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Perceptions of Barriers to Effective Obesity Care: Results from the National ACTION Study.

Publication ,  Journal Article
Kaplan, LM; Golden, A; Jinnett, K; Kolotkin, RL; Kyle, TK; Look, M; Nadglowski, J; O'Neil, PM; Parry, T; Tomaszewski, KJ; Stevenin, B ...
Published in: Obesity (Silver Spring)
January 2018

OBJECTIVE: 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). METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.

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Published In

Obesity (Silver Spring)

DOI

EISSN

1930-739X

Publication Date

January 2018

Volume

26

Issue

1

Start / End Page

61 / 69

Location

United States

Related Subject Headings

  • Obesity
  • Middle Aged
  • Male
  • Humans
  • Female
  • Endocrinology & Metabolism
  • Cross-Sectional Studies
 

Citation

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ICMJE
MLA
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Kaplan, L. M., Golden, A., Jinnett, K., Kolotkin, R. L., Kyle, T. K., Look, M., … Dhurandhar, N. V. (2018). Perceptions of Barriers to Effective Obesity Care: Results from the National ACTION Study. Obesity (Silver Spring), 26(1), 61–69. https://doi.org/10.1002/oby.22054
Kaplan, Lee M., Angela Golden, Kimberly Jinnett, Ronette L. Kolotkin, Theodore K. Kyle, Michelle Look, Joseph Nadglowski, et al. “Perceptions of Barriers to Effective Obesity Care: Results from the National ACTION Study.Obesity (Silver Spring) 26, no. 1 (January 2018): 61–69. https://doi.org/10.1002/oby.22054.
Kaplan LM, Golden A, Jinnett K, Kolotkin RL, Kyle TK, Look M, et al. Perceptions of Barriers to Effective Obesity Care: Results from the National ACTION Study. Obesity (Silver Spring). 2018 Jan;26(1):61–9.
Kaplan, Lee M., et al. “Perceptions of Barriers to Effective Obesity Care: Results from the National ACTION Study.Obesity (Silver Spring), vol. 26, no. 1, Jan. 2018, pp. 61–69. Pubmed, doi:10.1002/oby.22054.
Kaplan LM, Golden A, Jinnett K, Kolotkin RL, Kyle TK, Look M, Nadglowski J, O’Neil PM, Parry T, Tomaszewski KJ, Stevenin B, Lilleøre SK, Dhurandhar NV. Perceptions of Barriers to Effective Obesity Care: Results from the National ACTION Study. Obesity (Silver Spring). 2018 Jan;26(1):61–69.
Journal cover image

Published In

Obesity (Silver Spring)

DOI

EISSN

1930-739X

Publication Date

January 2018

Volume

26

Issue

1

Start / End Page

61 / 69

Location

United States

Related Subject Headings

  • Obesity
  • Middle Aged
  • Male
  • Humans
  • Female
  • Endocrinology & Metabolism
  • Cross-Sectional Studies