{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:04:26Z","timestamp":1786122266436,"version":"build-2736575974"},"reference-count":49,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"vor","delay-in-days":211,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Geisinger Henry Hood Clinical and Research Excellence Award"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Shared decision-making (SDM) is recommended in obesity treatment. Yet, little is known about how it occurs in real-world practice, particularly given recent advances in treatment options.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This prospective mixed-methods study aimed to understand patient preferences and decision-making processes for obesity treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adults with obesity (N\u2009=\u2009103) seeking specialty weight management treatment completed a survey, and a subset (n\u2009=\u200917) participated in qualitative interviews. Both assessed weight loss history, knowledge and expectations of obesity treatment options, decision-making factors, and perceptions of SDM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants reported an average of 10.1 (SD\u2009=\u200913.5) prior weight loss attempts and were primarily motivated by physical well-being (86.4%). Key factors influencing decision-making included desired weight loss (84.5%), provider recommendations (76.7%), and cost (62.1%). Anti-obesity medications were viewed most favorably, followed by behavioral and surgical approaches. Qualitative analysis generated four themes: (i) a chronic cycle of weight loss and regain; (ii) guided by stories, not science alone; (iii) navigating trade-offs in choosing weight-loss strategies; and (iv) feeling heard, but still seeking direction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients demonstrate strong awareness of obesity treatments and value SDM and personalized recommendations when making decisions. Findings highlight the need for interventions that strengthen SDM and deliver tailored, high-quality health communication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/tbm\/ibag051","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T12:08:29Z","timestamp":1784722109000},"source":"Crossref","is-referenced-by-count":0,"title":["Understanding obesity treatment choices: a mixed-methods study of patient preferences and shared decision-making"],"prefix":"10.1093","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4445-8895","authenticated-orcid":false,"given":"Kirstie M","family":"Herb Neff","sequence":"first","affiliation":[{"name":"Department of Population Health Sciences, Geisinger College of Health Sciences , Danville, PA,","place":["United States"]},{"name":"Center for Obesity and Metabolic Research, Geisinger College of Health Sciences , Danville, PA,","place":["United 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