患者对肥胖治疗成功的认知：一项IMI2索菲亚研究。
Patient perceptions of success in obesity treatment: An IMI2 SOPHIA study.
作者信息
Farrell E, Nadglowski J, Hollmann E, le Roux C W, McGillicuddy D
机构信息
University College Dublin Dublin Ireland.
Obesity Action Coalition Tampa Florida USA.
出版信息
Obes Sci Pract. 2024 Aug 17;10(4):e70001. doi: 10.1002/osp4.70001. eCollection 2024 Aug.
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.
背景
预计到2030年，全球20%的人口将患有肥胖症。肥胖管理的成功主要根据体重指数（BMI）或体重减轻百分比来判定，然而这些指标的局限性已得到广泛认可。本研究旨在了解患者对肥胖治疗成功的定义。
方法
对30名肥胖成年人进行了一系列深入的焦点小组访谈，以定性方式深入了解患者对成功的定义。
结果
对数据的主题分析得出了四个主题结果：成功意味着摆脱肥胖带来的耻辱、偏见和精神负担；成功意味着能够充分参与社会；成功以非体重指标（NSVs）来衡量；成功不是体重秤上的数字。
结论
本研究强调了以下几点：（1）当前的成功衡量标准未能准确涵盖肥胖患者的优先事项；（2）在任何成功定义中，解决肥胖患者心理和情感方面问题的重要性；（3）临床医生与患者之间有意义地共同制定成功目标和指标对于有效管理肥胖症的重要性。
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