{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T06:08:54Z","timestamp":1781762934350,"version":"3.54.5"},"reference-count":77,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Obesity is defined as a chronic, relapsing disease, characterised by its persistence and the frequent recurrence of weight gain following weight loss. It is linked to chronic diseases and reduced quality of life. Sustainable weight loss requires long\u2010term dietary and behavioural changes. Dietetic treatment outcomes vary per patient, leading to differing success rates and effectiveness. Although understanding patient experiences is crucial for designing effective, patient\u2010centered strategies, little is known about their lived experiences. This study aimed to obtain a better understanding of the perspectives and experiences of patients with obesity receiving dietetic treatment in primary health care in the Netherlands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This qualitative interpretive study included 26 patients with obesity who were consulting or had consulted a dietitian. We performed purposeful sampling to ensure a sample diverse in socio\u2010cultural background, region, age and health literacy. Semi\u2010structured interviews were conducted using a predefined topic guide, with room for flexibility to explore emerging topics. We analysed the interview data using reflexive thematic analysis as described by Braun and Clarke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four interconnected themes were constructed from what patients named to be important in dietetic treatment: (1) personalised treatment as a foundation for success, including feeling heard and receiving responsive and adaptive treatment (2) the personal impact of the dietitian on treatment, through the dietitian's attitude, professionalism, and background; (3) a personalised and holistic approach for lasting change, including clarity about the dietitian's ways of working, motivational and emotional support, attention to life context and guidance in developing sustainable habits; and (4) tailored and accessible advice, focusing on practical tools, understandable information, and consistency of advice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights that successful dietetic treatment for adults with obesity depends on personalised support, a strong patient\u2013dietitian relationship, and holistic attention to psychological and behavioural factors. Clear communication, involvement from the start, and practical, tailored advice help patients comply with treatment and apply recommendations in daily life. Findings emphasise the importance of aligning dietetic treatment with individual patient needs and expectations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70179","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T05:24:48Z","timestamp":1765862688000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Perspectives and Experiences of Adult Patients With Obesity in Dietetic Primary Health Care: A Qualitative Study in the Netherlands"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2381-9364","authenticated-orcid":false,"given":"Annemieke","family":"van de Riet","sequence":"first","affiliation":[{"name":"Wageningen University and Research, Human Nutrition and Health, Research group Global Nutrition Wageningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7792-0660","authenticated-orcid":false,"given":"Rebecca S.","family":"Otte","sequence":"additional","affiliation":[{"name":"Wageningen University and Research, Human Nutrition and Health, Research group Global Nutrition Wageningen the Netherlands"},{"name":"HAN University of Applied Sciences, Research Group Nutrition, Dietetics, and Lifestyle Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6747-4629","authenticated-orcid":false,"given":"Lotte","family":"Maree\u2010Hulsbergen","sequence":"additional","affiliation":[{"name":"Wageningen University and Research, Human Nutrition and Health, Research group Global Nutrition Wageningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0917-3413","authenticated-orcid":false,"given":"Elke","family":"Naumann","sequence":"additional","affiliation":[{"name":"HAN University of Applied Sciences, Research Group Nutrition, Dietetics, and Lifestyle Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5693-0811","authenticated-orcid":false,"given":"Marian A. E.","family":"de van der Schueren","sequence":"additional","affiliation":[{"name":"Wageningen University and Research, Human Nutrition and Health, Research group Global Nutrition Wageningen the Netherlands"},{"name":"HAN University of Applied Sciences, Research Group Nutrition, Dietetics, and Lifestyle Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3928-8075","authenticated-orcid":false,"given":"Harri\u00ebt","family":"Jager\u2010Wittenaar","sequence":"additional","affiliation":[{"name":"Hanze University of Applied Sciences, Research Group Healthy Ageing, Allied Health Care and Nursing Groningen the Netherlands"},{"name":"Department of Gastroenterology and Hepatology, Dietetics Radboud university medical center Nijmegen the Netherlands"},{"name":"Department of Physiotherapy, Human Physiology and Anatomy, Research Unit Experimental Anatomy Vrije Universiteit Brussel, Faculty of Physical Education and Physiotherapy Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Dietetics Building the Future consortium","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Obesity and Overweight [Internet]","author":"World Health Organization","year":"2024"},{"key":"e_1_2_11_3_1","volume-title":"Leefstijl en Gezondheid: Dataset 50080NED [Internet]","author":"Rijksinstituut voor Volksgezondheid en Milieu (RIVM)"},{"issue":"1","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1056\/NEJMoa1614362","article-title":"Health Effects of Overweight and Obesity in 195 Countries over 25 Years","volume":"377","author":"Afshin A.","year":"2017","journal-title":"New England Journal of Medicine"},{"issue":"2","key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"485","DOI":"10.3390\/cancers15020485","article-title":"Obesity and Cancer: A Current Overview of Epidemiology, Pathogenesis, Outcomes, and Management","volume":"15","author":"Pati S.","year":"2023","journal-title":"Cancers"},{"issue":"5","key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.orcp.2015.04.003","article-title":"Comorbidity Associated With Obesity in a Large Population: The APNA Study","volume":"9","author":"Martin\u2010Rodriguez E.","year":"2015","journal-title":"Obesity Research & Clinical Practice"},{"issue":"7","key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1089\/met.2020.0028","article-title":"Associations Between Mental Health, Quality of Life, and Obesity\/Metabolic Risk Phenotypes","volume":"18","author":"Kim S. 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