Perceptions, behaviours and potential barriers to effective obesity care. Results from the ACTION-DK study
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Perceptions, behaviours and potential barriers to effective obesity care. Results from the ACTION-DK study. / Vilsbøll, Tina; Gribsholt, Sigrid Bjerge; Jørgensen, Nils Bruun; Andreassen, Pernille; Nielsen, Per; Yssing, Cecilie; Bøgelund, Mette; Stensen, Signe; Nørremark, Kasper; Bruun, Jens Meldgaard.
I: Diabetes, Obesity and Metabolism, Bind 25, Nr. 9, 2023, s. 2595-2604.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Perceptions, behaviours and potential barriers to effective obesity care. Results from the ACTION-DK study
AU - Vilsbøll, Tina
AU - Gribsholt, Sigrid Bjerge
AU - Jørgensen, Nils Bruun
AU - Andreassen, Pernille
AU - Nielsen, Per
AU - Yssing, Cecilie
AU - Bøgelund, Mette
AU - Stensen, Signe
AU - Nørremark, Kasper
AU - Bruun, Jens Meldgaard
N1 - Publisher Copyright: © 2023 The Authors. Diabetes, Obesity and Metabolism published by John Wiley & Sons Ltd.
PY - 2023
Y1 - 2023
N2 - Aim: Weight bias, stigma and discrimination are pervasive in the health care system and society and may result in biased treatment of people living with obesity (PwO). We aimed to identify perceptions, attitudes and potential barriers that exist between people with obesity and health care professionals (HCPs) in Denmark. Methods: The ACTION-DK survey was a cross-sectional, non-interventional, descriptive study conducted in Denmark. The cohort included 879 PwO (body mass index ≥30.0 kg/m2) based on self-reported height and body weight, and 100 HCPs from the primary and secondary sectors who frequently encountered PwO. Results: Several discrepancies between PwO and HCPs were identified, including recognition of obesity as a chronic disease (PwO: 49% vs. HCPs: 84%) and whether PwO were responsible for their weight loss (PwO: 81% vs. HCPs: 17%). Among PwO, 46% were motivated to lose weight, but only 28% of HCPs shared this perception. Untimely initiation of obesity care consultations was also identified as a potential barrier to proper obesity care, as PwO waited 7 years, on average, from their initial decision to lose weight before having their first obesity care consultation. In addition, only 24% of PwO had a follow-up consultation after the initial obesity care discussion. Almost half of HCPs (46%) considered weight loss medication effective, but only 10% brought up this possibility during an obesity care discussion. Conclusions: Our findings suggest that it is pivotal to improve obesity care in Denmark by ensuring a better follow-up and alignment of the perceptions and attitudes toward obesity between PwO and HCPs.
AB - Aim: Weight bias, stigma and discrimination are pervasive in the health care system and society and may result in biased treatment of people living with obesity (PwO). We aimed to identify perceptions, attitudes and potential barriers that exist between people with obesity and health care professionals (HCPs) in Denmark. Methods: The ACTION-DK survey was a cross-sectional, non-interventional, descriptive study conducted in Denmark. The cohort included 879 PwO (body mass index ≥30.0 kg/m2) based on self-reported height and body weight, and 100 HCPs from the primary and secondary sectors who frequently encountered PwO. Results: Several discrepancies between PwO and HCPs were identified, including recognition of obesity as a chronic disease (PwO: 49% vs. HCPs: 84%) and whether PwO were responsible for their weight loss (PwO: 81% vs. HCPs: 17%). Among PwO, 46% were motivated to lose weight, but only 28% of HCPs shared this perception. Untimely initiation of obesity care consultations was also identified as a potential barrier to proper obesity care, as PwO waited 7 years, on average, from their initial decision to lose weight before having their first obesity care consultation. In addition, only 24% of PwO had a follow-up consultation after the initial obesity care discussion. Almost half of HCPs (46%) considered weight loss medication effective, but only 10% brought up this possibility during an obesity care discussion. Conclusions: Our findings suggest that it is pivotal to improve obesity care in Denmark by ensuring a better follow-up and alignment of the perceptions and attitudes toward obesity between PwO and HCPs.
KW - anti-obesity drug
KW - appetite control
KW - obesity therapy
KW - patient-reported outcomes
KW - population study
KW - weight control
U2 - 10.1111/dom.15144
DO - 10.1111/dom.15144
M3 - Journal article
C2 - 37272318
AN - SCOPUS:85161436581
VL - 25
SP - 2595
EP - 2604
JO - Diabetes, Obesity and Metabolism
JF - Diabetes, Obesity and Metabolism
SN - 1462-8902
IS - 9
ER -
ID: 365813831