Towards Precision Health in Weight Reduction: Thematic Content Analysis of an Open-Ended Survey on Reasons Why Morbidly Obese Patients Want to Lose Weight

• Published in: Malaysian Journal of Medicine and Health Sciences
• Main Author: Md-Yasin M.; Ismail I.A.; Malek K.A.; Yusoff K.; Bulgiba A.
• Format: Article
• Language: English
• Published: Universiti Putra Malaysia Press 2022
• Online Access: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85128231683&partnerID=40&md5=4c329eefe8c27c2f7ac3b52314b3ae13

Introduction: Addressing motivation to lose weight among morbidly obese patients increases successful weight management outcomes. We aimed to understand the motivations and reasons why morbidly obese patients attending hospital-based weight management programmes wanted to lose weight. Methods: A qualitative thematic content analysis was used to analyse responses from a self-administered open-ended question, "What is the main factor why you want to lose your weight?". A total of 225 new patients attending obesity clinics program run by endocrinologists, dietitians and occupational therapists in two tertiary hospitals in Klang Valley responded to the questionnaire. Results: Patients' mean BMI was 45.6±8.05 kg/m2. Four themes emerged and they are health, function, appearance and perceived stigma. Health, the most commonly inferred theme (84%), highlighted concerns over obesity complications and concomitant morbidities, which include infertility, impact on surgical procedures as well as general physical and psychological well-being. Patients regard being functional to care for themselves, family members, religious and career needs as the next most crucial theme (25.8%). They relate to the theme appearance (12.9%) by wanting to look and feel beautiful. The theme perceived stigmatization recount the time when they were mocked and laughed at for their appearance (3.1%). Conclusion: Patients with morbid obesity in this study had expressed their main personal motivational reasons to lose weight. Identifying and addressing these unique personal motivations in a focused approach is vital for health care professionals to manage the complexity of the health, social and psychological needs among patients with morbid obesity. © 2022 UPM Press. All rights reserved.