Review of an international pilot project to adapt the Canadian Adult Obesity Clinical Practice Guideline

Ramos Salas, Ximena; Saquimux Contreras, Miguel Alejandro; Breen, Cathy; Preiss, Yudith; Hussey, Brad; Forhan, Mary; Wharton, Sean; Campbell-Scherer, Denise; Vallis, Michael; Brown, Jennifer; Pedersen, Sue D.; Sharma, Arya M.; Woodward, Euan; Patton, Ian; Pearce, Nicole

doi:10.1016/j.obpill.2023.100090

Cited by 3 publications

(1 citation statement)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Within practice, there are numerous examples of the improvement of the construct of ‘success’; as outlined by the use of ‘Best Weight’ developed by Arya Mitra Sharma and Yoni Freedhoff, and in the prioritised value of psychological aspects in dialogue 40 . It is also demonstrated in the pilot to apply the Canadian guideline, which incorporates more holistic aspects of success, to other countries (Chile and Ireland) 41 . Thus, as our understanding of obesity, clinical outcomes and PROs continue to evolve, so too must our understanding and language around ‘success’.…”

Section: Discussionmentioning

confidence: 99%

Defining success in adult obesity management: A systematic review and framework synthesis of clinical practice guidelines

Juul‐Hindsgaul,

Alalwani,

Boylan

et al. 2024

Clinical Obesity

View full text Add to dashboard Cite

SummaryObesity is a chronic and complex disease affecting millions of people worldwide. Currently, there is no standard definition of success for the management of obesity. We set out to complete a synthesis of clinical practice guidelines for obesity management for adult populations, aiming to provide both a quantitative descriptive and qualitative analysis of definitions of success in clinical practice guidelines. An electronic search retrieved 4477 references. Sixteen clinical practice guidelines were included after screening and full‐text review. We coded definitions of success 147 times across the included guidelines. No standard or explicit definition of success was identified in the guidelines but rather success was implicitly defined. We developed three themes describing how success was defined in the clinical practice guidelines: Knowledge‐based decision making; management of expectations; and the perception of control. The review reinforced that success is an inherently subjective and complex concept. Defining success is limited by existing studies that focus on weight loss and would benefit from additional research on different outcomes. Equally, the relationship between people living with obesity and their clinicians should be further explored to understand how defining success is controlled, discussed and framed in a clinical setting.

show abstract

Section: Discussionmentioning

confidence: 99%