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Updated: Jun 9, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Development of an obesity counseling model based on a study of determinants of intentional sustained weight loss
Toney L Welborn1, Maureen H Azarian, Nathan J Davis
1Research Division Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, 900 NE 10th Street, Room 2307, Oklahoma City, OK 73104, USA. toney-welborn@ouhsc.edu
Background:
Overweight and obesity are at epidemic proportions. This study examines the attitudes and actions of Oklahoma clinicians in obesity treatment, and the characteristics and perceptions of a subset of their patients who lost weight and were able to maintain weight loss.
Methods:
Our study was a small mixed method study involving both surveys and interviews. Descriptive statistics were calculated, content analysis of interviews performed, and a model outline for obesity counseling was developed.
Results:
Only 38% of the 66 clinicians surveyed try to motivate their patients to lose weight. Patients interviewed recommended that clinicians treat obesity as a medical problem. We incorporated themes from the patient interviews into the S-MASS model for obesity screening and counseling.This was positively reviewed by clinicians and patients.
Conclusion:
The S-MASS model can function as a guide to help the clinician/patient team develop successful strategies for weight loss and maintenance of weight loss.
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