Perceptions of Barriers to Effective Obesity Care: Results from the National ACTION Study
Perceptions of Barriers to Effective Obesity Care: Results from the National ACTION Study
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DOI：
10.1002/oby.22054
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发表时间：
2018-01-01
期刊：
影响因子：
6.9
通讯作者：
Dhurandhar, Nikhil V.
中科院分区：
文献类型：
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作者：
Kaplan, Lee M.;Golden, Angela;Dhurandhar, Nikhil V.
反作用（肥胖症患者的意识、护理和治疗）调查了肥胖症患者（PwO）、卫生保健提供者（HCP）和雇主代表（ER）对肥胖相关的认知、态度和行为。（BMI 30的自我报告的身高和体重），606 HCP，和153 ER完成了调查的横断面设计。只有23%的PwO报告在过去3年中WL> 10%。许多PwO（65%）认为肥胖是一种疾病，但只有54%的人担心他们的体重可能会影响未来的健康。大多数普华永道（82%）认为完全负责WL; 72%的HCP认为有责任为WL工作做出贡献;很少有ER（18%）甚至认为部分负责。只有50%的普华永道认为自己肥胖，55%的人报告接受了正式的肥胖诊断。尽管HCP报告称对与体重相关的对话感到满意，但时间限制降低了这些努力的优先级。只有24%的PwO在最初的体重相关谈话后进行了定期随访。很少有普华永道（17%）认为雇主赞助的健康产品，在支持WL.ConclusionsAlthough通常被视为一种疾病，肥胖症是不常见的治疗。看法和态度上的分歧可能妨碍更好的管理。这项研究强调了对肥胖影响的不一致理解以及自我指导和医疗管理的必要性。
ObjectiveACTION (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).MethodsA total of 3,008 adult PwO (BMI30 by self-reported height and weight), 606 HCPs, and 153 ERs completed surveys in a cross-sectional design.ResultsDespite 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.ConclusionsAlthough 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.