The development of a core outcomes set for self-management interventions for patients living with obesity

Self-management interventions (SMIs) can improve the life of patients living with obesity. However, there is variability in the outcomes used to assess the effectiveness of SMIs and these are often not relevant for patients. In the context of COMPAR-EU, our aim was to develop a core outcome set (COS) for the evaluation of SMIs for patients with obesity. We followed a four steps multimethod approach: (1) the development of the initial catalogue of outcomes; (2) a scoping review of reviews on patients' values and preferences on outcomes of self-management (SM); (3) a Delphi survey including patients and patient representatives to rate the importance of outcomes; and (4) a 2-day consensus workshop with patients, patient representatives, healthcare professionals and researchers. The initial catalogue included 82 outcomes. Ten patients and patient's representatives participated in the Delphi survey. We identified 16 themes through the thematic synthesis of the scoping review that informed 37.80% of the outcomes on initial catalogue. Five patients, five healthcare professionals, and four researchers participated in the consensus workshop. After the consensus process, 15 outcomes were selected to be part of the final COS, and five supplementary outcomes were also provided. We developed a COS for the evaluation of SMIs in obesity with a significant involvement of patients and other key stakeholders. This COS will help improving data synthesis and increasing the value of SM research data in healthcare decision making.


Claudia Valli,Rosa Suñol,Carola Orrego,Ena Niño de Guzmán,Valentina Strammiello,Nina Adrion,Kaisa Immonen,Lyudmil Ninov,Marieke van der Gaag,Marta Ballester,Pablo Alonso-Coello,


Journal: Clinical Obesity
Pages: -
Year: 2021
DOI: 10.1111/cob.12489

Further Study Information

Current Stage: Completed
Funding source(s): EU Horizon 2020, Grant/Award Number: 754936

Health Area

Disease Category: Endocrine & metabolic

Disease Name: Obesity

Target Population

Age Range: 18 - 120

Sex: Either

Nature of Intervention: Educational/self-management

Stakeholders Involved

- Clinical experts
- Consumers (patients)
- Patient/ support group representatives
- Researchers

Study Type

- COS for clinical trials or clinical research


- Delphi process
- Consensus meeting
- Systematic review