Perceptions of Barriers to Effective Obesity Care: Results from the National ACTION Study
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- Lee M. Kaplan
- Massachusetts General Hospital Boston Massachusetts USA
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- Angela Golden
- NP from Home, LLC Munds Park Arizona USA
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- Kimberly Jinnett
- Integrated Benefits Institute San Francisco California USA
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- Ronette L. Kolotkin
- Quality of Life Consulting Durham North Carolina USA
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- Theodore K. Kyle
- ConscienHealth Pittsburgh Pennsylvania USA
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- Michelle Look
- San Diego Sports Medicine and Family Health Center San Diego California USA
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- Joseph Nadglowski
- Obesity Action Coalition Tampa Florida USA
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- Patrick M. O'Neil
- Medical University of South Carolina Charleston South Carolina USA
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- Thomas Parry
- Integrated Benefits Institute San Francisco California USA
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- Kenneth J. Tomaszewski
- KJT Group, Inc. Honeoye Falls New York USA
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- Boris Stevenin
- Novo Nordisk Inc. Plainsboro New Jersey USA
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- Søren Kruse Lilleøre
- Novo Nordisk A/S Søborg Denmark
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- Nikhil V. Dhurandhar
- Texas Tech University Lubbock Texas USA
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説明
<jats:sec><jats:title>Objective</jats:title><jats:p>ACTION (Awareness, Care, and Treatment in Obesity maNagement) examined obesity‐related perceptions, attitudes, and behaviors among people with obesity (PwO), health care providers (HCPs), and employer representatives (ERs).</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A total of 3,008 adult PwO (BMI ≥ 30 by self‐reported height and weight), 606 HCPs, and 153 ERs completed surveys in a cross‐sectional design.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Despite several weight loss (WL) attempts, only 23% of PwO reported 10% WL during the previous 3 years. Many PwO (65%) recognized obesity as a disease, but only 54% worried their weight may affect future health. Most PwO (82%) felt “completely” responsible for WL; 72% of HCPs felt responsible for contributing to WL efforts; few ERs (18%) felt even partially responsible. Only 50% of PwO saw themselves as “obese,” and 55% reported receiving a formal diagnosis of obesity. Despite HCPs' reported comfort with weight‐related conversations, time constraints deprioritized these efforts. Only 24% of PwO had a scheduled follow‐up to initial weight‐related conversations. Few PwO (17%) perceived employer‐sponsored wellness offerings as helpful in supporting WL.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Although generally perceived as a disease, obesity is not commonly treated as such. Divergence in perceptions and attitudes potentially hinders better management. This study highlights inconsistent understanding of the impact of obesity and need for both self‐directed and medical management.</jats:p></jats:sec>
収録刊行物
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- Obesity
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Obesity 26 (1), 61-69, 2017-10-31
Wiley