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Patients Desire Personalized, Specific, and Continuous Advice on Weight Management
Elizabeth R Pfoh1, Russell Flench1, N Homa Varghai1
1From the Center for Value-Based Care Research and the Department of Family Medicine, Cleveland Clinic Community Care, the Strategy Office, Cleveland Clinic, and the Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio.
Southern Medical Journal
|January 5, 2021
Summary
Understanding patient preferences is key for effective weight management. Tailored, continuous advice based on individual knowledge and motivation is crucial for successful weight loss and maintenance.
Area of Science:
- Health Services Research
- Patient-Centered Care
- Obesity Management
Background:
- Effective healthcare delivery requires understanding patient preferences in weight management.
- Weight management services aim to support individuals in achieving and maintaining a healthy weight.
Purpose of the Study:
- To describe patient perceptions of factors influencing weight loss and maintenance.
- To identify facilitators and barriers to successful weight management from the patient's perspective.
Main Methods:
- Semistructured interviews were conducted with 15 patients utilizing weight management services.
- Grounded theory approach with double-coding of transcripts to identify key themes.
- Interview guide development involved literature review and expert consultation.
Main Results:
- Three primary themes emerged: personalized advice, varied motivational factors, and the need for ongoing support.
- Patients emphasized advice tailored to their knowledge and experience, with advice evolving as they progressed.
- Motivation varied among patients, and continuous, long-term support was essential for sustained success.
Conclusions:
- Healthcare systems should personalize weight management advice based on patient knowledge, experience, and preferences.
- Regular reassessment of patient needs is vital for achieving and sustaining weight management goals.
- Addressing patient fears, such as becoming ineligible for services, is important for continued engagement.
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