ArticleJournal of multidisciplinary healthcare2026
Determinants of Implementing the 2024 Weight Management Guidelines in Overweight Patients with Coronary Heart Disease in China: A CFIR-Based Qualitative Study of Patient and Caregiver.
Article in Journal of multidisciplinary healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The rising prevalence of overweight among patients with coronary heart disease (CHD) constitutes a critical clinical challenge. However, the multilevel determinants and patient-caregiver dynamics influencing the real-world implementation of the 2024 Weight Management Guidelines remain underexplored. Purpose: To examine the facilitators and barriers influencing the clinical implementation of the 2024 Weight Management Guidelines from the perspectives of patients and their caregivers, and provide an evidence-based foundation for optimizing guideline-driven interventions in overweight patients with CHD. Material and Methods: Using a descriptive qualitative design, purposive sampling was employed to conduct semi-structured, in-depth interviews between July and December 2025 with overweight patients with CHD and their family members at a tertiary hospital in Nanjing. Data were analyzed thematically within the theoretical framework of the Consolidated Framework for Implementation Research (CFIR). Results: Implementation determinants were synthesized into five CFIR domains. Outer Setting: Media-driven health communication expanded patient awareness; however, implementation was constrained by the absence of community-based guidance, fragile social support, and a lack of peer support networks. Inner Setting: Institutional trust and effective clinician-led education served as key facilitators; however, the lack of a multidisciplinary education model remained a critical barrier. Characteristics of Individuals: Patients exhibited proactive information-seeking behaviors and a "confidence cycle" driven by positive feedback. Nevertheless, deep-seated cognitive biases (e.g, the "medication-only" fallacy), entrenched dietary preferences, sedentary lifestyles, addictive behaviors, disrupted circadian rhythms, and behavioral inertia combined with skill deficits created substantial resistance. Intervention Characteristics: While caregivers are highly willing to participate, there is a clinical lack of personalized weight management programs for patients with CHD. Implementation Process: Daily familial supervision provided vital reinforcement; however, a fragmented post-discharge care chain led to the cessation of effective professional guidance and monitoring. Conclusion: The implementation of the 2024 Weight Management Guidelines is governed by multilevel determinants. Clinical practice should address behavioral inertia and cognitive biases while establishing a "hospital-to-home" continuum of care. Integrating family-centered participation with precision strategies is essential to enhance adherence and facilitate the successful translation of the guidelines.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.