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Development of an Assessment Tool for Completion by Patients with Overweight or Obesity

INTRODUCTION: Discussions of weight-management strategies between patients and healthcare providers can yield positive outcomes for people with overweight or obesity. Nonetheless, people with overweight or obesity encounter communication challenges and other barriers to pursuing effective weight-man...

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Autores principales: Kim, Nina, Brown, T. Michelle, Burudpakdee, Chakkarin, Kanu, Chisom, Woodard, Krystene, Fehnel, Sheri, Morrison, Carrie, Nadglowski, Joe, Nadolsky, Karl, Kolotkin, Ronette L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Healthcare 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9579616/
https://www.ncbi.nlm.nih.gov/pubmed/36255649
http://dx.doi.org/10.1007/s12325-022-02334-8
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author Kim, Nina
Brown, T. Michelle
Burudpakdee, Chakkarin
Kanu, Chisom
Woodard, Krystene
Fehnel, Sheri
Morrison, Carrie
Nadglowski, Joe
Nadolsky, Karl
Kolotkin, Ronette L.
author_facet Kim, Nina
Brown, T. Michelle
Burudpakdee, Chakkarin
Kanu, Chisom
Woodard, Krystene
Fehnel, Sheri
Morrison, Carrie
Nadglowski, Joe
Nadolsky, Karl
Kolotkin, Ronette L.
author_sort Kim, Nina
collection PubMed
description INTRODUCTION: Discussions of weight-management strategies between patients and healthcare providers can yield positive outcomes for people with overweight or obesity. Nonetheless, people with overweight or obesity encounter communication challenges and other barriers to pursuing effective weight-management strategies with their healthcare providers. The aim of this study was to develop a new self-completed assessment tool to initiate and facilitate conversations related to weight management between patients and healthcare providers. METHODS: Developing the assessment tool involved a series of steps and draft versions of the tool, based on feedback from key opinion leaders in the field of obesity (N = 4) and input from people with overweight or obesity (N = 18). Three iterative rounds of qualitative interviews were conducted in the USA. A targeted review of prior qualitative research was conducted to identify common and important impacts of obesity on patients’ functioning. Standard qualitative analytical methods were used to identify concepts of importance in a concept elicitation exercise during the interviews and were evaluated for potential inclusion in the tool. Potential problems with the tool were flagged during cognitive debriefing of the draft tool. RESULTS: During 18 individual interviews, participants referenced the impact of their weight on their lives, including health and comorbidities, physical function, emotional/mental functioning, social life, and physical appearance. Over the course of the tool’s development, 24 common and important impacts of obesity on patients’ functioning were reduced to a final set of eight concepts in the final tool that were deemed important and relevant to both patients and key opinion leaders. CONCLUSIONS: The assessment tool is a five-item, self-completed measure expected to foster patient self-advocacy for individuals with overweight or obesity by giving them an opportunity to define their weight-management goals and discuss these, along with various medical interventions, with a healthcare provider. SUPPLEMENTARY INFORMATION: The online version, available at 10.1007/s12325-022-02334-8, includes a copy of the patient assessment screening tool in the supplementary material.
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spelling pubmed-95796162022-10-19 Development of an Assessment Tool for Completion by Patients with Overweight or Obesity Kim, Nina Brown, T. Michelle Burudpakdee, Chakkarin Kanu, Chisom Woodard, Krystene Fehnel, Sheri Morrison, Carrie Nadglowski, Joe Nadolsky, Karl Kolotkin, Ronette L. Adv Ther Original Research INTRODUCTION: Discussions of weight-management strategies between patients and healthcare providers can yield positive outcomes for people with overweight or obesity. Nonetheless, people with overweight or obesity encounter communication challenges and other barriers to pursuing effective weight-management strategies with their healthcare providers. The aim of this study was to develop a new self-completed assessment tool to initiate and facilitate conversations related to weight management between patients and healthcare providers. METHODS: Developing the assessment tool involved a series of steps and draft versions of the tool, based on feedback from key opinion leaders in the field of obesity (N = 4) and input from people with overweight or obesity (N = 18). Three iterative rounds of qualitative interviews were conducted in the USA. A targeted review of prior qualitative research was conducted to identify common and important impacts of obesity on patients’ functioning. Standard qualitative analytical methods were used to identify concepts of importance in a concept elicitation exercise during the interviews and were evaluated for potential inclusion in the tool. Potential problems with the tool were flagged during cognitive debriefing of the draft tool. RESULTS: During 18 individual interviews, participants referenced the impact of their weight on their lives, including health and comorbidities, physical function, emotional/mental functioning, social life, and physical appearance. Over the course of the tool’s development, 24 common and important impacts of obesity on patients’ functioning were reduced to a final set of eight concepts in the final tool that were deemed important and relevant to both patients and key opinion leaders. CONCLUSIONS: The assessment tool is a five-item, self-completed measure expected to foster patient self-advocacy for individuals with overweight or obesity by giving them an opportunity to define their weight-management goals and discuss these, along with various medical interventions, with a healthcare provider. SUPPLEMENTARY INFORMATION: The online version, available at 10.1007/s12325-022-02334-8, includes a copy of the patient assessment screening tool in the supplementary material. Springer Healthcare 2022-10-18 2023 /pmc/articles/PMC9579616/ /pubmed/36255649 http://dx.doi.org/10.1007/s12325-022-02334-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/Open AccessThis article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Kim, Nina
Brown, T. Michelle
Burudpakdee, Chakkarin
Kanu, Chisom
Woodard, Krystene
Fehnel, Sheri
Morrison, Carrie
Nadglowski, Joe
Nadolsky, Karl
Kolotkin, Ronette L.
Development of an Assessment Tool for Completion by Patients with Overweight or Obesity
title Development of an Assessment Tool for Completion by Patients with Overweight or Obesity
title_full Development of an Assessment Tool for Completion by Patients with Overweight or Obesity
title_fullStr Development of an Assessment Tool for Completion by Patients with Overweight or Obesity
title_full_unstemmed Development of an Assessment Tool for Completion by Patients with Overweight or Obesity
title_short Development of an Assessment Tool for Completion by Patients with Overweight or Obesity
title_sort development of an assessment tool for completion by patients with overweight or obesity
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9579616/
https://www.ncbi.nlm.nih.gov/pubmed/36255649
http://dx.doi.org/10.1007/s12325-022-02334-8
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