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Patient perceptions of success in obesity treatment: An IMI2 SOPHIA study
E Farrell1, J Nadglowski2, E Hollmann1
1University College Dublin Dublin Ireland.
Background:
It is anticipated that by 2030, 20% of the world's population will live with obesity. Success in the management of obesity is predominately determined in terms of BMI or percentage weight loss, yet the limitations of these have been widely recognized. This study aimed to understand patient definitions of success in obesity treatment.
Methods:
A series of in-depth focus groups, carried out with n = 30 adults living with obesity, offered a qualitative insight into patient definitions of success.
Results:
A thematic analysis of data yielded four thematic findings: Success as freedom from stigma, bias and the mental burden of obesity; success as being able to participate fully in the world; success as measured by NSVs [non-scale victories]; and success is not a number on a scale.
Conclusions:
What this study highlights is (1) how current measures of success do not accurately encompass the priorities of people living with obesity, (2) the importance of addressing the psychological and emotional aspects of living with obesity in any definition of success , and (3) the importance of meaningful co-creation of goals and indicators of success between clinician and patient for the effective management of the disease of obesity.
Insights
Patient success in obesity management goes beyond weight loss. Focus groups revealed that freedom from stigma, full participation in life, and non-scale victories are key indicators of successful obesity treatment.
Area of Science:
- Obesity research
- Patient-centered care
- Qualitative health research
Background:
- Obesity affects 20% of the global population by 2030.
- Current obesity management success metrics (BMI, weight loss) have recognized limitations.
- Patient perspectives on obesity treatment success are crucial.
Purpose of the Study:
- To explore and understand patient-defined success in obesity treatment.
- To identify patient priorities beyond traditional weight-based metrics.
- To inform more holistic approaches to obesity management.
Main Methods:
- Qualitative study involving in-depth focus groups.
- 30 adults living with obesity participated.
- Thematic analysis was used to interpret the data.
Main Results:
- Success is defined as freedom from stigma, bias, and the mental burden of obesity.
- Patients view success as the ability to participate fully in life.
- Non-scale victories (NSVs) are important measures of success, not just scale numbers.
Conclusions:
- Current success measures in obesity treatment do not align with patient priorities.
- Psychological and emotional well-being are vital components of obesity treatment success.
- Collaborative goal-setting between clinicians and patients is essential for effective obesity management.
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