Department of Health Sciences, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Int J Qual Stud Health Well-being. 2023 Dec;18(1):2256669. doi: 10.1080/17482631.2023.2256669.
The global prevalence of overweight and obesity is continuously increasing. Long-term weight loss results remain disappointing. This study aims to identify factors and strategies for successful long-term weight loss in a primary care-led weight-loss intervention from the perspective of participants.
This qualitative interview study is the first follow-up study in a 2-year study series of participants with overweight or obesity. Methods utilized are semi-structured interviews ( = 20) with quantitative self-description. The data were transcribed from audio-taped interviews and analysed thematically.
This study found that clear, continuously evolving self-monitoring strategies facilitated by strong routines and a long-term focus enhanced successful outcomes. Challenges faced included stress, disappointment and loss of routine along with external criticism and discouragement. Benefits experienced due to weight loss included improved health, self-esteem, communal support and encouragement, which continued to fuel motivation. Receiving continuous support and encouragement from healthcare practitioners was instrumental for long-term success.
This study highlighted the complex, multifaceted experiences patients encounter in the pursuit of trying to achieve long-term weight loss. Personalized treatment protocols taking into account the diverse requirements and circumstances of individuals have the potential to improve treatment outcomes. Continuous, professional support may enhance long-term outcomes.
超重和肥胖的全球患病率持续上升。长期的减肥效果仍然令人失望。本研究旨在从参与者的角度确定在以初级保健为主导的减肥干预中成功长期减肥的因素和策略。
这是一项为期 2 年的研究系列中参与者超重或肥胖的首次随访研究。使用的方法是半结构化访谈（ = 20）和定量自我描述。从录音采访中转录数据，并进行主题分析。
本研究发现，通过强有力的日常生活习惯和长期关注，清晰、不断演变的自我监测策略有助于取得成功。面临的挑战包括压力、失望和日常生活习惯的改变，以及来自外界的批评和劝阻。减肥带来的好处包括健康状况改善、自尊心提高、社区支持和鼓励，这些都继续激发动力。从医疗保健从业者那里获得持续的支持和鼓励对长期成功至关重要。
本研究强调了患者在追求长期减肥过程中所经历的复杂、多方面的体验。考虑到个体的不同需求和情况制定个性化的治疗方案有可能改善治疗效果。持续的专业支持可能会提高长期效果。
