Primary Care Patients' Willingness to Participate in Comprehensive Weight Loss Programs: From the WWAMI Region Practice and Research Network

Article Figures & Data

Table 1.

Codes and Sample Quotes Based for Patients' “Number 1 Reason for Wanting to Lose Weight”

Original Code	Example Quote	Final Grouped Code
Health	“Overall my health”	Physical functioning
Medical	“Type 2 diabetes”	Medical
Energy	“More energy”	Physical functioning
Musculoskeletal	“Hip problems”	Medical
Clothes	“Cannot fit in my clothes”	Appearance
Feel better	“Feel better”	Physical functioning
Pain	“Lower pain level”	Medical
Fitness	“To be more fit”	Physical functioning
Emotional	“I want to feel better about myself”	Emotional/family
Family	“Play with kids”	Emotional/family
Longevity	“To live longer”	Age
Comfort	“Feel more comfortable”	Physical functioning
Look better	“Look more beautiful”	Appearance

Table 2.

Descriptive Characteristics of the Respondents

Characteristic	Respondents (N = 1479)
Age (years) (n = 1439)
18–24	7.9
25–34	16.5
35–44	19.3
45–54	23.7
55–64	21.7
≥65	11.0
Sex (n = 1439)
Male	25.7
Female	74.3
Race/ethnicity (n = 1413)
Non-Hispanic white	71.6
Hispanic or Latino	7.2
Black or African American	3.7
Asian	2.3
Pacific Islander	1.2
American Indian/Alaska native	7.1
Some other race	1.2
Multiple	7.6
Insurance status (n = 1439)
None	22.1
Private	21.1
Medicare	14.8
Medicaid	22.1
Military	20.0
Overall health (n = 1431)
Excellent	2.9
Very good	18.0
Good	36.8
Fair	31.7
Poor	10.6
BMI (n = 1442)
Overweight (25–29.9 kg/m²)	28.1
Obese (30–39.9 kg/m²)	51.5
Extremely obese (≥40 kg/m²)	20.5
Reason for wanting to lose weight^* (n = 1362)
Appearance	9.9
Emotional/family	10.7
Physical functioning	23.0
Medical	74.6
Age	1.9

Data are percentages. The sample excludes individuals with missing data for the outcome variable (willingness to participate in comprehensive weight loss program). Sample size varies from 1362 to 1439 because of differences in missing data for each variable.
↵* Some respondents listed more than one reason for wanting to lose weight.
BMI, body mass index.

Table 3.

Factors That Respondents Reported Were Important in Helping Them Decide Whether to Take Part in a Comprehensive Weight Loss Program (n = 1479)

Factors	Responses (%)
Will help me lose weight	73.1
Will help me feel better	55.1
Doesn't cost me much	54.8
Is at a good time of day for me	34.0
Is easy to get to	25.7
Was recommended by my doctor	15.4
A friend would go with me to the program	9.6
Was recommended by a friend or family member	2.9

Respondents were asked to check the 3 items that are most important to them. The sample excludes individuals with missing data for the outcome variable (willingness to participate in comprehensive weight loss program).

Table 4.

Reported Willingness to Participate in Comprehensive Weight Loss Program, by Descriptive Characteristics

Characteristics	Willing to Participate (%)
Overall (n = 1439)	63.0
Age (n = 1439) (P = .0073)
18–24	76.1
25–34	67.5
35–44	63.3
45–54	62.5
55–64	57.4
≥65	58.9
Sex (n = 1439)^*
Male	50.8
Female	67.3
Race/ethnicity (n = 1413)^*
American Indian/Alaska native	67.7
Asian	75.8
Black or African American	80.8
Non-Hispanic white	59.3
Hispanic or Latino	74.3
Pacific Islander and other race	68.874.7
Multiple
Insurance status (n = 1382) (P = .0012)
None	65.6
Private	60.5
Medicare	54.4
Medicaid	71.6
Military	61.2
Overall health (n = 1431)
Excellent	65.9
Very good	61.6
Good	61.9
Fair	66.1
Poor	60.3
BMI (n = 1442) (P = .0027)
Overweight (BMI 25–29.9 kg/m²)	58.8
Obese (BMI 30–39.9 kg/m²)	62.1
Extremely obese (BMI ≥40 kg/m²)	71.2
Reason for wanting to lose weight^{^†} (n = 1362)
Appearance
Reason listed	57.0
Reason not listed	64.5
Emotional/family (P = .0077)
Reason listed	73.8
Reason not listed	62.5
Physical functioning
Reason listed	62.3
Reason not listed	64.2
Medical (P = .0234)
Reason listed	65.5
Reason not listed	58.7
Age
Reason listed	76.9
Reason not listed	63.5

The sample excludes individuals with missing data for the outcome variable (willingness to participate in comprehensive weight loss program). Sample size varies from 1454 to 1545 because of differences in missing data for each variable.
↵* P < .001.
↵† Some respondents listed more than one reason for wanting to lose weight.
BMI, body mass index.

Table 5.

Adjusted Relative Risk of Reported Willingness to Participate in a Comprehensive Weight Loss Program, by Patient Characteristics

Patient Characteristics	Relative Risk (95% CI)
Age (years)
18–24	Reference
25–34	0.80 (0.64–0.95)
45–54	0.77 (0.67–0.87)
55–64	0.78 (0.65–0.91)
≥65	0.72 (0.56–0.89)
Sex
Male	Reference
Female	1.18 (1.07–1.27)
Race/ethnicity
Non-Hispanic white	Reference
African American/black	1.18 (1.05–1.29)
American Indian/Alaska native	1.31 (1.07–1.45)
Asian	1.30 (1.16–1.40)
Hispanic/Latino	1.07 (0.86–1.24)
Pacific Islander/other	1.12 (0.90–1.29)
Multiple races	1.21 (1.09–1.31)
Insurance
Private	Reference
None	0.91 (0.80–1.01)
Medicare	0.83 (0.67–0.99)
Medicaid	1.05 (0.93–1.16)
Military	0.94 (0.86–1.22)
BMI
Overweight (BMI 25–29.9 kg/m²)	Reference
Obese (BMI 30–39.9 kg/m²)	1.05 (0.95–1.14)
Extremely obese (BMI ≥40 kg/m²)	1.17 (0.99–1.31)
Reasons for wanting to lose weight
No emotional/family reason	Reference
Emotional/family reason	1.17 (1.05–1.23)
No medical reason	Reference
Medical reason	1.12 (1.04–1.20)