Digital Patient Decision Aid for Antiobesity Medications: Mixed Methods Study of Human-Centered Design and Usability Evaluation
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By
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Li-Jen Wang
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Yi-Jen Wang
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Yu-Lun Cheng
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Wen-Liang Fang
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Weu Wang
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Meng-Cong Zheng
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May 15, 2026
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Clinical Scorecard: Patient-Centered Digital Decision Support for Antiobesity Treatments: A Mixed Methods Evaluation of Design and Usability
At a Glance
| Category | Detail |
| Condition | Obesity |
| Key Mechanisms | Patient decision aids (PDAs) enhance shared decision-making by presenting treatment options and their risks and benefits. |
| Target Population | Adults considering antiobesity medications (AOMs) in Taiwan. |
| Care Setting | Clinical settings in Taiwan, specifically in weight management. |
Key Highlights
- Obesity prevalence in Taiwan increased from 32.7% to 50.8% from 1993-2022.
- Antiobesity medications are effective but require preference-sensitive decision-making.
- Existing PDAs primarily target surgical options, leaving a gap for AOM decision support.
- OptiWeight, a digital PDA, was developed to assist adults in selecting AOMs.
- User-centered design principles guided the development and refinement of OptiWeight.
Guideline-Based Recommendations
Diagnosis
- Assess obesity prevalence and its impact on health outcomes.
Management
- Utilize patient decision aids to facilitate informed choices among AOMs.
Monitoring & Follow-up
- Evaluate patient understanding and satisfaction with treatment options.
Risks
- Consider potential side effects and individual patient preferences in treatment selection.
Patient & Prescribing Data
Adults with obesity considering medication therapy.
AOM selection should align with patient values and preferences.
Clinical Best Practices
- Implement shared decision-making in obesity treatment.
- Utilize PDAs to enhance patient knowledge and reduce decisional conflict.
- Ensure PDAs are tailored to the local context and patient needs.
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