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Behavioral weight loss treatment for adults with binge‐eating disorder: A qualitative analysis of patients' perspectives and experiences.

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Title: Behavioral weight loss treatment for adults with binge‐eating disorder: A qualitative analysis of patients' perspectives and experiences.
Authors: Sonnenblick, Ross M., Liu, Jianyi, Riddle, Devyn R., Manasse, Stephanie M., Forman, Evan M., Juarascio, Adrienne S.
Source: International Journal of Eating Disorders. Sep2024, Vol. 57 Issue 9, p1854-1867. 14p.
Subjects: Obesity treatment, Weight loss, Qualitative research, Behavior modification, Research funding, Binge-eating disorder, Body weight, Thematic analysis, Health behavior, Patients' attitudes, Social stigma
Abstract: Objective: Understanding the perspectives of behavioral weight loss (BWL) participants could inform whether, how, and for whom BWL should be offered. Method: All 126 participants in a clinical trial of BWL for adults with binge‐eating disorder (BED) and overweight/obesity were contacted about a qualitative study. 45 participants, 11 of whom had dropped out of the parent study, completed qualitative interviews. The interview guide was developed using data from a survey of providers who offer Health at Every Size and other weight‐neutral lifestyle interventions. Questions were phrased to invite even the most negative responses. Questions focused on participants' experiences of weight stigma during treatment, perceptions of BWL's calorie and WL goals, and opinions of BWL and weight‐neutral interventions. Results: We identified four themes using thematic analysis: (1) BWL did not perpetuate weight stigma. (2) Calorie and WL goals did not exacerbate participants' binge eating. (3) Patients should have the right to pursue any treatment that aligns with their personal goals. (4) BWL can improve participants' overall health. Discussion: BWL participants with BED and overweight/obesity want others to have access to a program that can reduce both weight and binge eating. Participants emphasized that no treatment works for everyone, and they all agreed that BWL had not perpetuated weight stigma. Fewer than 20% of participants considered the program's calorie and WL goals to be harmful; most participants viewed those goals as achievable and helpful, and many asserted that their participation in BWL had improved their overall health. Public Significance: We interviewed adults with binge‐eating disorder and overweight/obesity who had participated in a behavioral weight loss (BWL) program. Our participants wanted others in their position to have access to BWL because it aims to reduce both weight and binge‐eating frequency. Efforts should be made to provide patients, clinicians, and policymakers with the knowledge that supervised, evidence‐based BWL is an effective and desired treatment choice for this population. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Behavioral weight loss treatment for adults with binge‐eating disorder: A qualitative analysis of patients' perspectives and experiences.
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  Data: <searchLink fieldCode="AR" term="%22Sonnenblick%2C+Ross+M%2E%22">Sonnenblick, Ross M.</searchLink><br /><searchLink fieldCode="AR" term="%22Liu%2C+Jianyi%22">Liu, Jianyi</searchLink><br /><searchLink fieldCode="AR" term="%22Riddle%2C+Devyn+R%2E%22">Riddle, Devyn R.</searchLink><br /><searchLink fieldCode="AR" term="%22Manasse%2C+Stephanie+M%2E%22">Manasse, Stephanie M.</searchLink><br /><searchLink fieldCode="AR" term="%22Forman%2C+Evan+M%2E%22">Forman, Evan M.</searchLink><br /><searchLink fieldCode="AR" term="%22Juarascio%2C+Adrienne+S%2E%22">Juarascio, Adrienne S.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Sep2024, Vol. 57 Issue 9, p1854-1867. 14p.
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  Data: <searchLink fieldCode="DE" term="%22Obesity+treatment%22">Obesity treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Weight+loss%22">Weight loss</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+modification%22">Behavior modification</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Binge-eating+disorder%22">Binge-eating disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Body+weight%22">Body weight</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink>
– Name: Abstract
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  Data: Objective: Understanding the perspectives of behavioral weight loss (BWL) participants could inform whether, how, and for whom BWL should be offered. Method: All 126 participants in a clinical trial of BWL for adults with binge‐eating disorder (BED) and overweight/obesity were contacted about a qualitative study. 45 participants, 11 of whom had dropped out of the parent study, completed qualitative interviews. The interview guide was developed using data from a survey of providers who offer Health at Every Size and other weight‐neutral lifestyle interventions. Questions were phrased to invite even the most negative responses. Questions focused on participants' experiences of weight stigma during treatment, perceptions of BWL's calorie and WL goals, and opinions of BWL and weight‐neutral interventions. Results: We identified four themes using thematic analysis: (1) BWL did not perpetuate weight stigma. (2) Calorie and WL goals did not exacerbate participants' binge eating. (3) Patients should have the right to pursue any treatment that aligns with their personal goals. (4) BWL can improve participants' overall health. Discussion: BWL participants with BED and overweight/obesity want others to have access to a program that can reduce both weight and binge eating. Participants emphasized that no treatment works for everyone, and they all agreed that BWL had not perpetuated weight stigma. Fewer than 20% of participants considered the program's calorie and WL goals to be harmful; most participants viewed those goals as achievable and helpful, and many asserted that their participation in BWL had improved their overall health. Public Significance: We interviewed adults with binge‐eating disorder and overweight/obesity who had participated in a behavioral weight loss (BWL) program. Our participants wanted others in their position to have access to BWL because it aims to reduce both weight and binge‐eating frequency. Efforts should be made to provide patients, clinicians, and policymakers with the knowledge that supervised, evidence‐based BWL is an effective and desired treatment choice for this population. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1002/eat.24234
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 14
        StartPage: 1854
    Subjects:
      – SubjectFull: Obesity treatment
        Type: general
      – SubjectFull: Weight loss
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Behavior modification
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Binge-eating disorder
        Type: general
      – SubjectFull: Body weight
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Patients' attitudes
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      – SubjectFull: Social stigma
        Type: general
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      – TitleFull: Behavioral weight loss treatment for adults with binge‐eating disorder: A qualitative analysis of patients' perspectives and experiences.
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              M: 09
              Text: Sep2024
              Type: published
              Y: 2024
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