Translational behavioral medicine · 2026
Understanding obesity treatment choices: a mixed-methods study of patient preferences and shared decision-making.
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Herb Neff Kirstie M, Wright Lyndell, Clarke Deserae, Still Christopher D, Bailey-Davis Lisa
Аннотация
BACKGROUND: Shared decision-making (SDM) is recommended in obesity treatment. Yet, little is known about how it occurs in real-world practice, particularly given recent advances in treatment options.
PURPOSE: This prospective mixed-methods study aimed to understand patient preferences and decision-making processes for obesity treatment.
METHODS: Adults with obesity (N = 103) seeking specialty weight management treatment completed a survey, and a subset (n = 17) participated in qualitative interviews. Both assessed weight loss history, knowledge and expectations of obesity treatment options, decision-making factors, and perceptions of SDM.
RESULTS: Participants reported an average of 10.1 (SD = 13.5) prior weight loss attempts and were primarily motivated by physical well-being (86.4%). Key factors influencing decision-making included desired weight loss (84.5%), provider recommendations (76.7%), and cost (62.1%). Anti-obesity medications were viewed most favorably, followed by behavioral and surgical approaches. Qualitative analysis generated four themes: (i) a chronic cycle of weight loss and regain; (ii) guided by stories, not science alone; (iii) navigating trade-offs in choosing weight-loss strategies; and (iv) feeling heard, but still seeking direction.
CONCLUSIONS: Patients demonstrate strong awareness of obesity treatments and value SDM and personalized recommendations when making decisions. Findings highlight the need for interventions that strengthen SDM and deliver tailored, high-quality health communication.
PURPOSE: This prospective mixed-methods study aimed to understand patient preferences and decision-making processes for obesity treatment.
METHODS: Adults with obesity (N = 103) seeking specialty weight management treatment completed a survey, and a subset (n = 17) participated in qualitative interviews. Both assessed weight loss history, knowledge and expectations of obesity treatment options, decision-making factors, and perceptions of SDM.
RESULTS: Participants reported an average of 10.1 (SD = 13.5) prior weight loss attempts and were primarily motivated by physical well-being (86.4%). Key factors influencing decision-making included desired weight loss (84.5%), provider recommendations (76.7%), and cost (62.1%). Anti-obesity medications were viewed most favorably, followed by behavioral and surgical approaches. Qualitative analysis generated four themes: (i) a chronic cycle of weight loss and regain; (ii) guided by stories, not science alone; (iii) navigating trade-offs in choosing weight-loss strategies; and (iv) feeling heard, but still seeking direction.
CONCLUSIONS: Patients demonstrate strong awareness of obesity treatments and value SDM and personalized recommendations when making decisions. Findings highlight the need for interventions that strengthen SDM and deliver tailored, high-quality health communication.