A call to action to inform patient‐centred approaches to obesity management: Development of a disease‐illness model
| العنوان: | A call to action to inform patient‐centred approaches to obesity management: Development of a disease‐illness model |
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| المؤلفون: | John Fastenau, Ken Fujioka, William Canovatchel, Shana Traina, Maria Alba, Ronette L. Kolotkin |
| المصدر: | Clinical Obesity |
| بيانات النشر: | Blackwell Publishing Ltd, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Gerontology, obesity, 030309 nutrition & dietetics, Endocrinology, Diabetes and Metabolism, 030209 endocrinology & metabolism, Disease, Body Weight Maintenance, modelling, 03 medical and health sciences, 0302 clinical medicine, Patient satisfaction, Quality of life (healthcare), Weight loss, quality of care, Original Research Articles, Patient-Centered Care, Health care, Weight Loss, medicine, Humans, Original Research Article, Qualitative Research, 0303 health sciences, business.industry, Models, Theoretical, medicine.disease, Obesity, United States, Call to action, Weight Reduction Programs, Quality of Life, medicine.symptom, business, Energy Intake, Qualitative research |
| الوصف: | Patient-centred care is an essential component of high-quality health care, shown to improve clinical outcomes and patient satisfaction, and reduce costs. While there are several authoritative models of obesity pathophysiology and treatment algorithms, a truly patient-centred model is lacking. We describe the development of a patient-centric obesity model. A disease-illness framework was selected because it emphasizes each patient's unique experience while capturing biomedical aspects of the disease. Model input was obtained from an accumulation of research including contributions from experts in obesity and patient-reported outcomes, qualitative research with adults living in the United States, and two targeted literature searches. The model places the patient with obesity at its core and links pathologic imbalances of energy intake and expenditure to environmental, sociodemographic, psychological, behavioural, physiological and medical health determinants. It highlights relationships between obesity signs and symptoms, comorbid conditions, impacts on health-related quality of life, and some barriers to obesity management that must be considered to attain better outcomes. Providers need to evaluate patients holistically, understand what changes each patient is motivated to make, and recognize what challenges might impede weight reduction, improvements in comorbid conditions, signs and symptoms, and health-related quality of life before pursuing individualized treatment goals. Patients living with obesity who do lose weight perceive benefits beyond weight loss. Ideally, this model will increase awareness of the complex, heterogeneous impacts of obesity on patients' well-being and recognition of obesity as a chronic disease, and prompt a call to action among stakeholders to improve quality of care. |
| اللغة: | English |
| تدمد: | 1758-8111 1758-8103 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fb01526d251644d1e4e201a992483d47Test http://europepmc.org/articles/PMC6594134Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....fb01526d251644d1e4e201a992483d47 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17588111 17588103 |
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