2212-2672"],"issn-type":[{"value":"2212-2672","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Insights Into the Experiences of People Living With Chronic Kidney Disease and Obesity Participating in a Randomized Controlled Weight Loss Trial: A Qualitative Study","name":"articletitle","label":"Article Title"},{"value":"Journal of the Academy of Nutrition and Dietetics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jand.2026.156409","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Inc. on behalf of the Academy of Nutrition and Dietetics.","name":"copyright","label":"Copyright"}],"article-number":"156409"}}