Health Care Consumer Shopping Behaviors and Sentiment: Qualitative Study.

Background: Although some health care market reforms seek to better engage consumers in purchasing health care services, health consumer behavior remains poorly understood.

Objective: This study aimed to characterize the behaviors and sentiment of consumers who attempt to shop for health care services.

Methods: We used a semistructured interview guide based on grounded theory and standard qualitative research methods to examine components of a typical shopping process in a sample size of 54 insured adults.

Abnormal liver function in children with metabolic syndrome from a UK-based obesity clinic.

Aim: To examine transaminitis in obese children, its association with glucose metabolism and the metabolic syndrome and the response to weight loss through lifestyle modification.

Methods: 216 children (90 male), aged 2.9-17.

Treatment of childhood obesity by retraining eating behaviour: randomised controlled trial.

Objective: To determine whether modifying eating behaviour with use of a feedback device facilitates weight loss in obese adolescents.

Design: Randomised controlled trial with 12 month intervention.

Setting: Hospital based obesity clinic.

What reduction in BMI SDS is required in obese adolescents to improve body composition and cardiometabolic health?

Objective: To study the impact of body mass index (BMI) SD score (SDS) improvement through lifestyle modification on metabolic risk and body composition over 12 months.

Design: Prospective cohort study.

Setting: Hospital outpatient weight management clinic in the UK.

Fasting nonesterified fatty acid profiles in childhood and their relationship with adiposity, insulin sensitivity, and lipid levels.

Objective: The objective of this study was to examine the major constituent of nonesterified fatty acids in children with respect to auxologic parameters, insulin sensitivity, and lipid levels, because nonesterified fatty acid levels are elevated in obesity and are important in the development of comorbidities.

Methods: Fasting blood samples were obtained from 73 children (43 girls; 49 obese; median [range] age: 11.4 [0.

Which factors are associated with a successful outcome in a weight management programme for obese children?

Aims And Objective: To identify factors important in determining whether an obese child achieves significant reductions in Body Mass Index Standard Deviation Score (BMI SDS) within a UK, hospital-based paediatric obesity service aimed at lifestyle modification.

Design: Observational Study.

Subjects: 137 obese children (63 boys) who have attended our childhood obesity service within the last three and a half years at The Royal Hospital for Children, Bristol, UK.

Clinical measures of adiposity and percentage fat loss: which measure most accurately reflects fat loss and what should we aim for?

Objective: To determine which clinical measure of childhood obesity should be monitored to best reflect change in adiposity in a weight management programme and estimate the degree of change needed to be relatively certain of fat reduction.

Subjects: 92 obese children with a mean (range) age of 12.8 (6.

Maintaining normalcy: a grounded theory of engaging in HIV-oriented primary medical care.

Despite advances in the medical treatment of HIV disease, marginalized populations continue to shoulder a disproportionate burden of HIV/AIDS-related morbidity and mortality. This study explored the process by which clients at HIV-oriented primary care clinics transition from being sporadic users of care to engaging as regular users of care. A model illustrating how participants were striving to maintain normalcy, manage perceptions, and develop life mastery skills contributes to an understanding of living with HIV disease in a social context.