{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T13:58:07Z","timestamp":1785851887052,"version":"3.56.0"},"reference-count":28,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"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":["Obesity Reviews"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Obesity is a major public health challenge worldwide, driving chronic disease and health care costs. Primary health care (PHC) is a key setting for prevention, early identification, and management of obesity, yet implementation of evidence\u2010based interventions remains limited. Identifying the barriers and enablers that influence adoption of obesity care in PHC is critical to strengthen delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This scoping review will systematically map and synthesize barriers and enablers to implementing obesity interventions in PHC, considering behavioral, nutritional, pharmacological, digital, and organizational approaches, across both adult and pediatric populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The review will follow the Joanna Briggs Institute (JBI) methodology and be reported according to PRISMA\u2010ScR guidelines. Searches will be conducted in PubMed, Cochrane Library, Scopus, Web of Science, and ScienceDirect, complemented by gray literature from OpenGrey, ResearchGate, Google Scholar, and organizational websites. Eligible sources will include peer\u2010reviewed and gray literature published between 2019 and 2025 in English, French, German, Italian, Portuguese, Spanish, or Turkish. Two reviewers will independently screen, extract, and analyze data, with discrepancies resolved by consensus. Data will be synthesized descriptively and thematically, supported by NVivo, and results presented in tables, thematic maps, and conceptual diagrams.<\/jats:p>\n                    <jats:p>Expected Results<\/jats:p>\n                    <jats:p>Anticipated barriers include time constraints, limited provider training, stigma, scarce resources, and inadequate reimbursement models. Enablers are expected to include supportive health policies, training, patient engagement strategies, and team\u2010based care models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This review will synthesize implementation factors affecting obesity care in PHC, informing scalable strategies and policy to improve obesity management worldwide.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/obr.70206","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T13:33:17Z","timestamp":1785850397000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of Obesity Interventions in Primary Health Care: Protocol for a Scoping Review of Barriers and Enablers"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1200-5904","authenticated-orcid":false,"given":"Sandra","family":"Le\u00f3n\u2010Herrera","sequence":"first","affiliation":[{"name":"Department of Psychology and Sociology University of Zaragoza  Zaragoza Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1635-1003","authenticated-orcid":false,"given":"Ileana","family":"Gefaell","sequence":"additional","affiliation":[{"name":"Federica Montseny Health Centre, Gerencia Asistencial Atenci\u00f3n Primaria, Servicio Madrile\u00f1o de Salud  Madrid Spain"},{"name":"Research Network on Chronicity, Primary Care and Health Promotion \u2010RICAPPS\u2010(RICORS)  Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Gregorio Mara\u00f1\u00f3n  Madrid 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Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2769-196X","authenticated-orcid":false,"given":"Leda","family":"Nemer","sequence":"additional","affiliation":[{"name":"WHO  Venice Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5677-6188","authenticated-orcid":false,"given":"M\u00aa Pilar","family":"Rodr\u00edguez\u2010P\u00e9rez","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Occupational Therapy, Rehabilitation and Physical Medicine Rey Juan Carlos University  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte Leonie","family":"Gebhardt","sequence":"additional","affiliation":[{"name":"Rehaklikik, Centre Hospitalier Neuro\u2010Psychiatrique (CHNP)  Ettelbruck 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